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Chapter: Medicine and surgery: Genitourinary system

Epididymal cysts - Disorders of the male genital system

Epididymal cysts are fluid filled swellings connected with the epididymis that occur in males. If the fluid contains sperm, it is called a spermatocele. - Definition, Incidence, Aetiology, Pathophysiology, Clinical features, Complications, Investigations, Management, Prognosis.

Epididymal cysts

 

Definition

 

Epididymal cysts are fluid filled swellings connected with the epididymis that occur in males. If the fluid contains sperm, it is called a spermatocele.


Aetiology/pathophysiology

 

They arise from the collecting tubules of the epididymis, as a thin-walled cyst containing watery or slightly milky fluid.

 

Clinical features

 

A swelling in the scrotum located above and behind the testes, thus some patients attend saying they have developed a third testis. Cysts may be small, multiple, and are frequently bilateral and transilluminate brightly.

 

Management

 

As the cysts are totally benign, they are best left alone. Surgery to remove the cyst(s) risks damaging the spermatic pathway, such that bilateral operations can cause sterility, and more conservative removal often leads to recurrence.

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Medicine and surgery: Genitourinary system : Epididymal cysts - Disorders of the male genital system |


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