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Epididymal cysts and spermatoceles


These may be single or multiple and are usually related to the head of the epididymis. They lie posterior to the testicle and may transilluminate.


Management:

  • Asymptomatic cysts do not require treatment
  • If they cause discomfort, simple aspiration is often satisfactory:
    • Spermatoceles – turbid milky fluid
    • Epididymal cysts – lemon barley coloured fluid
  • Should recurrence occur after aspiration, surgical excision is required



 


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