epididymal cyst

Introduction

• when larger than 2 cm, an epididymal cyst is also known as a spermatocele

Clinical manifestations

• painless, soft, round structures in the epididymal head distinct from the testes
• usually asymptomatic

Radiology

• scrotal ultrasonography if diagnosis is uncertain
  • location of the mass is uncertain
  • testicular mass suspected

Management

• no intervention indicated unless
  • increasing in size
  • causing pain or discomfort
• referral to urology for excision if becomes larger, painful spermatocele

More general terms

• cyst