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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 ]
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.
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 ...
Differential diagnosis of hematocele includes testicular tumor, testicular torsion, and epididymitis. [8] In a blood test or urine test, serum levels of tumor markers such as ( alpha-fetoprotein , carcinoembryonic antigen , β-human chorionic gonadotropin ) can help to reveal if testicular cancer is present which can help with the differential ...
Upon a physical examination, they found the scrotum to be enlarged, soft, red and painless. Initial sonographs detected possibility of inflammation of the testis and epididymis. The patient received anti-inflammatory and antibiotic treatment, and was examined again one week after treatment. [13] The testis were still painless and now hardened.
In most cases where orchitis is caused by epididymitis, treatment is an oral antibiotic such as cefalexin or ciprofloxacin until infection clears up. In both causes non-steroidal anti-inflammatory drugs such as naproxen or ibuprofen are recommended to relieve pain.
Ultrasound image showing tubular ectasia of the rete testis as an incidental finding in an 81 year old male. Rete tubular ectasia, also known as cystic transformation of rete testis [1] is a benign condition, usually found in older men, involving numerous small, tubular cystic structures within the rete testis.
[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. [ 1 ] [ 2 ] [ 4 ] [ 5 ] When pain in the epididymides is the primary symptom, post-vasectomy pain syndrome is often described as congestive epididymitis .