Testicular cyst: symptoms and treatment

Testicular cyst: symptoms and treatment


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Various forms of cysts can occur in the testicles. Mostly benign, when they arise in babies, they usually disappear on their own with the child’s growth. See below the types of these cysts, how they are diagnosed and treated.

  • Types of testicular cysts

  • Symptoms of a testis cyst

  • How to diagnose a testicular cyst

  • Treatment of cyst in the testicles

Types of testicular cysts

O cord cyst it is due to an abnormality that still occurs in the embryo, when the vaginal canal allows some liquid to pass through the abdomen and then closes, leaving a small partitioned formation in the cord path. O hydrocele cyst or vaginal hydrocele appears in the child similarly to a cord cyst, with the difference that the accumulation of fluid occurs in the terminal portion of the cord.

There is talk of communicating hydrocele when the canal is not completely closed and abnormal communication between the canal and the scrotum persists. In adults, we can also find hydrocele cysts although their origin is generally different. It may appear as a result of infection, trauma or other pathology of the testicles. A cyst can also arise in the epididymis.

Symptoms of a testis cyst

In children, a cord cyst or vaginal hydrocele is usually discovered soon after birth and are not serious. They appear as a small swelling located in one of the scrotal sacs and are painless. The hydrocele can be communicating. In this case, the cyst increases in size when the child is standing and the pressure on the scrotum can reduce it. The adult hydrocele is also presented as a lump in one of the testicles. In general, the cyst can be bulky, but painless. Finally, the epididymis cyst is usually smaller and causes pain more frequently.

How to diagnose a testicular cyst

It is easy to diagnose a testicular cyst in children, although the distinction between vaginal hydrocele and cord cyst is not always obvious on clinical examination. Confirmation of the content of the liquid content is done using the transillumination. During this examination, a beam of light illuminates and passes through one side of the scrotum. In general, there is a spontaneous return to normal in the first years of life. While the transillumination technique makes it possible to diagnose the hydrocele cyst in adults, in the presence of an epididymis cyst it is necessary to perform a testicular ultrasound.

Treatment of cyst in the testicles

In most cases of testicular cyst in children, a clinical follow-up which consists of observing the evolution of the cyst, once the benign nature of the lesion has been identified. Usually, it disappears in the first year, but in case of persistent discomfort the possibility of a surgical procedure from 7 years. The adult testicular hydrocele should be operated if the cause identified cannot be treated.

Photo: © sharptoyou – Shutterstock.com

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