Is male cyst serious?

The severity of male cysts should be judged based on the size of the cyst. If the cyst is relatively small and there is no possibility of enlargement after regular examinations, there is no need to worry, and it will not affect fertility and health. However, if the cyst is relatively large and there is a possibility of continued enlargement, surgery may be required. In addition, if it is a testicular cyst, surgery is not recommended for men who do not have children, and the possibility of injury cannot be ruled out during the surgery. This article analyzes several possibilities in detail, let's take a look.

1. Acute and persistent testicular prolapse and pain: It is more common in orchitis and injury. In addition to blood infection, orchitis is more common when bacteria retrograde through the urethra to the epididymis and testicles, causing epididymitis and orchitis.

2. Chronic and recurrent testicular prolapse and pain: It is more common in prostatitis and varicocele. In chronic cases, the symptoms are milder, so it is not easy to determine the exact location of the inflammation. Testicular swelling and pain are not necessarily proportional to the severity of the inflammation. Some people are very sensitive and mild inflammation can cause severe discomfort; while some people are more delayed and feel that it is mild.

3. Testicular prolapse and pain after sex: This may be due to sexual excitement causing the genitals and gonads to become highly congested. Violent exercise or sex can sometimes cause the levator testis to contract strongly, causing the testicles with an overly long frenulum to twist and cause severe testicular pain. Some pain is caused by varicocele or pain radiating from other parts of the body, such as radiating testicular pain caused by ureteral stones. At this time, the real cause must be carefully identified in order to effectively treat the symptoms.

Generally, testicular cysts do not require treatment, but surgical removal can be used when necessary. Smaller cysts do not require treatment and can be observed regularly. After puncture and aspiration, anhydrous ethanol or other hardening agents are injected. Surgical removal of cysts is suitable for those with larger cysts and obvious symptoms. Testicular cysts can form in the scrotum. They can grow very large without causing any discomfort, but you should still ask a doctor to check whether you have it. Cysts can occur at any age, and this disease is most common in men over 40 years old.

Epididymal cyst, also known as spermatocele, is most common in men aged 20 to 40 years old. The cause of the disease may be the obstruction of the vas deferens leading to the accumulation of semen. The common site of epididymal cyst is the epididymal head, while it rarely occurs in the body and tail. It originates from the epithelial cells of the efferent duct of the rete testis. The diameter is usually several millimeters to several centimeters. It can be a single cystic cavity or divided into multiple cavities, but single cysts are more common. The cyst fluid often contains sperm. The clinical manifestations are mostly a feeling of scrotal swelling, no special discomfort, and the lesion develops slowly. A round or oval mass can be felt in the epididymal head. It has a smooth surface, no tenderness, and a cystic sensation. It has clear boundaries with the surrounding tissues and no adhesions.

If the cyst is small and asymptomatic, it can be observed first, and no treatment is needed, and it generally does not affect fertility. If the symptoms are severe or the cyst is large and the patient is married with children, surgical removal can be performed. Surgery may damage the epididymis and affect fertility, so unmarried patients should be cautious.