EPIDIDYMAL CYST

An epididymal cyst is a cyst that develops in the epididymis, which is the coiled tube in the rear of the testicle. This generates a benign lump in the testicle and is quite common as people become older.

Each testicle has an epididymis, which is a long coiled tube that runs above and behind it. The epididymis receives sperm from the testes and transfers it to the tubes that transport sperm.

Epididymal cysts are sometimes falsely described as spermatoceles. However, this is a separate type of cyst that contains both fluid and sperm, whereas an epididymal cyst simply contains fluid.

Spermatoceles are epididymal cysts that look like spermatoceles. The spermatocele, however, includes fluid and sperm cells inside it. It is frequently impossible to tell the difference by medical evaluation or even imaging. Nevertheless, both are non-cancerous, which means they are not malignant. They have no effect on reproduction.

SYMPTOMS

Epididymal cysts and spermatoceles are usually asymptomatic. The epididymal cyst is often as small as a pea when detected and feels distinct from the top of the testis. 

Furthermore, the following are the symptoms:

  • a dull ache in the scrotum
  • inflammation of the scrotum
  • testicles that have hardened
  • extreme pressure on the penis’s backside
  • Pain in the groin, lower back, and abdomen

Epididymal cysts don’t usually cause severe, strong pain and are often entirely painless. If you have any of the aforementioned symptoms, you must require medical help immediately.

DIAGNOSIS

Physical examinations are administered to diagnose epididymal cysts. Also, during the diagnosis, your medical expert may flash some light behind each testis. This process allows the doctor to see the transparency of your testicles and detect any masses inside. 

Aside from that, your doctor may also request a scrotal ultrasound. You will then be referred to a urologist to monitor the growth of the cyst and the possible development of any related symptoms.

TREATMENT

The majority of epididymal cysts and spermatoceles do not require treatment. However, when the cyst continues to enlarge and cause pain or swelling, the following treatment procedures may be considered:

  • Surgery. This procedure removes the cyst through an incision.
  • Aspiration. Through this procedure, the cyst is removed by draining the fluid inside through the use of a needle.
  • Percutaneous Sclerotherapy. This is a non-surgical alternative for those that do not desire to have their cysts removed.

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