Kidney Cysts, Stones, and Chronic Prostatitis: What You Need to Know - Urology

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Yesterday, I visited a urologist who mentioned that I have some small cysts on my kidneys and chronic inflammation of the prostate?


During my ultrasound yesterday, the doctor mentioned that I have some small cysts on my kidneys and a stone the size of a grain of sand.
He also noted that my prostate shows signs of chronic inflammation, but reassured me that these are minor issues and not to worry, as many people have them.
However, I have health anxiety and after looking up some information online, I'm still quite concerned.
I remember that during my abdominal ultrasound in May, it was reported that my kidneys were normal (from an employee health check).
How could there suddenly be a problem now?
1.
Doctor, when the physician mentioned my kidney cysts, are they simple renal cysts? Does that mean they are not likely to turn into malignant tumors?
2.
Will the stone the size of a grain of sand be passed through urine? Is this a significant issue?
3.
Regarding the chronic inflammation of my prostate, the doctor said it was caused by holding in urine.
If I try to avoid holding it in, will that improve the condition? Is there any concern about cancer related to this issue?
Thank you for your answers! I really appreciate it.

Luo Kairen, 20~29 year old female. Ask Date: 2018/11/25

Dr. Du Shixi reply Urology


Hello: 1) Renal cysts are not malignant, but regular monitoring is necessary.
2) They should not grow larger; drinking plenty of water increases the chance of expulsion.
3) Yes, but it's important to pay attention to lifestyle; it is not cancer.
Wishing you good health.

Reply Date: 2018/11/25

More Info


Understanding kidney cysts, stones, and chronic prostatitis is essential for managing your health concerns effectively. Based on your recent ultrasound findings and your previous health assessments, let’s break down each of your concerns.

1. Kidney Cysts: The small cysts found in your kidneys are likely simple renal cysts. These are fluid-filled sacs that are quite common, especially as people age. Simple cysts are generally benign and do not pose a risk of becoming malignant (cancerous). They are often asymptomatic and do not require treatment unless they cause symptoms or complications. In most cases, they are discovered incidentally during imaging studies, such as ultrasounds or CT scans. If your doctor has reassured you that these cysts are not concerning, it is likely because they fit the profile of simple cysts, which are very common and usually harmless.

2. Kidney Stones: The sand-sized stone you mentioned is relatively small, and it is possible that it could pass through your urinary tract without causing significant issues. Many small stones can be expelled naturally through urination. However, the experience can vary; some individuals may feel discomfort or pain as the stone moves, while others may not notice it at all. It’s important to stay well-hydrated, as increased fluid intake can help facilitate the passage of stones. If you experience severe pain, blood in your urine, or if the stone does not pass, you should consult your healthcare provider for further evaluation and management.

3. Chronic Prostatitis: Chronic prostatitis can indeed be influenced by lifestyle factors, including urinary habits. If your doctor indicated that your condition might be related to holding in urine, making a conscious effort to urinate regularly can help alleviate symptoms. Chronic prostatitis can cause discomfort and urinary issues, but it is not typically associated with prostate cancer, especially in younger individuals. Regular follow-ups with your healthcare provider are essential to monitor your condition and ensure that it does not progress.

In summary, while it is natural to feel anxious about new health findings, the information provided by your healthcare provider suggests that your conditions are manageable and not immediately concerning. Simple kidney cysts and small stones are common and often do not require aggressive treatment. Chronic prostatitis can often be managed with lifestyle changes and regular monitoring.
If you continue to have concerns, especially given your history of health anxiety, it may be beneficial to discuss these feelings with your healthcare provider. They can provide reassurance, further information, and possibly refer you to a specialist if necessary. Remember, staying informed and proactive about your health is key, but it’s also important to balance that with guidance from your healthcare team.

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