How to treat epididymal cyst? Doctors introduce treatment methods!

The so-called epididymal cyst is also known as spermatocele. Men between the ages of 20 and 40 are more likely to suffer from this disease. The patient's scrotum will have an obvious swelling feeling. Apart from that, there are generally no obvious symptoms or special discomfort. This disease develops very slowly. If the condition is serious, it can be removed surgically.

1. Treatment

Those without symptoms do not need treatment. Those with severe symptoms or large cysts who are married with children can undergo surgical removal.

Surgery may damage the epididymis and thus affect fertility, so unmarried patients should be cautious.

2. Clinical manifestations

There is often a feeling of scrotal swelling, but generally there are no obvious symptoms, no special discomfort, and the disease develops slowly.

3. Inspection

1. Palpation examination

A round or oval mass can be felt in the epididymal head, with a smooth surface, no tenderness, cystic feeling, clear boundaries with surrounding tissues, and no adhesions. A cystic mass can be felt in the epididymal head when touched, and the transillumination test is positive.

2. Ultrasound examination

Inflammation is a solid mass.

4. Diagnosis

Most cysts can be identified by palpation; they feel firm but are actually pulsating.

1. Generally, there are no symptoms, but sometimes there is discomfort in the scrotum or a feeling of falling.

2. A round swelling is felt on the testicle or epididymis. It is soft, has clear boundaries, fluctuates, and does not shrink when squeezed.

3. Positive light transmission test. The cyst puncture fluid is milky white and opaque. Microscopic examination shows inactive sperm, fat bodies, etc. After being placed at room temperature for a short time, the previously inactive sperm in the fluid will become active.

4. Ultrasound can reveal fluid dark areas in the testicles or epididymis.