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Old 03-01-2011, 07:52 AM
robT robT is offline
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Default Testicular Cyst

Testicular cysts also called Epididymal Cysts are smooth, extratesticular, spherical cysts in the head of the epididymis and are relatively common in adult men. They are benign and do not usually require treatment. It is important to appreciate when they might be significant and when further investigation or treatment is recommended.

Testicular cysts usually develop in adults around the age of 40. Epididymal cysts are rare in children and when they occur, usually present around puberty. Cysts are found in as many as 30% of asymptomatic patients having scrotal ultrasound for other reasons, but most of these are spermatoceles.2 The prevalence in the general population is difficult to estimate.
Patients usually present having noticed a lump. This often causes a great deal of anxiety and clinical examination can enable reassurance.
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Old 03-02-2011, 08:08 AM
Paddy Paddy is offline
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Often epididymal cysts are multiple and may be bilateral and small cysts may remain undetected and asymptomatic. Small cysts are tolerated by patients. However, once cysts get large (with size equivalent to the size of a testicle) they are, unsurprisingly, more likely to need removal and as they are cystic and fluid filled they are well defined, As they arise in the epididymis, the testis is palpable quite separately from the cyst (unlike a hydrocele where the testis is palpable within the fluid filled swelling).

Extratesticular, fluctuant, cystic swellings which transilluminate and are readily palpable separate from the body of the testis are epididymal cysts and do not usually need further investigation. These can readily be distinguished from testicular tumours which arise from the testis.
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Old 03-04-2011, 07:00 AM
Peggy9 Peggy9 is offline
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Reaching a diagnosis of testicular cysts might throw up question marks over the following as possible diagnoses: Spermatocele. There is no way clinically to differentiate between a cyst of the epididymis and a spermatocele. They can be differentiated as sperm are present in the milky fluid aspirate of a spermatocele. Such a procedure is not recommended as differential diagnosis does not change management.

Inflammatory thickening, either acute or chronic of the epididymis. Such swellings will not transilluminate.

Hydroceles. These are collections of fluid surrounding the entire testicle.

Varicoceles. These are dilated veins and have been described as feeling like 'a bag of worms'. They increase with increase in abdominal pressure(Valsalva manoeuvre).

Other scrotal masses, particularly the extratesticular scrotal masses. These are predominantly benign. Lipomas are the most common extratesticular tumours.

Scrotal ultrasound will assist diagnosis if there is uncertainty.5,6 Aspiration of fluid is rarely useful or necessary from either a diagnostic or treatment perspective.
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Old 03-07-2011, 07:32 AM
amanda5356 amanda5356 is offline
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Treatment is not usually necessary for these cysts and explanation and advice is all that is usually required. Patients should be advised to seek medical advice if epididymal cysts become painful or suddenly start increasing in size.If this happens then they can be surgically excised. This is best for large or symptomatic epididymal cysts. It is more costly than sclerotherapy and there is a higher rate of postoperative infection and scrotal haematoma. Treatment by sclerotherapy can be given. In children, most epididymal cysts involute with time and a conservative approach i without going straight for intervention is usually recommended. There can be complications and torsion of the cyst can occur but is extremely rare with only a handful of cases reported.
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Old 03-29-2011, 10:54 AM
sohel2011 sohel2011 is offline
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had the same problem kept putting it off, was to embarresed to go to doctor, then one day i just decided to got about 4 years later, come to find out it was testicular cancer...never put things off, i did but i learned my lesson..but it could be anything
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