Epididymal cyst: What should we deal with it?

Epididymal cyst
FB Dr Soarawee
Soarawee Weerasopone, MD

Andrologist
Royal Phnom Penh hospital, Kingdom of Cambodia

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

Rezum: Minimally invasive water vapor therapy for BPH

Rezum: Minimally invasive water vapor therapy for BPH

Rezum system, a novel ablative procedure in benign prostatic hyperplasia (BPH) was approved by US FDA since 2015. Currently, there are lots of scientific papers confirmed its pros on improving urinary symptom. We will discuss in detail about this cutting-edge technology. As we all know that benign prostatic hyperplasia or BPH is one of theContinue reading “Rezum: Minimally invasive water vapor therapy for BPH”

Erectile dysfunction preventive strategy with physical activity

Erectile dysfunction preventive strategy with physical activity

Erectile dysfunction issue is classified as one among the top-ranking topics in my Urology office. While this embarrassing problem severely upset for one whom experienced in this condition, as they always try their best to revive this vital organ from the illness. The most common and easiest recommendation from the physicians are just simple sentenceContinue reading “Erectile dysfunction preventive strategy with physical activity”

Loading…

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

Leave a Reply

en_USEnglish
%d bloggers like this: