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Epididymal cyst is a harmless sac in the testicles filled with fluid. [2] The most frequent clinical presentation occurs when a routine physical examination yields an unexpected finding, which is then confirmed by scrotal ultrasonography . [ 1 ]
Tests are needed to distinguish chronic epididymitis from a range of other disorders that can cause constant scrotal pain including testicular cancer (though this is often painless), enlarged scrotal veins , calcifications, [15] and a possible cyst within the epididymis. Some research has found that as much as 80% of visits to a urologist for ...
Spermatocele is a fluid-filled cyst that develops in the epididymis. [3] The fluid is usually a clear or milky white color and may contain sperm. [4] Spermatoceles are typically filled with spermatozoa [5] and they can vary in size from several millimeters to many centimeters.
Epididymitis is inflammation of the epididymis, a tube at the back of the testicle that stores sperm, explains Dr. Boxer. “It can cause pain and swelling in the testicle, along with fever or ...
It is commonly associated with epididymal abnormalities, such as spermatocele, epididymal cyst, and epididymitis. The condition shares a common location with cystic dysplasia of the testis and intratesticular cysts. Unlike cystic neoplasms, they don't present specific tumor markers. [3]
Chronic scrotal pain (pain for greater than 3 months) may occur due to a number of underlying conditions. [3] It occurs in 15-19% of men post vasectomy, due to infections such as epididymitis, prostatitis, and orchitis, as well as varicocele, hydrocele, spermatocele, polyarteritis nodosa, testicular torsion, previous surgery and trauma. [3]
Diagnosis may involve testing urine samples or an ultrasound. Treatment can include antibiotics, medications to address pain and swelling, or surgical removal of the epididymis. [18] Epididymal cysts is a mass that forms in the epididymis. [10] These cysts differ from spermatoceles as they contain clear fluid, rather than seminal fluid.
Post-vasectomy pain syndrome (PVPS) is a chronic and sometimes debilitating genital pain condition that may develop immediately or several years after vasectomy. [1] [2] [3] Because this condition is a syndrome, there is no single treatment method, therefore efforts focus on mitigating/relieving the individual patient's specific pain.