A midline utricle cyst (or prostatic utricle cyst) is a small fluid-filled pouch arising from embryological remnants in the male reproductive tract. It’s usually: • Incidental (found by chance on ultrasound), • Benign, and • Often asymptomatic, especially when small (like yours — 6 mm).
If the cyst increases significantly in size, it may cause: • Difficulty or dribbling during urination, • Pain or heaviness in lower abdomen or perineum, • Urinary tract infection, or • Rarely, infertility issues (if large and compressing ducts).
But in most cases under 1 cm, no treatment is needed — only periodic USG follow-up once every 6–12 months.
Ayurvedic Supportive Medicines :- 1. Kanchanar Guggulu- 1 tab twice after food 2. Varunadi Kashayam - 15ml with equal warm water twice daily before food 3. Punarnavadi Mandur - 1 tab twice daily after food
Lifestyle & Diet Tips :- •Maintain hydration (2–2.5 L/day) •Avoid excessive dairy, sweets, oily food (Kapha-aggravating) •Include barley, horse gram (kulith), bottle gourd, and Punarnava herb decoction occasionally •Avoid prolonged sitting or holding urine •Periodic USG check every 6–12 months to monitor size
Hello Muzamil Start with Kanchanar guggul 1-0-1 after food with water Vriddhivadhika vati 1-0-1 after food with water Both above medicine will help reduce the size of the cyst Gokshuradi guggul 2-0-0 after breakfast with water, This will help keep urine pathway clear. Do pranayam lom -vilom kapalbhatti bhastrika daily for 5-10mins twice.
As it’s 6 mm and you are asymptomatic it will not cause harm but you can start on Kanchanar guggulu 1-0-1 Gokahuradi guggulu 1-0-1 Chandraprabha vati 1-0-1 As for now now any intervention is required but repeat us after 3 month to look for the size of cyst , till that you can start the above medication
Ayurveda, this can be compared to a Kaphaja granthi (small cystic swelling formed by kapha imbalance, srotorodha/obstruction). Treatment focuses on balancing Kapha and Vata, preventing further growth, and supporting urinary–reproductive health.
Useful Ayurvedic approaches:
1. Lekhana & Granthi-hara herbs (cyst-reducing, kapha-pacifying)
Kanchanar Guggulu – classically used for cysts, fibroids, and glandular swellings.
Varunadi Kashaya – supports urinary tract health and helps in reducing abnormal growths.
2. Kapha–Vata balancing tonics
Triphala Guggulu – helps prevent cyst enlargement, keeps metabolism balanced.
3. Urinary system support
Gokshura (Tribulus terrestris) or Punarnava (Boerhavia diffusa) – to prevent urinary obstruction, support kidney-bladder pathway.
It is typically benign and asymptomatic. However, Ayurveda offers gentle, preventive support to help your body maintain balance and reduce the likelihood of cyst growth or future symptoms.
1.Kanchnar guggulu 2 tab twice daily with water after meals 2.Punarnava mandur 1 tab twice daily with water after meals 3.Triphala churna 1 tsp at bedtime with warm water
Lifestyle & Diet Tips - Avoid: Dairy, sugar, fried foods, excess wheat, and cold/raw items - Favor: Warm, cooked meals with turmeric, ginger, cumin, and coriander - Include: Millets, leafy greens, curry leaves, flax seeds - Hydration: Sip warm water throughout the day - Movement: Gentle yoga or walking 30 mins daily - Sleep: Early bedtime, screen-free wind-down
Midline prostatic utricle cysts are often asymptomatic and may not require immediate treatment if they do not cause any issues. However, if a cyst does increase in size and start causing symptoms, Ayurveda can offer supportive interventions. In Ayurveda, the management of such cysts can be understood through the lens of balancing the doshas—particularly focusing on vata and kapha dosha, as these are most often associated with cystic formations.
Dietary modifications are an initial step. Incorporating foods that balance vata and kapha doshas, such as warm, cooked meals with spices like turmeric, ginger, and cloves can be beneficial. Avoid cold, raw foods, and those which are heavy and oily, like dairy or fried food, as they may aggravate kapha.
Herbal remedies might also be helpful. Guggulu-based formulations like Kanchanar Guggulu are traditionally used in Ayurveda to manage cystic conditions. This preparation is believed to help in reducing growths by balancing hormones and eliminating toxins. Trikatu, a combination of dry ginger, black pepper, and long pepper, can support digestion and metabolism, which keeps doshas in check.
Simple lifestyle practices support the management of doshic imbalances. Daily self-massage (Abhyanga) with warm sesame oil could potentially help in balancing vata and kapha. Ensuring regular daily routines and adequate rest can further support systemic health.
Yoga and pranayama exercises facilitate energy flow and promote detoxification. Asanas like Sarvangasana or Viparita Karani can be beneficial, engaging abdominal and pelvic regions.
Despite these supportive measures, it is essential to keep a close follow-up with regular medical evaluations to monitor the cyst’s condition. In particular cases where there’s rapid growth or symptoms occur, seeking a consultation with a healthcare professional is crucial, as surgical intervention may be the most effective option. Balancing traditional Ayurvedic measures with regular medical advice will ensure a comprehensive approach to health.
Start on Kanchanar guggulu 1-0-1 VRIDDHIBHADIKA vati 1-0-1 Chandraprabha vati 1-0-1 Repeat us after 3 months
HELLO MUZAMIL,
You have a midline prostatic utricle cyst, about 6 mm, found accidentally on ultrasound
WHAT IS IT? -during metal development, men have a small remnant of a structural called the Mullein duct. In some men, this forms a tiny cyst near the prostate, called a uterine cyst -Most small cysts cause no symptoms, as in your case -sometimes, if they grow bigger they can cause –diffuculty in urination –recurrent urinery infection –pain during ejaculation –infertility (rarely)
SIZE MATTERS= At 6 mm ; it’s a very small. usually it does not require surgery unless it grows or causes problems
TREATMENT GOALS Even though your cyst is small and harmless now,
INTERNAL GOALS (INSIDE THE BODY) -reduce vitiation of kapha and vata in urinary channel -supports urinary tract health and prostate health -prevent cyst growth or inflammation
EXTERNAL GOALS -improve circulation , and metabolism in the pelvic region -prevent urinary stagnation -maintain general health to avoid complications
INTERNAL MEDICATIONS
1) GOKSHURADI GUGGULU= 2 tabs twice daily after meals =suppots urinary tract, reduces inflammation
2) KANCHANAR GUGGULU= 2 tabs twice daily after meals =helps in cysts and small swelling
3) PUNARNAVADI KASHAYA= 20 ml twice daily after meals with warm water =reduces water retention, inflammation
4) VARUNADI KASHAYA= 20 ml twice daily after meals with warm water =supports prostate and urinary tract
5) TRIPHALA CHURNA = 1/2 tsp with warm water at night =gentle detox and digestion
LIFESTYLE CHANGES -do not hold urine for log periods -drink adequate warm water helps flush urinary system -avoid heavy, oily, fried, and overly sweet foods -limit dairy and red meat -moderate exercise - walking, stretching
YOGA ASANAS -uttanapadasana= strengthen lower abdomen -bhujangasana= improvs pelvic blood flow -pawanmuktasana= aids digestion and pelvic circulation
PRANAYAM -Anulom vilom= balances body energy - bhramari= calms nervous system and reduces stress
DIET -warm, light, easy to digest meals -barley, horse gram, pumpkin, bottle gourd, green vegetables -use spices like cumin, coriander, ginger for digestion
AVOID -excess salt, sour, fried, and heavy foods -red meat and processed foods -excesive cold drinks, ice and alcohol
HOME REMEDIES -driink goksuradi decoction- helps urinary health -triphala water at night - mild detox and bowel movement -warm sitz bath occasionally- relaxes pelvic muscles -gentle perineal massage with warm sesame oil
Current status- 6mm cyst, no symptoms- treatment is preventive -Ayurvedic management can help balance doshas, strengthen urinary channels, and prevent growth -Lifestyle, diet, yoga and medications are essential for small cysts -No need to panic= most small utricle cysts remains harmless
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
Prostatic utricle cysts, like the one you’ve described, are indeed matters that benefit from close medical attention, especially if they’re asymptomatic currently but pose potential future complications. Ayurveda, especially through the Siddha tradition, could offer supportive measures focusing on balance and preventive wellness, but it becomes critical to underline that direct treatment may not address the cyst itself as effectively as conventional options might.
In terms of keeping the body’s systems balanced and potentially playing a preventive role, Ayurvedic approaches look at ensuring balanced doshas, particularly observing kapha influences, which could be linked with fluid accumulations. Supporting agni, your digestive fire, and ensuring efficient metabolism is a foundational step. This can include incorporating herbs like triphala, known for overall cleansing, or guggulu, which supports reduction in abnormal tissue growth, aiding vitality and metabolism. Discuss these possibilities with your Ayurvedic practitioner for dosage and preparation, which varies significantly.
Regular body activities such as light exercise, yoga, and maintaining good digestive health are also suggested to help keep the body’s channel (nadis) clear. Sipping warm water throughout the day could be helpful in keeping things moving smoothly inside.
This approach is more about making sure nothing that might exacerbate the condition develops further rather than resolving a present cyst with direct action. Regular check-ups with your healthcare provider help to monitor the situation in case prompt intervention is necessary. Cysts, especially those that might grow, require a timely and critical evaluation by a medical professional to avoid complications. Balancing Ayurveda’s offerings with socialized medical guidance will ensure you’re fully covered for any developments.
