An epididymal cyst is otherwise known as a spermatocele. It is a painless, fluid-filled cyst in the long, tightly coiled tube above and behind each testicle. It also appears as a lump on the scrotum. The fluid in the cyst may contain sperms that are alive. This cyst resolves on time and does not require treatment, but large painful cysts need surgery to remove them.
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Query: Hi doctor, My right inguinal hernia repair was performed before six years. Before seven months, I have developed right epididymitis and right spermatic cord hardness like stone. It was diagnosed as epididymo-orchitis. There was a superficial abscess on the right side. Incision and drainage have be... Read Full »
Dr. Geetha Priyadarsini Kamminana
Answer: Hello, Welcome to icliniq.com Your present condition cannot be attributed to the inguinal hernia repair done six years ago. May I know what kind of repair was done? Either laparoscopic or open repair? Acute epididymo-orchitis is a clinical syndrome consisting of pain, swelling and inflammation of th... Read Full »
Why did I have pain and blood while passing stool?
Query: Hello doctor,When I go to the bathroom for poop, the blood came out with my stool and it became painful for me to pass the stool. After stool, I could not sit down properly. It hurts for a long time. My second problem is that I have an epidemic cyst in my testes. Sometimes I feel pain in that. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I have reviewed your query and here is my advise. You have two main concern: For blood in stool, two common causes could be ruled out: dysentery or colitis or piles. For that proctoscopy examination is done. Additionally, you require to investigate with the stool ro... Read Full »
What does bloody semen with clots and testicular pain indicate?
Query: Hello doctor, I am a 33-year-old male. I have not had any previous health problems, non-smoker, and non-drinker. Generally, I am feeling fine. For the past six months, I have produced bloody semen with blood clots and producing more recently. I have also recently started feeling mild pain behind my... Read Full »
Answer: Hello, Welcome to icliniq.com. Hematospermia (blood in semen), is fairly common. Generally it is not considered as a sinister sign. There are whole list of possibilities for this theoretically, but once we ensure it is not due to sinister cause and rule out treatable causes say like infections we ... Read Full »
I have a small hard lump on the left side of my testicle. Kindly help.
Query: Hello doctor,I have a small hard lump on the top of my left testicle, and I am worried about it.Kindly help.Thank you. Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hello, Welcome to icliniq.com I read your query and understand your concern. I have gone through the images that you have attached (attachments removed to protect the patient's identity). It might be an epididymal cyst, and they present as a round small hard cyst above the testis. They are mostly... Read Full »
Why am I getting pain in my epididymal cyst that has been there for the last 20 years?
Query: Hello doctor, I have had an epididymal cyst on my left testicle for 20 years. My urologist confirmed the same after a clinical examination and USG nine years back. He had advised me to leave it untreated as it was not creating a problem for me. However, I am getting pain since yesterday when I am p... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. A small epididymal cyst that is left untreated does not harm the body. Your pain is due to a testicular or epididymal infection. I suggest you get an ultrasound scan and physical examination as it will confirm the presence of infection and ... Read Full »
Are there any medicines to treat epididymal cysts?
Query: Hello doctor, I was operated for cryptorchidism when I was nine years. My left testicle is 3.5 by 2.5 cm. I feel this is too small. Please suggest tablets to increase its size. I have epididymal cysts 7 cm long in both testicles. I have burning sensation and numbness and pain. Suggest tablets for ... Read Full »
Answer: Hello, Welcome to icliniq.com. The normal size of an adult testis is 3 by 4 cm with an approximate volume of 12 to 19 cc. Patients with a history of cryptorchidism may have a slightly smaller size of the testis at adult stage. However, the size of the testis does not matter as long as the semen f... Read Full »
What to do for anechoic cyst in epididymis?
Query: Hello doctor, I have anechoic cyst in epididymis. I have attached my reports. Please help. Read Full »
Answer: Hi, Welcome to icliniq.com. Epididymal cysts are very common in male after the age of 40. They are generally harmless and do not cause any symptom until they grow to very large size. As per the scrotal ultrasound (attachment removed to protect patient identity), you have got a tiny cyst at the head ... Read Full »
Is surgery mandatory for epididymal cyst?
Query: Hello doctor, I am diagnosed with an epididymal cyst on my left testicle and varicose vein on the right side. I do not have any pain and other discomforts except for the feeling of heaviness. Sometimes there is a mild disturbing feeling on the right side. Even though the doctor told me to go for ... Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hello, Welcome to icliniq.com. Your complaint and ultrasound scrotum noted (attachment removed to protect patient identity). 3 cm epididymal cyst on the left and grade 1 varicocele on the right. Well, actually it is not urgent to treat the issue now. For the right side, grade 1 varicocele it is... Read Full »
What is the treatment for epididymal cyst that hurts the testicle?
Query: Hello doctor, I am 21 years old. I am very disappointed with my doctor. I have an epididymal cyst that hurts now, and my other testicle is hurting as well. Should I sue my urologist for negligence? What is the best cure or treatment? Please suggest. Read Full »
Answer: Hello, Welcome to icliniq.com. Around 15-20 % of the males have an epididymal cyst and most patients do not manifest any symptoms. It could be an incidental finding while checking for something else. However, when it starts hurting, there is a possibility of infection all the time, and hence, if i... Read Full »
My father's report states 'hypoechoic areas in the testis'. What does that mean?
Query: Hello doctor, My 63 year old father is a diabetic patient. He suffered from a urinary tract infection of E.coli bacteria. He was treated and cured in a month. After this, he suffered from a scrotum pain and we got two ultrasounds done. In the first one, the report states 'Epididymo-orchitis'. Now,... Read Full »
Answer: Hello, Welcome to icliniq.com. Diabetic patients are always prone to infection like urinary tract infections and orchitis. Epididymo-orchitis takes a long time to get cured. It may take three months or an even longer course of antibiotic to heal completely. Hypoechoic areas in the testis m... Read Full »