What could cause a small prostatic cyst in a 62-year-old male?

Hi,

Welcome to icliniq.com.

I went through your query and understood your concern. Prostatic cysts can arise due to many causes, like, Mullerian duct cyst, prostatic utricle cyst, ejaculatory duct cyst, cystadenoma of the prostate, cystic degeneration of prostatic tissue, prostatic retention cyst, chronic prostatitis, or a prostatic abscess. However, it is not of great concern if we are sure that a cyst is all we are dealing with, and they generally do not need any treatment if they are not causing any symptoms. So, please help me with a few details and answer my questions, what is your PSA (prostate-specific antigen) level? What is the size of your prostate on the ultrasound? Do you have symptoms like straining to pee, urgency, increased frequency, or feeling of incomplete emptying? Have you ever noticed blood in your urine? Are you currently on any medications?

I hope this has helped you.

Kindly follow up with the answers.

Hi,

Welcome back to icliniq.com.

The cyst is too small for you to worry about. As it is not causing any symptoms, I suggest you remain on follow-up for the same. Elevation of PSA levels during a UTI (urinary tract infection) is acceptable. However, the source of UTI may be due to your enlarged prostate, and you are holding some urine back in the bladder after peeing (it may not be evident for you, though). As a precaution, I suggest you get a uroflowmetry PVR (postvoid residual urine volume) done so that we can document the force and speed of your urinary stream. Depending on the results, you may or may not need some alpha-blockers. I also suggest repeating your PSA level screening after three months to ensure it has gone down.

I hope this has helped you and puts your mind to ease.

Take care.