Excision of epididymal cyst

Why would I need an excision of epididymal cyst?

Most patients requiring this type of surgery need it because they have epididymal cysts that have grown fairly large and/or are causing pain and discomfort. In most cases, small epididymal cysts do not require surgery.

What symptoms does an excision of epididymal cyst address?

This type of surgery aims to relieve any pain caused by epididymal cysts. It can also be used for cosmetic reasons on large cysts that are painless.

When should you speak to your specialist about an excision of epididymal cyst?

If you have large or painful epididymal cysts, speak to your GP about a referral to a specialist who can organise their removal. Don’t have a GP? Contact one of our GPs for an appointment at a time that suits you.

How is an excision of epididymal cyst procedure performed?

Epididymal cyst excision is usually carried out under a general anaesthetic and takes around 20 minutes. Your surgeon will make a small incision in the skin of your scrotum that covers the affected area. They will then remove the cyst using small surgical cuts, and stitch up the area using dissolvable stitches.

Most patients are able to return home the same day, after they’ve recovered from the anaesthetic and passed urine.

What is the recovery like for an excision of epididymal cyst?

Your recovery from an excision of epididymal cyst procedure will depend on multiple factors, including your age, fitness level and the nature of your procedure and your general level of health.

You can expect to feel some pain and discomfort for a few days following surgery, and this should be relieved by taking painkillers. You’ll be advised to take showers rather than baths for a few weeks, and to gently pat the area dry until the stitches dissolve, which can take two to three weeks. You may also experience some swelling to your testicles, and wearing supportive underwear can help. Expect to take around 10 to 14 days off work to recover fully and avoid any strenuous activity during this time.

Your surgeon will discuss the recovery process with you and recommend the best course of action for your recovery period.

Are there any risks/complications associated with an excision of epididymal cyst procedure?

As with any medical procedure, it’s possible for risks or complications to arise. Speaking with your specialist or surgeon beforehand will help you avoid any adverse reactions.

An excision of epididymal cyst procedure has a relatively low risk of serious complications, but the following risks and complications can occur in a small number of cases:

• Infection and bleeding
• Swelling and bruising
• Damage to the vas deferens leading to infertility
• Shrunken testicles

How can I prepare for an excision of epididymal cyst?

Prior to an excision of epididymal cyst, your surgeon will discuss with you how best to prepare, as each patient is different with differing needs. It’s advisable to learn as much as you can about your procedure beforehand and discuss any concerns with your surgeon.

Common preparations for surgery include a general health assessment and routine blood tests, x rays or scans as requested by your surgeon.

A good level of general wellbeing will prepare you for a better outcome after surgery so it’s recommended that you eat healthily, exercise regularly if possible and cut back on smoking and drinking.

Prepare your home prior to surgery so that you’re comfortable whilst you’re recovering and plan to have someone take you home from hospital. Your specialist will discuss any specific preparations that you should make prior to surgery.

Are there alternatives for an excision of epididymal cyst procedure?

You may benefit from a procedure to drain the cysts, but there is a high likelihood that they will return if they’re not fully removed. Your specialist will be able to discuss alternative procedures with you, depending on your circumstances.