From the Research
Epididymal cysts typically don't require treatment unless they cause pain or discomfort, and the most effective treatment for symptomatic cysts is minimal resection using a scrotoscope, as it provides a clear vision of scrotal contents and results in shorter operating time, less blood loss, and higher symptom relief rates compared to traditional open epididymal cystectomy 1. For asymptomatic cysts, watchful waiting is recommended as many resolve on their own. If the cyst causes pain, over-the-counter pain relievers like ibuprofen (400-600mg every 6-8 hours) or acetaminophen (500-1000mg every 6 hours) can help manage discomfort. Applying a cold compress to the scrotum for 15-20 minutes several times daily may reduce swelling and pain. Some key points to consider when treating epididymal cysts include:
- Asymptomatic cysts can be managed with watchful waiting, as they may resolve on their own
- Symptomatic cysts can be treated with minimal resection using a scrotoscope, which has been shown to be a safe and effective technique 1
- Percutaneous sclerotherapy is also a valid therapeutic alternative to surgery, with a success rate of 84% and no complications reported in one study 2
- Surgical removal (spermatocelectomy) may be necessary in cases of large, painful, or recurrent cysts, and can be performed as an outpatient procedure with a recovery period of 1-2 weeks It's essential to note that while these cysts are benign and common, patients should seek medical attention if they experience sudden severe pain, rapid swelling, or fever, as these could indicate complications requiring immediate treatment.