An epididymal cyst is a harmless fluid-filled growth on a man’s testicle. They are quite common and don’t usually require treatment, however if they become uncomfortable, they can be removed. A lump on the testicles can be a cause for concern for many men who may think they have testicular cancer but a Consultant will be able to tell the difference.
At Sussex Premier Health, you’ll meet your consultant in one of our private consultation rooms. During this time, you will be able to explain your medical history symptoms and raise any concerns that you might have. Your consultant will also examine your epididymal cyst.
We will also discuss with you whether any further diagnostic tests such as scans or blood tests are needed. Any additional costs will be discussed before further tests are carried out.
On the day of your operation, our ward staff will show you to your own private room. Your private room will have an en-suite bathroom and TV and Wi-Fi facilities. This procedure is usually carried out as a day case.
Once you’re ready, our nurses will help you prepare for your operation. There’ll be a chance to see your consultant surgeon and meet your anaesthetist. Your anaesthetist talk to you about your anaesthetic, this procedure is usually carried out under a general anaesthetic which means you’ll be asleep during your procedure.
During epididymal cyst surgery your surgeon will make a small incision in your scrotum over the cyst. The cyst is separated from the tissue that surrounds it and is removed. The epididymis and the skin incision are sewn up using dissolvable stitches. Following the procedure you may also be wearing a close-fitting disposable underwear or a special scrotal support.
The procedure is routinely carried out as a day case meaning you won’t need to stay overnight in hospital. After the surgery and if you have had general anaesthesia you will be taken from the operating theatre to a recovery room where you will come round from the anaesthesia under close supervision.
After this you will be taken to your private room where you can rest and recuperate until we feel you’re ready to go home. Once you’re ready to be discharged from hospital you’ll need to arrange a friend or family member to take you home.
Usually, you won’t need treatment for epididymal cysts because they are harmless. However, you may wish to have them removed if they become painful or cause you discomfort (painful or swollen testicles). The cause of these lumps is not clear, but they tend to be more common in middle-aged men according to clinical sources.
Your surgery will be performed by your consultant surgeon who you met at your initial consultation.
Your consultant surgeon will provide you with tailored advice to follow in the run up to your visit.
You’ll also have an appointment with our pre-assessment nurse to check you are fit for surgery, they will also discuss any medication you are taking and if you have any concerns.
You might have some pain and discomfort around the wound for a few days. Over the counter medication such as ibuprofen and wearing supportive underwear can help.
It’s also normal to experience some swelling and fluid discharge from the wound. This is normal and should clear up after a few days.
Please continue to take painkillers as advised by the hospital if you need them. We will provide you with a supply of all the medicines your consultant feels you need to take home with you after you’ve left hospital up to 14 days. This may be at an additional cost to some patients.
You will need to take it easy for the rest of the day.
Most men feel ready to go back to work the day after the operation.
Don’t do any heavy lifting or vigorous exercise during the first week after the operation as this may strain the healing cuts.
Wearing close-fitting underwear to support your scrotum in the first week will help ease discomfort and prevent swelling.
Dissolvable stitches will disappear on their own in around seven to ten days.
You can resume sexual activity when you feel comfortable.
As with all medical treatments complications following an epididymal cyst removal can occur but most people are unaffected.
Occasionally bleeding occurs inside the scrotum causing it to swell and become painful. If this happens you may need to have further surgery.
In very rare cases the operation causes the spermatic cord to be squeezed too tightly partially cutting off the blood supply. This may cause the testicle to shrink.
Also the vas deferens (the tube that carries sperm from the testicle) may be damaged. These rare complications can cause fertility problems. For this reason it is recommended that the operation should generally be delayed until you have completed your family.
It’s also possible for the epididymal cysts to re-occur. Your consultant will talk to you about the possible risks and complications of having this procedure and how they apply to you.
Please contact us as soon as possible if you experience any of the following symptoms:
If you have any questions or concerns, please talk to us, we’re here to help.