Epididymal Cysts

Question 1

Pathophysiology of Epididymal Cysts.

Answer 1

Fluid-filled sac at the head of the epididymis (top of testis).

Question 2

Spermatocele.

Answer 2

Epididymal cyst containing sperm - management is same as epididymal cyst.

Question 3

Associated conditions of Epididymal Cysts (3).

Answer 3

1. ADPKD.
2. von Hippel-Lindau Syndrome.
3. CF.

Question 4

Clinical Features of Epididymal Cyst.

Answer 4

1. Asymptomatic (most).
2. Soft round lump at top of the testis, separate from testicle.
3. Transilluminate - large cysts.

Question 5

Investigation, Management and Prognosis of Epididymal Cysts.

Answer 5

Investigation : US.
Management : Removal if symptomatic.
Prognosis : Harmless - no infertility or cancer.