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What Does Small Epididymal Cyst Causing Discomfort In Testis Indicate?

Posted on Mon, 19 May 2014

Question: my name is XXXXXXX XXXXXXX 43years old male.i got chicken pox on 19th march.i took zovirax-800 five times in a day for 7 days.on 30th march i felt a slight discomfort in my left testis.i consulted an urologist who examined my testicles and stated two small cysts are exsisting in epididymitis of both testis.he ordered blood tests like total differential count,urea,creatinine,urine routine and culture and scrotum u.s.g.i did not feel any urinary symptoms.i did all tests and usg and reported to the doctor.he said all reports are normal.usg showed two small epididymal cysts.other observations of usg remain normal.doctor prescribed me alevo-500 for 7days followed by cepodem-200 b.d. for 14 days.and he suggested scrotal suspensary bandage and tight under garment.i have completed the prescribed dose and used bandage.still an ache i do feel though not very severe.please say why such ache is there and what is the remedy?

Answered by Dr. T Shobha Deepak (1 hour later)

Brief Answer:
Wearing right size underwear important

Detailed Answer:
Namasthe
Welcome to Healthcare-Magic
Greetings of the day

Dear Mr XXXXXX

Small epididymal cyst may produce mild discomfort and are unlikely to have continued pain. If the contents of cyst fluid are clear and ultrasound had shown no internal echoes then it's unlikely to be infected cyst. I hope Doppler was also done at that time to rule out Varicocele ( it's the dilatation and elongation of testicular veins).
If there is no discrepancy in size of both testis, testis shows normal vascularity (blood supply) and there is no congestion there is definitely no cause for concern.
Wearing proper size underwear which is neither tight nor loose is all that is required.

Do get back to me if you need any further assistance, will be glad to assist you.

Take care

Best Regards
Dr T Shobha Deepak
MBBS, MD

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

Follow up: Dr. T Shobha Deepak (1 hour later)

Ultrasound report is as follows:
both testis are normally positioned in the scrotum and are of normal size.right testis measures 3.8cm x3.3 cm x1.9cm and left testis measures 4.1x3.1x2.1 cm.

both testis show a uniform parenchymal echogenicity,smooth outlines and absence of any focal or diffuse lesion.

both epididymis are of normal size and echogenicity.
small cyst is shown in each side measuring right 5mmx3mm,left 6mmx4mm.

there is no evidence of varicocele,hydrocele or hernia in both scrotal sacs.

the pampiniform plexus was examined using colour doppler before and after valsalvas maneuver.

the inguinal regions are normal with no evidence of lymphadenopathy.

impression: small epididymal cyst in both sides.

this is placed for your consideration.

Answered by Dr. T Shobha Deepak (2 hours later)

Brief Answer:
Epididymal cyst is small to cause significant comp

Detailed Answer:
Hi
Greetings
There is no significant difference in size of both testis.
The Epididymal cyst are small to cause any significant pain and symptoms.
Varicocele has been ruled out.
There is no significant abnormalityin the scan report.

Wearing right size underwear will solve the issue.

Rest be assured there is no cause for concern.

Take care

Best Regards
Dr T Shobha Deepak
MBBS, MD

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

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