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Epididymal cysts, surgery an option ?

I have epididymal cyst at both sides .............. size of them is right= 7mm left = 4 mm i want to know how it treats if surgery is good or not what it contain ( sperm or other fluid )
Asked On : Sun, 5 Feb 2012
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Internal Medicine Specialist 's  Response
Jan 2013
HELLO & WELCOME TO HCM FORUM

FEW DETAILS REGARDING EPIDIDYMAL CYST

1) SMOOTH, EXTRATESTICULAR, SPHERICAL CYSTS IN THE HEAD OF THE EPIDIDYMIS ARE NOT UNCOMMON IN ADULT MEN. THEY ARE BENIGN AND DO NOT USUALLY REQUIRE TREATMENT.

2) EPIDIDYMAL CYSTS USUALLY DEVELOP IN ADULTS AROUND THE AGE OF 40. EPIDIDYMAL CYSTS ARE RARE IN CHILDREN

3) CYSTS ARE FOUND IN AS MANY AS 30% OF ASYMPTOMATIC PATIENTS HAVING SCROTAL ULTRASOUND FOR OTHER REASONS, BUT MOST OF THESE ARE SPERMATOCELES.

4) SPERMATOCELE IS A RETENTION CYST OF A TUBULE OF THE RETE TESTIS OR THE HEAD OF THE EPIDIDYMIS DISTENDED WITH BARELY WATERY FLUID THAT CONTAINS SPERMATOZOA.

5) THERE IS NO WAY CLINICALLY TO DIFFERENTIATE BETWEEN A CYST OF THE EPIDIDYMIS AND A SPERMATOCELE.

6) EPIDIDYMAL CYST ARE CYSTIC AND FLUID FILLED THEY ARE WELL DEFINED, FLUCTUANT.

7) TREATMENT IS NOT USUALLY NECESSARY AND PATIENTS SHOULD BE ADVISED TO SEEK MEDICAL ADVICE IF EPIDIDYMAL CYSTS BECOME PAINFUL OR SUDDENLY START INCREASING IN SIZE.

8) THEY CAN BE SURGICALLY EXCISED. THIS IS BEST FOR LARGE OR SYMPTOMATIC EPIDIDYMAL CYSTS.

9) TREATMENT CAN BE DONE BY SCLEROTHERAPY

TAKE CARE

DR. MAYANK BHARGAVA
Answered: Sun, 5 Feb 2012
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