What to do with epitesticular cyst? Introducing scientific methods!

Epitesticular cyst is also known as spermatocele. Men between the ages of 20 and 40 are most likely to suffer from this disease. The patient's testicles will show obvious swelling. Other than that, many patients do not have obvious symptoms and do not feel any special discomfort. Most patients' condition will gradually improve and then disappear on its own. However, if the condition does not improve for a long time, you will need to go to the hospital for examination and treatment.

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. Differential diagnosis

1. Chronic epididymitis

Generally, the entire epididymis is enlarged or only a small nodule appears at the tail, which is hard in texture and sometimes the thickened vas deferens can be touched.

2. Hydrocele

It is a cystic mass in the scrotum, which is oval or fusiform and located in the spermatic cord.

3. Yong syndrome

The bilateral epididymis are enlarged or cystic, mostly limited to the proximal 1 to 1.5 cm of the epididymis. There are no abnormalities in the body, tail and vas deferens. However, this disease is azoospermia caused by chronic respiratory tract infection and progressive obstruction of the bilateral epididymis.

3. 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.

4. 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.