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Everything You Need to Know About Epididymal Cyst
Epididymal cyst removal is a minor surgical procedure that effectively eliminates cysts from the epididymis, resolving discomfort and preventing further complications. These cysts can develop for various reasons, including blockages within the epididymis or trauma to the scrotum. While many cysts remain small and painless, larger cysts may lead to discomfort, especially when sitting, walking, or during sexual activity.
Surgical removal is generally recommended when the cyst becomes large and is causing pain or discomfort, or if there is uncertainty about the diagnosis. Small cysts typically do not require intervention unless they cause significant symptoms. Epididymal cysts do not pose a significant health risk but may interfere with normal function and comfort.
Key benefits of epididymal cyst removal include:
- Symptom Relief: Removing the cyst eliminates pain and swelling in the scrotum.
- Improved Mobility and Comfort: Relieving the pressure caused by the cyst makes everyday activities more comfortable.
- Restoration of Confidence: Surgery can restore the natural appearance of the scrotum, improving body confidence.
- Prevention of Complications: Removing the cyst ensures it won’t grow larger or cause any future issues.
Before Surgery
Before the epididymal cyst removal, you will attend an initial consultation with a specialist surgeon who will assess the cyst and discuss your symptoms. During this consultation, your medical history will be reviewed, and a physical examination will be conducted to confirm the diagnosis.
Health Assessment and Diagnostic Tests
A thorough health assessment will be carried out to ensure you are fit for surgery. Your surgeon may also order an ultrasound to get a clear view of the cyst’s size, location, and characteristics. This imaging will help differentiate the cyst from other scrotal masses, such as tumours or varicoceles.
If you are on any medications, particularly blood thinners, your surgeon will discuss whether you need to adjust or pause them in the days leading up to the procedure.
Pre-Procedure Instructions
To ensure the best outcome from your surgery, you will be given specific instructions in the days leading up to the procedure:
- Fasting: You will need to avoid eating or drinking anything from midnight on the day of your surgery.
- Medication Adjustments: Your surgeon will advise on whether you need to stop taking certain medications, such as blood thinners or anti-inflammatory drugs.
- Lifestyle Advice: To aid your recovery, it’s important to stay hydrated and maintain a healthy diet. Avoid smoking before surgery, as this can impair healing.
During the Surgery
Epididymal cyst removal is a relatively simple procedure performed under local or general anaesthesia, depending on the size and location of the cyst, as well as patient preference.
Anaesthesia
Most epididymal cyst removals are carried out under local anaesthesia, where the scrotum is numbed to prevent pain during the procedure. In some cases, general anaesthesia may be used, particularly if the cyst is large or multiple cysts are being removed.
Surgical Procedure
Epididymal cyst surgery begins with a small incision in the scrotum, through which the surgeon will make to carefully remove the cyst. There is a potential risk of damaging the vas deferens during the procedure, which can lead to fertility issues. If the cyst is attached to the epididymis, part of the epididymis may also be removed to ensure complete excision. Dissolvable stitches are typically used to close the incision, minimising scarring and promoting healing.
The surgery usually takes between 30 and 60 minutes, and you will be monitored throughout to ensure your safety and comfort.
After the Surgery
After the procedure, you will be moved to a recovery area where our team will monitor your progress. You can usually return home the same day once the effects of the anaesthesia have worn off.
Immediate Post-Operative Care and Pain Relief Medication
You may experience some swelling, bruising, or discomfort in the scrotum for a few days after the surgery. Pain relief medication will be provided to manage any discomfort. You will also be given instructions on how to care for the incision site and what to expect during the initial recovery period. Urological surgeons will provide expert care and support during the recovery process.
It’s important to avoid heavy lifting, vigorous exercise, and sexual activity for at least two weeks to allow the incision to heal properly. Wearing supportive underwear can help reduce swelling and improve comfort during recovery.
Follow-Up Care, Recovery, and Wearing Supportive Underwear
A follow-up appointment will be scheduled approximately two weeks after the surgery to check that the incision is healing and there are no signs of infection or complications. Your surgeon will also discuss preventive measures and provide advice on when it is safe to resume normal activities, including exercise and sexual activity.
Appointment and Treatment Plan
Initial Consultation
Your journey starts with a consultation with one of our expert surgeons. During this session, the surgeon will evaluate whether small epididymal cysts require surgical intervention based on symptoms and potential risks. The surgeon will also assess the size and symptoms of the cyst and review your medical history. An ultrasound may be conducted to confirm the diagnosis and ensure the cyst is benign.
Personalised Treatment Plan
Based on the findings of your consultation, a tailored treatment plan will be created. This will outline the steps for your surgery, post-operative care, and any advice on preventing further cyst development.
Pre-Surgery Assessment
Before your surgery, a pre-assessment will be conducted to check your overall health. This may include blood tests and a review of any medications you are taking to ensure you are fit for the procedure.
The Procedure
Epididymal cyst removal will be carried out by our experienced surgical team, using advanced techniques to ensure a safe and effective procedure. You will receive detailed instructions on preparing for the surgery and what to expect during recovery.
Aftercare and Recovery
Following surgery, you will receive comprehensive aftercare instructions, including how to care for the incision and manage any discomfort. A follow-up appointment will be arranged to monitor your recovery and discuss any further steps needed to ensure long-term health.
Top Tips
- Rest and Recovery: Take it easy during the first few days after surgery to allow the body to heal.
- Manage Discomfort: Follow your surgeon’s advice on pain management and use supportive underwear to reduce swelling.
- Avoid Strenuous Activities: Refrain from heavy lifting, vigorous exercise, and sexual activity for at least two weeks to avoid complications.
- Stay Hydrated: Drink plenty of water to aid the healing process.
- Monitor for Symptoms: If you notice any signs of infection, such as redness, increased pain, or fever, contact your healthcare provider immediately.