Patient's question:
I haven't married yet. Recently, I've been experiencing urinary issues and discomfort in the lower body, specifically testicular pain. Painkillers haven't helped.Doctor's answer:
Hello! Prostate cysts are cystic changes that occur in the prostate gland due to congenital or acquired reasons. Congenital cysts result from incomplete regression of the (Wolffian ducts), which fuse at the midline and form a deep diverticulum or cyst below the bladder, opening posteriorly into the prostatic urethra. Acquired cysts are caused by the rigidity of the prostatic stroma leading to incomplete or intermittent obstruction of the acini, gradually thickening the acinar epithelium and ultimately resulting in retention cysts. These can be located anywhere within the prostate or protrude into the bladder neck, with diameters of 1–2 cm.Prostate cysts can be complicated by infection and stones. Larger cysts may compress the urethra, causing urinary difficulties. Common symptoms include urgency, frequency, difficulty urinating, thin urine stream, and urinary retention. Congenital prostate cysts are often associated with other congenital conditions such as hypospadias, cryptorchidism, and renal agenesis.
When the cyst is large, a rectal examination may detect the cyst in the prostate, urethral contrast imaging may reveal an arcuate impression in the posterior urethra, and ultrasound and CT scans can clearly determine its location. Smaller, asymptomatic cysts may not require treatment, while larger cysts or symptomatic smaller cysts can be treated surgically.
It is recommended to undergo relevant examinations at a reputable hospital for a definitive diagnosis and targeted treatment. Wishing you good health!
High-quality hospitals in Nanjing include:
Nanjing General Hospital of PLA
Nanjing Drum Tower Hospital
The Second Affiliated Hospital of Nanjing Medical University