Progress of the procedure
After a cleansing enema and antibiotic prophylaxis, the patient is placed on his side; A TRUS transducer with a puncture tip is inserted, a blockade of the prostate nerves is performed, and under image control, a thin needle is passed through the wall of the rectum directly into the cyst. The contents are completely aspirated (sent for cytology and culture), the cavity is washed, and for a large cyst, a sclerosant is injected for several minutes. TRUS monitoring after 1–3 months; in case of relapse or utriculus cyst opening into the urethra, transurethral opening (marsupialization) is indicated.
When is a prostate cyst treated?
Small prostate cysts are often asymptomatic and require only observation. Treatment is indicated for cysts that cause pain in the perineum, difficulty urinating, hemospermia, pain during ejaculation, recurrent prostatitis, obstruction of the ejaculatory ducts with infertility, as well as suppuration. Puncture under TRUS is the first, minimally invasive stage; in case of relapse, endoscopic opening of the cyst through the urethra is performed.
Results
Aspiration with the introduction of sclerosant eliminates the cyst in 70–80% of patients; the contents are examined cytologically and bacteriologically. The procedure is outpatient, under local anesthesia with antibiotic prophylaxis, recovery is 2-3 days.
