Doctor insights on:
Epididymal Cyst Vs Epididymitis
Some are...: - age: torsion tends to be around puberty vs peididymits/orchitis, in young sexually active adults;std-related. - hx: torsion - acute onset and fast progress vs epididymits - slower progressive course. - voiding sx: none in torsion vs more in epididymits. - ua: normal in torsion vs pyuria in eoididymitis. - timely doppler us: torsion with poor a. Flow vs diffuse increase flow in epididymits. ...Read more
A cyst is a structure or mass that consists of a cellular lined sac. It is typically filled with fluid but may be filled with solid material. It can be congenital, traumatic, or acquired. They may develop nearly anywhere in the body and usually require complete excision for eradication or they are likely to recur. Fluid filled sacs that are not cellular lined ...Read more
See answer: 1) ~15-20% of males have a varicocele; most common on left side; almost always asymptomatic requiring no treatment; except can be associated with infertility in small % especially if testicular size is small. 2) testicular microlithiasis: ~5% of males; asymptomatic requiring no treatment except regular self-exam for testicular mass because of weak association with testicular cancer. See urologist. ...Read more
Here are...: It is a common round space of variable diameters from few mm to many cm incidentally found in scrotal US for evaluating some pain / ache in the sac; it is usually located at globus major of epididymis. Such cyst may present as single or multiple like a cluster. More detail? Ask Urologist for detail. ...Read more
Here are some ...: In experienced professional mind, awareness, & alert, a detailed history pertaining to the onset, degree, duration, interval, and progress of testicular pain in association with possible voiding Sx plus physicals & timely tests such as urinalysis with/without scrotal US will be reasonably easy to pinpoint their diagnoses. In fact, most times, imaging studies are not practically needed despite its ...Read more
Scrotal & abdo aching pain both sides. Swollen testis
veins. Uvsound shows no Varicocele, torsion, epididymis, UTI or kidney/appendix infection. What?
Cyst is spherical: Come in various sizes, can feel tender. Is a small tense fluid filled structure, niether hard or soft. Benign ; only removed if large or painful. ...Read more
Cyst from epididymis: Epididymis is part of the conducting system , and in situated one on either side just above and mainly behind each testicle. It collects the sperms and hormonal secretions from the testes through tiny tubes and is highly convoluted structure -which continues as vas deferens -one on either side . Cysts arising from this epididymis usually are small, sometimes multiple. See ur doc to decide trt plan. ...Read more
Possible, yes: Surgery on the epididymis may lead to infertility. Surgeons are aware of that and try to take precautions. However, depends on the extent of the cysts and their location if extensive surgery is needed which may impact fertility. If that happens, fertility can be regained by getting sperm surgically when you are ready to conceive. ...Read more
Multiple small hypoechoic right testicular lesions and Bilateral testicular microlithiasis and Small left varicoceles on ultrasound. Meaning?
Varicocele: There is a bunch of veins encasing the testis like a basket called pamphiniform plexus. This is how the temperature of the testis is maintained at optimal levels for the best sperm production. Sometimes these veins can become engorged more and become like a bag of worms like varicose veins of the legs. This is called Varicocele . It may need some attention if having problems with fertility ...Read more
Doubtful: Testosterone production controlled by pituitary via lh. Sperm production controlled by pituitary via fsh. However, varicocele may increase local temperature such that sperm may not be viable. If concerned about hypogonadism or andropause, check lh, fsh & testosterone (total & free) along w/prolactin. Also check estradiol, too, as too much can negate benefit of t. ...Read more
Probably ok, but ...: If it's a nonmagnetic clip its ok. If it can be magnetized it distorts the MRI magnet field and may cause streak artifacts or local heating safety problems. The only sure way to know is to look it up the specific clip and check with its manufacturer or manufacturer's literature. It may be listed on www.mrisafety.com which lists many surgical clips, some are safe, others conditional or unsafe. ...Read more
Scrotal pain: This question can't be answered properly on this forum. I recommend that you seek immediate medical attention to ensure that you don't have torsion. Torsion is time-sensitive and can only be diagnosed by physical exam and either a scrotal ultrasound or testicular scan. Seek immediate medical attention is my best advice to you. www.peedoc.com @drhtay. ...Read more
Right-sided hydrocele with floating hypoechoic content, probably pyocle. Several anechoic cysts in right epididymis, measures about 0,2-0,3 CM ?
Urologist: So far what you've said does not indicate any kind of serious problem. hydroceles and epididymal cysts are exceedingly common. if you're having pain or fever chills or an elevated white blood cell count "pyocele" might be a possibility. you should be examined by a urologist to sort this out ...Read more
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