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Suggest Treatment For Epididymitis And Cyst In Left Testicle

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Posted on Mon, 26 Oct 2015
Question: I had epididymitis about three months ago and soon after developed a cyst in my left testicle which continues to grow at a slow rate. It is now about the quarter of the size of my testicle. How common is this condition? Should I seek treatment and what should I expect in terms of tests and or surgery?
doctor
Answered by Dr. T Chandrakant (33 minutes later)
Brief Answer:
Clinical evaluation and ultrasonography to get a confirmed diagnosis.

Detailed Answer:
Hi.
Thanks for your query and an elucidate history.

To recapitulate: Male/42 - epididymis 3 months ago - cyst left - growing gradually - quarter the size of the testicle - wants to know - how common - seeking treatment - expectations of the tests and/ surgery.

It is not much common to develop cyst after epididymitis.
You should seek proper diagnosis - this is important to decide the mode of treatment.
I would advise the following and also note the possibilities you have asked for:
- Clinical evaluation and examination by a General Surgeon. A transillumination tests will indicate whether this is a cyst/secondary hydrocele or something else.
- Ultrasonography with color doppler mode helps to get a confirmed diagnosis.

If there is a secondary hydrocele, you can have wait and watch policy, go for review tests and get operated if indicated so.

It is very difficult to predict and tell you about other possibilities and can just add to either the confusion or apprehension.
Hence the best way get a proper diagnosis so that we can discuss on the possible treatment.

I hope this answer helps you.
Please go for the proper tests and go for the proper treatment. Keeping such a condition as not diagnosed can create problems/ complications later on. Why to take the risk when simple tests are so much diagnostic.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (18 hours later)
Doctor

Thanks for your prompt reply. I am scheduled for a doctor's visit this week. Could blockage of the epididymis be present after an epididymal infection? Could this cause the mass I currently feel? It is semi soft and somewhat 'squishy' to the touch and feels as if it is filled with fluid. It is also palpable apart from the testicle and definitely feels as if rises from the epididymis.
doctor
Answered by Dr. T Chandrakant (3 hours later)
Brief Answer:
Get an Ultrasound and CD

Detailed Answer:
Thanks for your appreciation.
This looks to be a cystic mass.
As we discussed above, it can be a secondary hydrocele as a reaction to epididymitis, cyst coming from epididymis in this way is not common.
Also get an ultrasonography and color doppler examination (CD) to get a confirmed diagnosis along with clinical evaluation by your Doctor (I hope this is Urologist or General Surgeon)
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19777 Questions

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Suggest Treatment For Epididymitis And Cyst In Left Testicle

Brief Answer: Clinical evaluation and ultrasonography to get a confirmed diagnosis. Detailed Answer: Hi. Thanks for your query and an elucidate history. To recapitulate: Male/42 - epididymis 3 months ago - cyst left - growing gradually - quarter the size of the testicle - wants to know - how common - seeking treatment - expectations of the tests and/ surgery. It is not much common to develop cyst after epididymitis. You should seek proper diagnosis - this is important to decide the mode of treatment. I would advise the following and also note the possibilities you have asked for: - Clinical evaluation and examination by a General Surgeon. A transillumination tests will indicate whether this is a cyst/secondary hydrocele or something else. - Ultrasonography with color doppler mode helps to get a confirmed diagnosis. If there is a secondary hydrocele, you can have wait and watch policy, go for review tests and get operated if indicated so. It is very difficult to predict and tell you about other possibilities and can just add to either the confusion or apprehension. Hence the best way get a proper diagnosis so that we can discuss on the possible treatment. I hope this answer helps you. Please go for the proper tests and go for the proper treatment. Keeping such a condition as not diagnosed can create problems/ complications later on. Why to take the risk when simple tests are so much diagnostic.