Is epididymisectomy considered a major surgery?

Some men in their twenties and thirties may experience epididymal pain, which is also called spermatocele. It can affect men's normal sexual life and health, and sometimes even lead to male infertility. Epididymal removal is required during treatment. Is epididymal removal considered a major surgery?

Epididymal cysts are also called spermatoceles, and the onset age is 20 to 40 years old. Epididymal cysts are cystic, painless or slightly painful, sometimes accompanied by a feeling of falling, and contain sperm and fluid. Epididymal cysts need to be treated in time. Experts in minimally invasive urology at Shanghai Jiuzhou Hospital pointed out that epididymal cysts can affect male fertility and pose a threat of multiple complications to men. The current treatment method is only surgery. Therefore, patients are reminded to choose qualified and powerful hospitals to ensure the effectiveness of the surgery.

Epididymal cysts usually occur in the epididymal head, but rarely in the body and tail. They originate from the epithelial cells of the efferent ductules of the rete testis, with a diameter of several millimeters to several centimeters. They can be a single cystic cavity or divided into multiple cavities, but single cysts are more common. The cystic fluid does not contain sperm. The clinical manifestations are often a feeling of scrotal swelling, no special discomfort, and the disease develops slowly. A round or oval mass can be felt in the epididymal head, with a smooth surface, no tenderness, cystic sensation, clear boundaries with surrounding tissues, and no adhesion.

Epididymal cyst is an enlarged mass in the epididymis that is hard, smooth, and contains a clear yellow fluid. However, it is hard and tender to the touch. It may appear on one or both sides and may vary in size. It is often difficult to distinguish from a spermatocele. Confirmation mainly relies on physical examination and scrotal B-ultrasound.

harm

Spermatocele can cause sexual dysfunction. If it is large enough, men will experience pain in the testicles and scrotum during sexual intercourse, which can lead to secondary impotence. In theory, a spermatocele can cause anxiety and lead to psychological impotence. This requires a full explanation by the doctor to relieve the patient's fears. When the spermatocele is large, it can change the appearance of the external genitalia and can also become one of the causes of operating anxiety, leading to impotence. If the cyst is too large and compresses the blood supply to the testicles, it can cause testicular atrophy and infertility.