An epididymal lump is typically a benign fluid-filled cyst located in the epididymis—either an epididymal cyst or spermatocele. Book an appointment with the best piles surgeons in Chennai.
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ARUL RADHAKRISHNAN
“best experience at pristyn care ”
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Ebenezer P
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wilson
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Date: 24-03-25
Epididymal cysts are usually treated using surgical and/or non-surgical techniques when they are large and symptomatic. This cyst often develops in males when there is inflammation or blockage in the epididymis. It is a fluid-filled pocket that forms in the epididymis which is a coiled tube in the back of the testicle that stores and transports sperm. In most cases, epididymal cysts are benign and non-symptomatic. They can form in people of all age groups and typically don’t affect fertility. If the cyst continues to grow and starts affecting the patient’s regular life, it becomes crucial to get proper treatment. If you also feel pain and discomfort in your scrotum, contact Pristyn Care to get safe and advanced epididymal cyst treatment in Chennai.
Physical exam often reveals a smooth, non-tender mass at the top/back of the testicle.
Scrotal ultrasound confirms cyst type or checks for other conditions (e.g., torsion, tumors)
Best for small, painless cysts that don’t affect daily life.
Many cysts stay the same size or even shrink over time (up to ~50 months reported)
Treatment
The most suitable treatment method for epididymal cysts is chosen by the doctor after a thorough diagnosis. If surgery is recommended for treatment, the doctor will choose the safest and most effective technique and then proceed after getting consent from the patient. The various treatment methods used are explained below-
Surgery- The surgery is performed using general or spinal anesthesia to numb the area to be treated. An incision is made in the scrotum, and the cyst is removed from the epididymis precisely. Then the incision is closed with dissolvable stitches.
Aspiration- This treatment method involves inserting a needle into the cyst and draining the accumulated fluid. This method may be used when the cyst is not growing and has minimal fluid buildup.
Percutaneous Sclerotherapy- This treatment method is recommended when aspiration has been ineffective, and the cyst continues to grow back. It involves inserting a catheter into the cyst guided by ultrasound. A contrast dye is injected into the cyst, and once it is clearly identified, a fluid (ethanol) solution is injected through the catheter to destroy the cyst cells. The fluid is then aspirated out. The cyst becomes smaller and goes away within a month or so.
Each technique has its own advantages and disadvantages that should be considered by the patient while making the decision.
Cold packs, wearing supportive underwear, and OTC painkillers (ibuprofen or acetaminophen) can reduce discomfort
A needle drains fluid, providing temporary relief. Cysts may refill over time
After aspiration, a chemical (e.g., ethanol) is injected to harden the cyst lining and reduce recurrence.
About 85% successful in some studies, though it can risk tissue damage
Preferred for large, painful, or persistent cysts
Typically outpatient under local or general anesthesia; involves scrotal incision and excision
Recovery: mild swelling, bruising, and return to normal activities within ~2–3 weeks
Risks include infection, bleeding, recurrence, and—rarely—epididymal or vas deferens damage potentially affecting fertility
On average, epididymal cyst treatment cost varies from Rs. X to Rs. X in Chennai. This is only an estimated price range and the actual cost will be different for each patient.
If the epididymal cyst causes pain and other problems in your regular life, the treatment may get covered by health insurance. To understand the terms and conditions of the insurance policy, you should talk to your agent.
No, the epididymal cyst surgery does not hurt. The procedure is carried out after administering anesthesia to the patient. Thus, they won’t have any sensations at the surgical site. However, slight pain or discomfort may arise after the anesthesia effects wear off.
Yes, you can avail No-Cost EMI service to pay for any treatment, including epididymal cyst surgery at NeuHealth Care. The service will allow you to cover the cost of the entire treatment through easy installments.
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