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