Treating prostate cysts

Male friends do not feel anything after the occurrence of prostate cyst. They just feel slight urinary pain when going to the toilet, but the degree of urinary pain is not so obvious. As the disease worsens, patients will gradually feel that their bowel movements become very unsmooth, and they will continue to have a high fever and there is no way to reduce the fever. This is the most common symptom after suffering from prostate cyst.

Small cysts without symptoms do not need treatment. Large cysts or small cysts with symptoms can be treated surgically, with various approaches, such as transvesical, extravesical, transperineal, and transrectal. Incomplete surgical resection is often caused by poor exposure, with a high recurrence rate and many complications. Transperineal surgical resection of cysts near the perineum is prone to cause ED, so it should be used with caution in young patients. Under B-ultrasound positioning, the cyst is punctured and aspirated through the perineum or rectum, and then a coagulant is injected, but it is prone to recurrence.

Cysts near the urethra or protruding into the bladder are removed by transvesical surgery or transurethral electroresection to remove most of the top of the cyst to allow adequate drainage. Laparoscopic resection of prostatic cysts has the advantages of clear tissue exposure, short operation time, no damage to pelvic tissue, small trauma, no fistula, and less bleeding. It is the preferred method for treating prostatic cysts protruding to the back of the urethra and the bladder neck. For cysts near the urethra or protruding into the bladder, transurethral electroresection of the cyst is the best surgical approach, but for young patients, preserving the seminal colliculus is crucial for normal ejaculation.

When the patient continues to have a high fever, urinary tract symptoms do not improve significantly, urethral overflow, and constipation, the possibility of prostatic cyst should be considered. After confirming the diagnosis with the help of B-ultrasound and other examinations, abscess incision and drainage or puncture drainage treatment should be performed. Only when the abscess is completely eliminated will the above symptoms be relieved.

Puncture treatment is relatively simple. Through the anus, a long needle is inserted into the pus cavity, and a syringe is used to aspirate until the pus is completely sucked out. Sometimes it will not be completely eliminated in one time, and it takes two or more times to achieve a satisfactory effect.

When the abscess is large and contains a lot of pus, abscess incision and drainage is the best method. Use an anorectoscope to expose the prostate area, use a sharp knife to cut the rectal wall into the abscess, drain the pus and place a drainage tube. Depending on the drainage situation and combined with examination, the time to remove the drainage tube is determined. Currently, this treatment still requires the use of antibiotics in conjunction with treatment.

Physical therapy is helpful for acute prostatitis and abscesses. Proper application can promote the absorption of inflammation.