Epididymal cysts (also called spermatoceles when they contain sperm cells) are fluid-filled sacs that develop in the epididymis, the coiled tube at the back of the testicle. They are very common, benign and in most cases require no treatment. Mr Syed Ali Shahzad, Consultant Urological and Robotic Surgeon, assesses and, where appropriate, treats epididymal cysts at private hospitals across Birmingham.
Epididymal cysts are usually painless and discovered by self-examination or incidentally on scrotal ultrasound. Occasionally, larger cysts may cause a sense of heaviness or mild discomfort in the scrotum. Any new lump in the scrotum should be assessed by a specialist to rule out other causes.
A scrotal ultrasound scan is the investigation of choice to confirm the diagnosis and exclude other pathology such as testicular cancer or hydrocele.
The majority of epididymal cysts are small, asymptomatic and require only reassurance and periodic monitoring. Large or symptomatic cysts can be surgically removed (epididymal cystectomy) under general anaesthetic as a day-case procedure. Mr Shahzad discusses the risks of the procedure, including a small risk of damage to the epididymis that could theoretically affect fertility on that side, and ensures patients make a fully informed decision.
No GP referral is required. Mr Shahzad is recognised by BUPA, AXA, AVIVA, Vitality, Cigna and WPA. Book an appointment or contact us.