Epididymal cyst: What should we deal with it?

Epididymal cyst
Dr Pom Getbutton
Soarawee Weerasopone, MD

Andrologist
Royal Phnom Penh hospital, Cambodia
We Wellness clinic, Chonburi Thailand

Epididymal cyst is one of the most common testicular-related issues at my urology office. It was defined as an encysted structure closures the epididymitis which is literally described as a result from prior injuries or inflammations of the epididymis tubule. There’re confirmed evidences that spermatozoa or seminal fluid are the liquid which is lying inside the the cyst. These meaning that epididymal cyst are absolutely a benign lesion.

Epididymal cyst: What should we deal with it?
The symptom will usually present as incidentally self-examination painless scrotal swelling during taking a shower.

Natural history of Epididymal cyst

The symptom will usually present as incidentally self-examination painless scrotal swelling during taking a shower. While it always been asymptomatic, so there was 20 – 40% incidentally reported from scrotal ultrasound. The natural history can be something varied from spontaneous resolution, stable or slow growing over times. When mostly they were asymptomatic, so it is highly recommended that, do not digging out any intervention with any sizeable of asymptomatic epididymal cyst. There have been some literatures suggested that epididymal cyst which less than 10 mm can be safely managing as conservative treatment.

Less than 1 cm is safe
Less than 10 mm epididymal cyst can be managed conservatively.
Scrotal pain
Sometimes epididymal cyst can express as scrotal discomfort.

A very interesting, randomized trial from India since 2019, they studied various treatment modalities in a different size of the cysts and here are the recommendations.

  1. < 10 mm
    • Conservative treatment with possibility of 95% natural resolution within 3 years.
  2. 11 – 20 mm
    • Conservative treatment with possibility of 66% natural resolution within 3 years.
    • Needle aspiration is recommended in symptomatic patients.
  3. 21 – 50 mm
    • 0% of natural resolution within 3 years
    • Needle aspiration is recommended in symptomatic patients.
    • Surgical excision is the last choice due to risk of infertility
If more than 2 cm
Surgical excision will be considered in > 2 cm symptomatic epididymal cyst.

All I can say is, don’t be panic with the cyst. See you in next article!

You can feel free visit my official homepage here.

Free online consultation
Disclaimer 1
Disclaimer 2
History PE Investigation
Notices
WeChat
Telegram 1
WhatsApp
Line 1

Topics on Men’s health

Uroflowmetry, a non-invasive way to measure urine strength.

Today we will figure out about the Uroflowmetry’s utility. I do have a lot of patients who visit my urology clinic with so much complained about a weakening urinary stream. This kind of symptom– a weak urination is very emotionally complaint, and it was hardly to do a scientifically measure among individuals. I always ran…

Extracorporeal shockwave therapy in Peyronie’s disease

Peyronie’s disease or Penile curvature is one of the most annoying problems for any gentlemen who suffer from. In the severe case, inability to invaginate during sexual intercourse probably encountered. It is still lucky for the one who is in a mild condition because that they just can perform the intercourse, on the contrary of…

hCG monotherapy in male hypogonadism

Now a day, younger gentlemen come to see me with a hypogonadism symptom issue. Today we will discuss the new alternative way to treat this kind of disease by using hCG monotherapy with evidence-based medicine. We will pay attention in the late-onset hypogonadism which related with aging process only and here is the definition. Hypogonadism…

Loading…

Something went wrong. Please refresh the page and/or try again.

Leave a Reply

en_USEnglish
%d bloggers like this: