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Doctor insights on: Small Epididymal Cyst

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Dr. Christopher Crosby
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Cyst (Definition)

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


Dr. Christopher Crosby
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10 years in practice
92K people helped
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My doctor told me I have a small cyst on my epididymis. He said it is nothing to worry about & that it should go away. Will it go away by itself?

My doctor told me I have a small cyst on my epididymis. He said it is nothing to worry about & that it should go away. Will it go away by itself?

Will stay ; ...: How did you know you have a small cyst in epididymis, by scrotal us for local ache or by palpation? Generally speaking, such cyst is you're born with it, usually not hurt but may grow at highly variable pace, and no need to do something but leave it alone until... See a urologist for detail timely. Meanwhile, it's a good practice to do testicular self-examination just like women for their breast. ...Read more

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Is it possible for an epididymal cyst to become smaller? I think i may have one but feels like it got smaller

Is it possible for an epididymal cyst to become smaller? I think i may have one but feels like it got smaller

Possible...: Some fluctuation in the tension and size of an epididymal cyst does occasionally take place, although the size of such cysts tends to grow with a widely variable pace over time. Nonetheless, this is a nice observation, but probably not really relevant to clinical management. ...Read more

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Dr. Christopher Crosby
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10 years in practice
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Epididymal cysts, what to do?

Leave them alone if: The finding of epididymal cysts is usually an incidental find on evaluating scrotal pain or ache with US. Most of them are located at globus major (head of epididymis), clinically asymptomatic, and require no active attention. So, leave them alone if being mentally & physically comfortable. For individual concern, of course, ask, talk, and work with Doc timely. Best wish... ...Read more

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Are epididymal cysts hard?

Yes, usually: But you need to see an urologist to get examination done so that further verification can be done with tests like ultrasound examination to confirm it. ...Read more

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What is a bilateral epididymal cyst?

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

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Can a "cold laser" shrink an epididymal cyst?

Unclear: Lasers are not used to shrink cysts in the scrotum. Please clarify the meaning of a "cold laser" ...Read more

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What other things can mimic an epididymal cyst on an ultrasound or is an epididymal cyst on an ultrasound definitely always benign?

No such thing as: "definitely always", but in this case you are close. Malignant tumors of the paratesticular structures are rare but not impossible. These would likely grow more rapidly than the common benign cyst. ...Read more

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Epididymis (Definition)

"didymus" is greek for "twin", and these are the cords that hang adjacent to (usually behind) the testes to mature ...Read more


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Dr. Christopher Crosby
Board Certified, Dermatology
10 years in practice
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