Does epididymal cyst surgery affect fertility?

The testicles are where men store sperm. When men are sexually stimulated, the corpus cavernosum in the penis becomes engorged and swollen, and the sperm in the testicles is then transferred to the glans penis, thereby completing the orgasm. Therefore, the health of the testicles is closely related to the male reproductive function. When you find that you have an epididymal cyst, you need to go to the hospital for examination in time. If necessary, you also need to undergo surgery to remove the cyst. So will epididymal cyst surgery affect reproductive function?

1. Does epididymal cyst surgery affect fertility?

Small and asymptomatic epididymal cysts usually have no effect on fertility, but larger epididymal cysts or testicular cysts with sperm transport channel obstruction can cause male infertility. Therefore, for small and asymptomatic spermatocele, no treatment is required, and regular follow-up observation can be performed; large cysts or obvious symptoms or those that affect fertility should be treated with repeated fluid extraction, injection of sclerosing agents or surgical removal, but if the transport channel is obstructed, the obstruction should be relieved first, otherwise the purpose of solving fertility cannot be achieved.

When male friends find that they have epididymal cysts, they must go to the hospital for professional treatment in time, otherwise it will have a great impact on fertility problems, and in severe cases it will lead to infertility, so male friends should pay attention to it.

2. Surgical methods for epididymal cyst

Because the operation is minor, the patient does not experience much pain. A small scrotal incision is sufficient to mobilize, separate, and remove the cyst, and the results are often very good. During the operation, the doctor will carefully separate the cyst from the testicle and epididymis, and then remove it intact. During the operation, the doctor will try to be careful not to compress and disrupt the blood supply to the testicle or disrupt the connection between the epididymis and the vas deferens. If the cyst is open or has been aspirated before the operation, the fluid will appear thin, white or turbid, and inactive sperm may be visible under a microscope. Complications of surgical removal of an epididymal cyst are mild and rare and include scrotal hematoma, infertility (if the epididymis is removed), and testicular atrophy if the blood supply to the testicles is affected.

3. Epididymal cyst and Chinese medicine treatment methods

This disease is mostly caused by liver, spleen and kidney dysfunction, phlegm and dampness blocking the body, and stagnation. The treatment is mainly based on resolving phlegm and dispersing stagnation. According to the different causes and pathogenesis, the treatment is to soothe the liver and regulate qi, resolve phlegm and remove dampness, or nourish yin and reduce fire, resolve phlegm and disperse stagnation.

Treatment for Qi stagnation and phlegm stagnation syndrome: Soothe the liver and regulate Qi, transform dampness and eliminate phlegm.

Treatment for Yin deficiency and phlegm obstruction syndrome: nourish Yin and reduce fire, resolve phlegm and disperse stagnation.