Removal of Epididymal Cyst

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Who is suitable for an epididymal cyst removal?

What are the advantages of having an epididymal cyst removal?

How is an epididymal cyst removal performed?

What to expect after an epididymal cyst removal?

Procedure outcomes

INTRODUCTION

An epididymal cyst is a benign (not cancerous) swelling that occurs in the epididymis, located at the back of the testicles. It is a collection of fluid. Epididymal cysts can occur only on one, or on both testicles. Men around age 40 are most likely to develop these cysts. Epididymal cysts are not dangerous, however some men will opt to have the cyst removed if they are causing bothersome symptoms.

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Who is suitable for an epididymal cyst removal?

  • Patients who are experiencing pain, discomfort or swelling in the scrotum
  • Patients who have a large cyst that causes them to feel self-conscious or is a nuisance
  • Patients who have previously had a cyst aspirated (fluid removed with a needle) but the cyst has returned.

What are the advantages of having an epididymal cyst removal?

Removal of an epididymal cyst is a surgical treatment for the relief of bothersome symptoms caused by the cyst.

  • Significantly less chance of the cyst returning, compared to injection or aspiration treatments
  • Straightforward and quick procedure
  • Reliable results

How is an epididymal cyst removal performed?

  • This procedure is performed under general anaesthesia
  • Removal of epididymal cyst may take up to 45 minutes
  • A small incision is made in the scrotum
  • The cyst is carefully separated from the surrounding structures and removed
  • The wound is closed using dissolvable stiches that do not require removal

What to expect after an epididymal cyst removal?

  • Most patients go home on the same day as their procedure
  • We recommend the use of supportive underwear
  • Light work can be resumed in 3-4 days but strenuous exercise and heavy lifting should be avoided for 2 weeks to minimize the chance of bleeding
  • Some bruising, swelling and discomfort in the scrotum is to be expected for a few days following the procedure
  • There may be some minor fluid discharge from the wound for a few days
  • Infection of the wound and blood clots in the scrotum are both uncommon but possible complications

Procedure outcomes

  • There are some cases where an epididymal cyst may return, even after surgical removal though this is not common
  • Very rarely, removal of an epididymal cyst can affect a man’s fertility if the structures that carry the sperm from the testis become damaged during the surgery. If fertility is important for you, you should discuss this possibility with your urologist prior to surgery
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