Testicular cysts in men are a fairly common diagnosis that occurs in a third of patients with a detailed diagnosis of the scrotum. The pathological process does not reveal itself in most clinical pictures, however, there are those rare cases when deformation of the scrotum is noted, as well as the presence of pain (with the predominance of enlarged cysts). In such situations, it is advisable to seek the help of an urologist-andrologist, in the remaining clinical pictures, even an experienced specialist with a visual examination can not determine the presence of pathology.
If we talk about a disease such as a testicular cyst in men, it should be clarified that it is a cystic neoplasm that contains fluid and is localized in the area of the appendage head, however, many medical guides indicate that such “vesicles” can be placed in various areas, starting directly from the testis and along the vas deferens. Pathology occurs when excessive accumulation of fluid is observed in the immediate vicinity of the testicle or in the area of the appendage.
Usually a soft, smooth, well-defined testicular cyst is diagnosed in men, located in the epididymis, but it should be distinguished from dropsy of the testicle, varicocele, hernia, spermatocele and testicular tumors. In order to correctly diagnose, the patient is prescribed an ultrasound of the affected organ. It is important to note here that such neoplasms are benign in nature, are up to a centimeter in size, and are detected during a physical examination.
It is not dangerous, at first glance, the disease of the testicular cyst, the symptoms of which are almost invisible, is still not worth running, otherwise a significant stretching of the scrotum with significant cysts and the accompanying discomfort may require an immediate operable solution.
Until today, the etiology of this abnormal process remains a mystery in modern medicine, although there are many assumptions. There is a completely understandable opinion that the testicular cyst in men is formed from the vas deferens and is an aneurysmal enlargement of the appendage.
However, one way or another, if a testicular cyst is diagnosed , treatment should be prescribed immediately. But here's the catch: there is no specific drug regimen for conservative treatment designed to treat a normal testicular cyst. An operation with this pathology can be offered to any patient, but to agree to it or not, his conscious choice.
Such surgical manipulations also have their contraindications, since an operation is unacceptable in case of blood coagulation disorder. Sclerotherapy is a compromise option, however, such treatment is ineffective. This procedure is appropriate especially in cases where men do not plan children in the future, since there is a significant threat of chemical epididymitis, as a result of which damage to the appendage can lead to infertility. Since aspiration is associated with the possibility of relapse, a sclerosing agent is required to adhere the walls of the testicular cyst. A number of sclerosing elements were investigated, but the most effective one was not revealed.
So, to summarize, we can make a concluding conclusion: testicular cyst in men does not require any treatment for asymptomatic pathology, however, if there is a noticeable pain syndrome and signs of impaired sperm excretion, exclusively surgical treatment is recommended, since conservative measures are absolutely useless in eliminating this disease. In general, the forecast is favorable!