There is a fleshy ball on the right testicle

If a small lump is found on the right testicle and there is a feeling of falling but no pain, it is usually caused by an epididymal cyst. There are many possible causes of epididymal cysts, and if not treated, it will bring a lot of harm to the patient. If this phenomenon is found, it is best to go to the hospital to check what the lump is, and then treat it according to the doctor's advice. If it is an epididymal cyst, it can be treated by surgical removal.

What is the reason for a lump on the right testicle?

Considering the possibility of epididymal cyst, it is recommended that you go to the hospital for scrotal ultrasound examination. If it is confirmed to be epididymal cyst, and there is no swelling or pain, it does not need to be treated, and regular check-ups are sufficient.

Causes of Epididymal Cyst

The cause of the disease is not very clear. It may be related to sexual stimulation, chronic infection of the testicular epididymis, or partial obstruction of the duct that transports sperm. It may also be related to local injury or infection of sexually transmitted diseases. Some people have suggested that the epididymal duct at the head of the epididymis bends, turns, or forms a diverticulum. Over time and with the continuous accumulation of sperm, the diverticulum tubules continue to enlarge, thus forming a spermatocele. When the epididymis is blocked or scarred due to inflammation or trauma, a spermatocele may also occur.

Diagnosis of epitesticular cyst

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.

Epididymal cystectomy treatment

Epididymal cystectomy mainly uses advanced equipment such as laparoscopes and microscopes to remove epididymal cysts. This operation only requires a small scrotal incision to move, separate and remove the cyst, and the surgical results are often very good.

Features of epitesticular cystectomy

1. Minimally invasive, painless and quick recovery: precise positioning under laparoscopy, only a small incision of 0.5 cm is made, no bleeding or pain during the operation, you can go wherever you want, and the recovery after the operation is fast.

2. No impact on sex life or fertility: Professor Zhang Canguo performed the surgery himself, which added to the quality of the surgery. The surgery will not affect sex life or fertility.

3. Short time and fast recovery: With mature technology, the entire operation only takes 7-15 minutes to complete. It is ultra-minimally invasive treatment and has a fast recovery after surgery.