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Is surgery mandatory for epididymal cyst on the testicle?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's 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 surgery as there are no other treatments, I could not due to lockdown and present restrictions. Further, I am afraid of COVID infection from the hospital. Kindly advise me if I can pull on until the present COVID threat is eased out for performing the surgery.

Please help.

Answered by Dr. Samer Sameer Juma Ali Altawil

Education:

MRCS

Professional Bio:

Dr. Samer Sameer Juma Ali Altawil is a urologist who can diagnose and manage urinary tract and male reproductive system disorders. He can provide expertise in kidney stones, prostate diseases, and urinary infections. He can do surgical and minimally invasive urological procedures. He can manage male infertility and sexual health issues. He can treat urinary incontinence and bladder dysfunction. He can give prostate cancer screening and management.

This doctor is not available for online consultations on the platform anymore.

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, a grade 1 varicocele is not urgent at all for the epididymal cyst. It is large, but if it does not really pain you, you can also wait until the situation with COVID-19 gets better.

Medications other than pain relief will not help as this problem requires a small surgery. So you definitely can wait until the situation is better. You can take Brufen 400 mg for pain, not more than three times a day, with Omeprazole capsule 20 mg once at night. If you have any issues, please do not hesitate to ask me.

I hope this helsp you.

Thank you.

Patient's Query

Hi doctor,

Thank you for your reply.

I will contact you again to identify a good hospital for surgery.

Answered by Dr. Samer Sameer Juma Ali Altawil

Education:

MRCS

Professional Bio:

Dr. Samer Sameer Juma Ali Altawil is a urologist who can diagnose and manage urinary tract and male reproductive system disorders. He can provide expertise in kidney stones, prostate diseases, and urinary infections. He can do surgical and minimally invasive urological procedures. He can manage male infertility and sexual health issues. He can treat urinary incontinence and bladder dysfunction. He can give prostate cancer screening and management.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome back to icliniq.com.

Yes, sure. I can understand that you are going through a difficult time. Please keep me updated.

I hope this helps you.

Thank you.

Medically reviewed by Dr. Vinodhini J.
Published At June 25, 2020
Reviewed At May 18, 2026

Education:

MRCS

Professional Bio:

Dr. Samer Sameer Juma Ali Altawil is a urologist who can diagnose and manage urinary tract and male reproductive system disorders. He can provide expertise in kidney stones, prostate diseases, and urinary infections. He can do surgical and minimally invasive urological procedures. He can manage male infertility and sexual health issues. He can treat urinary incontinence and bladder dysfunction. He can give prostate cancer screening and management.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Vinodhini J. is a Dental Surgeon with extensive years of clinical experience. She specializes in the diagnosis, prevention, and treatment of dental and oral health issues, including restorative, surgical, and cosmetic procedures. With a patient-centered approach, she focuses on maintaining oral health, alleviating discomfort, and enhancing smiles. Her expertise ensures comprehensive care tailored to each patient’s dental needs and overall wellbeing.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MRCS

Professional Bio:

Dr. Samer Sameer Juma Ali Altawil is a urologist who can diagnose and manage urinary tract and male reproductive system disorders. He can provide expertise in kidney stones, prostate diseases, and urinary infections. He can do surgical and minimally invasive urological procedures. He can manage male infertility and sexual health issues. He can treat urinary incontinence and bladder dysfunction. He can give prostate cancer screening and management.

This doctor is not available for online consultations on the platform anymore.

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