Patient: The ultrasound revealed several scrotal cysts of different sizes, the largest being 1.0 cm, can they be removed by suction tube? Jiang Chun, Department of Urology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University: What you said is not very clear. More common are spermatic cysts, seminal cysts or syringomyelia. No cure which case are you? Patient: 2006 The bath was touched by hand, after ultrasound examination, the scrotum has several cysts of various sizes, on the outside below the testicles, the large one is 10 mm long 3 mm wide long strip 1, the rest have 4,5 grains not larger than 3 mm, is a spermatic cord cyst, seminal fluid cyst or syringomyelia on the unclear, usually there is no discomfort, but sometimes there is a little bad feeling. Can it be removed in Zhongshan Second Hospital by means of aspiration tube, and if so, can it be done without hospitalization? If the outer skin of the scrotum must be cut open, will it hurt the testicles and approximately a few days of hospitalization, thank you. At present, I have not seen you and have not performed a physical examination, so I cannot give an accurate answer. Patient: Hello, Dr. Jiang. Thank you very much for your guidance. I have a prostate problem and I would like to have it done at the Zhongshan Second Hospital within this year if I can have surgery. The situation is as follows: age 68, ultrasound sonogram records:. The prostate gland is normal in shape, 39×35×34mm in volume, the envelope is intact, the inner and outer glands are out of proportion, the internal echogenicity is thickened and unevenly distributed, and a number of strong echogenic spots of varying sizes up to about 11×5mm are visible, with no posterior acoustic shadow. Ultrasound: Prostatic hyperplasia with multiple calcified foci. Ureter, bladder: no significant abnormalities. After urination, the residual urine was about 69 ml. Now I would like to ask the following questions: 1. What does it mean when the internal and external glands are out of proportion? 2. The internal echogenicity is unevenly distributed. Multiple strong echogenic spots of varying sizes up to about 11×5 mm with no posterior acoustic shadow can be seen. What does it mean? I have been suffering from incomplete urination, weak urination, frequent urination, 3,4 times at night, and dribbling for about 10 years. The medication I have been taking for more than 10 years has not worked. The doctor said during the physical examination that the prostate gland is not very large, is my condition mainly near the urethra inside the hyperplasia, suitable for urethral electrodes treatment? I would like to ask for your advice, thank you. The uneven distribution of internal echogenic thickening refers to the loss of normal prostate structure in the internal glandular bodies after prostate enlargement, with most hyperplastic nodules. Multiple strong echogenic spots of varying size are multiple internal prostate calcifications or small stones, which are often seen in the aftermath of prostatitis and prostatic hyperplasia. The symptoms caused by prostate enlargement and the harm it causes depend largely on the degree of obstruction and are not directly related to the size of the prostate. If you have ever systematically taken Paulownia, Alfa receptor blockers (including Gottlieb, Harlequin, Santa, etc.) without efficacy, you should opt for surgery based on your symptoms and the amount of residual urine. Patient: Thank you, Dr. Jiang, for your guidance