These are swellings of the sperm collecting tubes around the head of the testis. The condition is completely benign but may worry some men who think there may be a cancer present. Physical examination will nearly always give a clear diagnosis.
While epididymal cysts may be tender they usually cause no discomfort but can be unsightly or get in the way. If there is uncertainty as to whether testicular pain is related to a cyst it is a simple matter to remove the fluid through a tiny needle (this requires no anaesthesia and is done in the clinic). If the pain is unchanged the cyst is unlikely to be the culprit
In general, operation should be avoided until a man is certain he has finished his family as there is always a risk of scar formation in the area of the tubules causing a blockage to the flow of sperm on that side.
Surgery, if needed, is a simple procedure which can be done under local or general anaesthesia depending on your preference.
It involves a small cut in the skin of the scrotum via which the testicle is exposed. The cyst is then carefully removed from the epididymis which is sewn back together using dissolving stitches. The wound is then closed with dissolving stitches.
You will need a few hours to recover prior to going home. You may also have some discomfort from the surgery, however, we will endeavour to ensure you are comfortable at all times.
There may be a little oozing of blood from the wound in the scrotum and this is of no concern. Unless otherwise instructed, you may remove the wound dressing after 48 hours and bathe normally. It is, however, advisable to avoid soap, bath oils, talcum powder etc until the wound has healed.
You will be given painkillers to take home with you; the degree of pain is usually only moderate. It is important to rest for a few days after surgery and you must avoid cycling or riding for at least two weeks. The stitches dissolve naturally and the wound will usually be checked after ten to fourteen days at a follow-up appointment.
The advice in this web site is made freely available for general use. The facts and opinions stated cannot however be taken as valid or safe for any individual patient unless specifically instructed by Mr Muir.
Copyright (c) 1999-2009 GH Muir. All rights reserved.