Cysts of the epididymis • Congenital, derived from an embryonic remnant around the epididymis • Filled with crystal clear fluid 3
Cysts of the epididymis: clinical features • Found during middle life • Usually bilateral • Cysts: – – Located behind the body of the testis Tense (aggregation of a number of small cysts like bunch of tiny grapes) Fluctuation difficult appreciate Transillumination: Chinese lantern pattern 4
Cysts of the epididymis: D/D • Cysts of the appendages of the testis 5
Cysts of the epididymis: T/t • If small no T/t is needed • Surgical if the cyst is large & causing discomfort • Aspiration is useless, as these cysts are usually multilocular 6
Spermatocele: clinical features • Scrotal swelling – Location: head of the epididymis, above & behind the body of testis – Testis can be felt separately from the body of the testis – Soft – Fluctuation: usually positive – Transillumination test: negative 8
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Testicle (grey) and Spermatocele (black) 10
Spermatocele: T/t • Aspiration • Excision of the cyst 11