Epididymal Cyst: Symptoms, Causes, and Treatment Options
What Is It?
A fluid‑filled sac in the epididymis (coiled tube behind the testicle). Usually benign and asymptomatic.
Possible Symptoms
- Painless lump in scrotum
- Heaviness or discomfort
- Rare: pain, swelling, infertility if large/complicated
Causes
- Epididymal obstruction (infection, inflammation, trauma)
- Post‑vasectomy (increased incidence)
Management
- Observation if asymptomatic.
- Drainage or surgical excision (spermatocelectomy) if symptomatic.
Epidemiology
Up to 1% of men develop an epididymal cyst in their lifetime.
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