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Dear Urologist ( Need A Urologist For This Problem), One
Posted on
Tue, 11 Jun 2019
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Tue, 11 Jun 2019
Answered on
Last reviewed on
Question : Dear Urologist (Need a Urologist for this problem),
One of my testicals is larger and firmer than the other so went to do an Ultrasound. Attached you will find the results and report.
In the left testical they found 4 Epidermoids (or Epidermoid Cysts?). I have the following questions:
Is and Epidermoid Cyst in the testicals the same thing as a Spermatocele?
What should I do now? Will they heal by itself or do I have to take action? Surgery?
Can they grow larger? Amd if yes what happens if they become really large? Surgery?
if Surgery is necessary will I loose my testical or can they be removed without removing the testical?
Is there a chance that I can get Testical cancer from those 4 Epidermoids?
One of my testicals is larger and firmer than the other so went to do an Ultrasound. Attached you will find the results and report.
In the left testical they found 4 Epidermoids (or Epidermoid Cysts?). I have the following questions:
Is and Epidermoid Cyst in the testicals the same thing as a Spermatocele?
What should I do now? Will they heal by itself or do I have to take action? Surgery?
Can they grow larger? Amd if yes what happens if they become really large? Surgery?
if Surgery is necessary will I loose my testical or can they be removed without removing the testical?
Is there a chance that I can get Testical cancer from those 4 Epidermoids?
Brief Answer:
Epidermoid Cysts are different from Spermatocele
Detailed Answer:
hello
Thanks for query .
Based on the facts and reports of your ultrasound Scanning that you have posted I would like to answer your queries as detailed bellow.
1)Epidermoid Cysts are Intra Testicular Cysts where as Spermatocele are in Epididymis and both are different in pathology.
2)Looking at the number of cysts being four and your age It is advisable to get surgery of removal of testicle done (Orchidectomy)
3) These Cysts are prone to undergo malignant changes over a period of time hence it is always safe to get rid of them by removing affected testicle .
4) There are lot of controversy over treatment of Epidermoid cysts. Enucleation of the Epidermoid cyst is advised in young age and children with solitary cysts Since you have 4 cysts and your age being 39 I would suggest to get Testicle removed as there is risk of cyst undergoing malignant changes (Cancer)
Hope I have answered your query ,please feel free to ask if you have more questions,I shall be happy to help you
Thanks and Regards.
Dr.Patil.
Epidermoid Cysts are different from Spermatocele
Detailed Answer:
hello
Thanks for query .
Based on the facts and reports of your ultrasound Scanning that you have posted I would like to answer your queries as detailed bellow.
1)Epidermoid Cysts are Intra Testicular Cysts where as Spermatocele are in Epididymis and both are different in pathology.
2)Looking at the number of cysts being four and your age It is advisable to get surgery of removal of testicle done (Orchidectomy)
3) These Cysts are prone to undergo malignant changes over a period of time hence it is always safe to get rid of them by removing affected testicle .
4) There are lot of controversy over treatment of Epidermoid cysts. Enucleation of the Epidermoid cyst is advised in young age and children with solitary cysts Since you have 4 cysts and your age being 39 I would suggest to get Testicle removed as there is risk of cyst undergoing malignant changes (Cancer)
Hope I have answered your query ,please feel free to ask if you have more questions,I shall be happy to help you
Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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