From the Research
Epididymal cysts and spermatoceles are typically caused by blockage or dilation of the epididymal tubules, although the exact cause is often unknown. The pathogenic mechanisms for epididymal cysts have not been fully clarified yet, but they have been reported in association with other malformations of the urinary tract or complex syndromes 1. These formations may develop due to various factors, including:
- Inflammation from infections like epididymitis
- Trauma to the scrotum
- Complications following vasectomy procedures
- Natural aging process when the epididymal tubes become obstructed
- Genetic predisposition to developing these cysts It is essential to note that epididymal cysts and spermatoceles are benign growths, and the condition is not associated with cancer or infertility in most cases. Conservative management constitutes the treatment of choice in the majority of cases, and surgery is recommended only in selected cases 1. Epididymal cysts are easily characterized and differentiated from spermatoceles using ultrasound imaging, which is a crucial diagnostic tool in determining the best course of treatment 1.