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Epididymal Cyst Treatment

An epididymal cyst is a benign fluid-filled growth on the testicle or epididymis. They are quite common and often don’t require treatment. But the condition can be concerning and cause discomfort and pain in some people. If you have been experiencing pain in/around the testicles or scrotum, contact Pristyn Care and get advanced epididymal cyst treatment in India at the best prices.

An epididymal cyst is a benign fluid-filled growth on the testicle or epididymis. ... Read More

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    Dr. Sanjeev Gupta (zunvPXA464)

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  • What is Epididymal Cyst Treatment?

    Epididymal cyst treatment involves aspiration, percutaneous sclerotherapy, and surgery as required. They are treated only when they become symptomatic or affect fertility. Though epididymal cysts usually don’t cause sharp or intense pain, the symptoms can affect an individual’s daily life. 

    Surgery is considered the standard treatment for symptomatic epididymal cysts as it removes the cyst entirely and prevents its recurrence. 

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    How Does An Epididymal Cyst Form?

    The epididymis is a coiled tube in the back of the testicle where sperm and fluid are stored. Sometimes, the sperm and the fluid fail to move to the vas deferens. This may cause a build-up of fluid or sperm or both in the epididymis leading epididymal cyst or a spermatocele. 

    Generally, the cyst is harmless, and the patient doesn’t even notice the signs of the cyst formation. But once it has formed, the symptoms may appear, and proper treatment may be needed. 

    Are you going through any of these symptoms?

    Symptoms of Epididymal Cyst

    In most cases, the epididymal cyst remains asymptomatic. In others, the patient may experience the following symptoms- 

    • A soft lump may be present at the top or bottom of one or both testicles. 
    • A feeling of heaviness may be present in the scrotum. 
    • Redness and pressure in the scrotum. 
    • Pain in the groin region

    The individual should consult an expert as soon as these symptoms present themselves. 

    How is Epididymal Cyst in Testicles Diagnosed?

    An epididymal cyst is usually found during a self-exam or regular exam by the doctor. The testicular lump can be felt during a physical exam. 

    During a physical exam, a healthcare provider will feel the testicles and epididymis for lumps or abnormalities. They may use a special light to see if the lump is solid or fluid-filled. If the lump is tender, red, or warm to the touch, it may be a sign of infection.

    Medical imaging tests, such as ultrasound, may be ordered to confirm the diagnosis of an epididymal cyst. Ultrasound uses high-frequency sound waves to create images of the testicles and surrounding structures, which can help identify the cyst’s size, location, and characteristics.

    In some cases, additional tests, such as a biopsy, may be ordered to rule out other conditions that can cause lumps or swelling in the scrotum, such as testicular cancer or a hernia.

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    What Happens During Epididymal Cystectomy or Excision?

    During the surgery, you will be taken to the operation theater (OT), where the anesthetist will administer general anesthesia. If general anesthesia is not the right option for you, the doctor may use spinal anesthesia. Once your body is numb below the waist, the surgeon will carry out the surgery. 

    • A small incision will be made in the scrotum. 
    • The blood supply to the epididymis is maintained while the surgeon drains the cyst. 
    • Depending on the technique chosen, the cyst will be removed carefully without damaging the surrounding tissues. 
    • After the cyst is removed, dissolvable stitches are used to close the incision. 

    You will be kept in the observation room until you wake up. After that, you’ll be transferred to the recovery room. 

    Different Techniques for Epididymal Cyst Treatment

    Small, asymptomatic cysts may not require treatment and can be monitored over time to ensure they do not grow or cause any problems. If they continue to grow, the following techniques may be used to treat epididymal cysts- 

    • Aspiration: In this procedure, a needle is used to remove the fluid from the cyst. This is a quick and minimally invasive procedure that provides relief from the discomfort caused by the cyst. However, it may not be a permanent solution as the fluid in the cyst may accumulate again over time.
    • Percutaneous Sclerotherapy: This involves the injection of a sclerosing agent (ethanol) into the cyst to shrink and harden it, preventing fluid from accumulating. The sclerosing agent is aspirated after 20 minutes, and the patient is asked to observe the cyst for the next few weeks. 
    • Microsurgical Epididymal Cystectomy: This technique uses an operating microscope to visualize and remove the cyst. It is also a less invasive procedure in which the surgeon makes an incision in the scrotum to carefully separate the cyst from the surrounding tissue and then remove it carefully. This method is chosen for moderate-sized cysts. 
    • Epididymal Cyst Excision: It involves removing a portion of the epididymis along with the cyst. This procedure is more invasive and involves a larger incision in the scrotum. The surgeon removes the cyst along with the affected portion of the epididymis to prevent a recurrence. Excision is usually recommended for larger or more complicated cysts that cannot be removed by cystectomy alone.

    The best treatment option is chosen by the doctor after evaluating the size, location, and severity of the cyst, as well as the individual’s overall health and preferences. It is important for patients to discuss the benefits and risks of each treatment option with the doctor to make an informed decision.

    What to Expect After the Testicular Cyst Removal?

    Immediately after the surgery for epididymal cyst, the patient can expect to feel slightly disoriented for a while due to the side effects of anesthesia. Other things that can be expected include the following- 

    • A scrotal support will be placed to ensure that movements in the treated area are restricted, and the stitches don’t tear up. 
    • There will be slight pain and discomfort around the scrotum, which will be managed with the help of pain medications. 
    • Walking and other movements will be restricted and difficult after the surgery for epididymal cyst. The doctor will advise taking proper rest for a few days to allow the wound to heal properly. 
    • Nurses will monitor the patient for a few hours and check vitals like blood pressure, heart rate, etc. 

    Once the patient is able to pass urine, the doctor will give permission for discharge. The medical team will provide a recovery guide and follow-up schedule to the patient before discharge. 

    Risks & Complications of Epididymal Cyst Removal

    The following risks can arise during or after epididymal cyst surgery- 

    • There is a small risk of excessive bleeding during the operation. 
    • Sometimes, the internal organs may come in contact with external contaminants that can cause infection. 
    • There is a slight possibility that the spermatic cord will get damaged while draining and removing the epididymal cyst. 
    • Drowsiness or numbness caused due to general anesthesia.
    • Infection in the surgical site can arise if you don’t keep the incisions clean and dry. 
    • Swelling or bruising in the scrotum may persist for longer than 2 weeks. 
    • There is also a slight chance of getting new cysts on either side of the scrotum. 

    An expert surgeon will know how to mitigate the risks properly and perform the surgery for epididymal cyst safely. 


    Benefits of Epididymal Cyst Treatment

    Epididymal cysts can be painful or uncomfortable, and they may affect a man’s quality of life. The treatment offers several benefits, including:

    • Relief from pain: Large epididymal cysts can cause pain and discomfort in the testicles, scrotum, or groin. Treatment will help to alleviate this pain and discomfort completely. 
    • Improved fertility: In some cases, epididymal cysts can interfere with sperm production and mobility, which can affect fertility. Most patients experience improvement after getting treatment. 
    • Prevention of complications: In rare cases, epididymal cysts can become infected or twisted, which can cause serious complications. Treatment will help to prevent these complications from occurring.
    • Improved self-confidence: For some men, the appearance of a large epididymal cyst can be embarrassing and affect their self-confidence, even if it is not visible to other eyes. Treatment will help to improve the appearance of the scrotum, which will ultimately improve the individual’s self-confidence.

    Epididymal Cyst Treatment Cost in India

    The average cost of epididymal cyst surgery in India is Rs.   and  Rs. . The cost will vary for each patient based on the factors below- 

    • Size of the cyst 
    • The overall experience of the surgeon
    • The technique used for the treatment 
    • City where you are receiving treatment
    • Choice of hospital
    • Hospitalization expense 
    • Post-surgery care 

    These factors are considered to calculate the final cost of epididymal cyst removal. To get an estimate, you can call Pristyn Care and talk to our medical coordinators. 

    Recovery After Removal of Epididymis Lump

    In general, the recovery period after epididymal lump removal is relatively short, around 2-3 weeks. However, the recovery timeline will be different for each patient depending on the severity of the condition and the method used for treatment. To help the patient recover faster and prevent post-surgery complications, the doctor will provide detailed instructions. Some of the common instructions are given below- 

    • Wear the scrotal support or supportive underpants for as long as needed to keep the comfort in the treated area. 
    • Take the prescribed medications (pain medicines, antibiotics, and anti-inflammatory medicines) as directed by the doctor to manage the pain, swelling, and bruising in the treated area. 
    • Use ice packs and apply them to the scrotal region to reduce the swelling. Do this multiple times a day for the first few days. 
    • Avoid performing any strenuous activity or heavy lifting for several days and resume only after getting the doctor’s approval. 
    • It is also important to avoid sexual activities for a few weeks following the surgery. 
    • Keep the wound or incision area clean and dry to prevent infection. Change the dressing as advised by the doctor. 
    • Take regular follow-ups with the surgeon to ensure proper healing, monitor the recovery, and look for the early signs of complications, if any. 

    Overall, the recovery period after the removal of an epididymal lump is usually relatively short and uncomplicated, and most patients resume normal activities within a few weeks after the surgery. 

    Frequently Asked Questions

    Is epididymal cyst surgery covered by health insurance in India?

    Yes, epididymal cyst surgery cost in India is covered by health insurance when the condition is symptomatic. The treatment is deemed medically necessary only when clear symptoms are present. If the patient doesn’t have symptoms and wishes to undergo surgery, the insurance company may not approve the claim request to cover the treatment expenses. 

    Can I drive after having epididymal cyst surgery?

    You should not drive after epididymal cyst surgery until approved by your doctor. You will be on pain medications for a while after the procedure, which may affect your ability to drive safely. Thus, you should avoid doing so until you are fit to drive. 

    When can I resume work or school after the surgery?

    In 70% of cases, you will be able to resume work or school after the first week. You can get back to your daily life in the next few days. 

    What are the other conditions that can be mistaken for an epididymal cyst?

    In some cases, a spermatocele, hydrocele, lipoma, varicocele, cystic fibrosis, and polycystic kidney disease can be mistaken for an epididymal cyst. 

    How long an epididymal cyst can last without treatment?

    In general, if an epididymal cyst is not treated, it may take around 4-5 years to go away on its own. The exact time may vary for each patient. 

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    Content Reviewed By
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    Dr. Sanjeev Gupta
    25 Years Experience Overall
    Last Updated : April 27, 2024

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      Saran Raj



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