{"id":3474,"date":"2021-07-30T08:00:00","date_gmt":"2021-07-30T01:00:00","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=3474"},"modified":"2026-05-18T09:56:18","modified_gmt":"2026-05-18T02:56:18","slug":"cisti-epididimale-come-si-affronta","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/it\/2021\/07\/30\/epididymal-cyst-how-we-deal\/","title":{"rendered":"Cisti epididimale: Come comportarsi?"},"content":{"rendered":"\n<div class=\"wp-block-columns coblocks-author-columns has-background is-layout-flex wp-container-core-columns-is-layout-52275889 wp-block-columns-is-layout-flex\" style=\"background-color:#8C8C971A;padding-top:2.5rem;padding-right:2.5rem;padding-bottom:2.5rem;padding-left:2.5rem\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<figure class=\"wp-block-image size-full is-style-rounded\"><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" width=\"800\" 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1.255.564 2.073.564.8 0 1.536-.213 2.105-.603.57-.39.94-.916 1.175-1.65.076-.235.135-.558.177-.93a15.4 15.4 0 0 0 .063-1.207v-.512a.27.27 0 0 0-.273-.273h-2.95a.27.27 0 0 0-.274.273v.785c0 .228.0.343.273.343h1.337c.094 0 .14.045.14.137 0 .61-.063 1.043-.155 1.318-.182.546-.7 1.018-1.683 1.018-.654 0-1.135-.114-1.475-.356-.34-.244-.55-.585-.658-1.024a3.797 3.797 0 0 1-.111-.43 5.515 5.515 0 0 1-.06-.51 19.85 19.85 0 0 1-.025-.726c-.004-.28-.004-.628-.004-1.045 0-.418 0-.766.004-1.046a19.85 19.85 0 0 1 .025-.726 5.475 5.475 0 0 1 .06-.51 3.785 3.785 0 0 1 .111-.43c.108-.44.318-.78.658-1.024.34-.243.82-.357 1.475-.357.6 0 1.064.078 1.413.293.347.215.595.515.74.91.063.155.166.21.31.156l.967-.4c.15-.058.187-.18.13-.32a3.025 3.025 0 0 0-1.262-1.452C21.12.218 20.428.0 19.586 0zM8.512 4.32c-2.7 0-4.066.997-4.066 3.06v.04c0 1.92.992 2.83 3.046 2.83 1.27 0 2.038-.39 2.385-1.05h.13l.067.51c.04.2.207.34.41.34h.99V7.95c0-2.59-1.06-3.63-2.962-3.63zm-.18 1.61c1.118 0 1.628.56 1.628 1.86v.4l-1.65.16c-1.35.13-1.86.46-1.86 1.13v.04c0 .67.41 1.06 1.45 1.06.85 0 1.55-.32 1.93-.84.04-.06.13-.07.18-.02.05.03.07.1.07.16v.43c0 .26.13.42.34.42h1.05c.21 0 .34-.16.34-.42v-3.6c0-1.94-1.13-2.83-3.46-2.83-1.94 0-3.07.86-3.4 2.04l1.55.45c.18-.69.6-1.04 1.83-1.04zM2.135 16.314c-.587 0-1.066-.156-1.434-.469-.367-.312-.618-.704-.752-1.176-.034-.124-.061-.232-.082-.327a3.794 3.794 0 0 1-.044-.366 8.83 8.83 0 0 1-.022-.547C0 13.221 0 12.985 0 12.704c0-.281 0-.515.001-.704a8.81 8.81 0 0 1 .022-.547 3.802 3.802 0 0 1 .044-.366c.02-.094.048-.203.082-.328.134-.471.385-.864.752-1.176.368-.313.847-.469 1.434-.469.477 0 .892.087 1.246.262.353.175.622.443.806.804.044.083.083.157.117.222.034.066.069.144.105.235.022.054.011.099-.034.135l-.66.292c-.045.027-.082.013-.112-.045a4.043 4.043 0 0 0-.155-.27 1.247 1.247 0 0 0-.49-.495c-.225-.131-.522-.196-.892-.196-.402 0-.726.064-.972.193-.247.13-.422.302-.527.518-.027.045-.054.099-.082.16a1.39 1.39 0 0 0-.067.197 2.46 2.46 0 0 0-.05.282 5.51 5.51 0 0 0-.033.43c-.008.17-.013.376-.013.617 0 .242.005.448.013.618.008.17.02.314.034.43.013.117.03.21.05.282.02.072.042.137.066.197.105.216.28.39.527.518.246.13.57.193.972.193.4 0 .714-.07.94-.21.227-.14.394-.346.503-.617a2.43 2.43 0 0 0 .104-.395c.018-.123.027-.282.027-.477V13.2H2.34c-.04 0-.06-.02-.06-.062v-.5c0-.04.02-.062.06-.062h1.812c.04 0 .062.02.062.06v.5c0 .156-.005.296-.014.422a4.71 4.71 0 0 1-.04.342 1.732 1.732 0 0 1-.064.262c-.13.523-.402.913-.815 1.17-.413.255-.95.382-1.61.382z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/orcid.org\/0009-0004-8387-3559\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"ORCID iD\"\n     aria-label=\"View ORCID Profile\"\n     style=\"text-decoration: none; color: #A6CE39; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M12 0C5.372 0 0 5.372 0 12s5.372 12 12 12 12-5.372 12-12S18.628 0 12 0zM7.369 4.378c.525 0 .947.431.947.947 0 .525-.422.947-.947.947-.525 0-.946-.422-.946-.947 0-.525.421-.947.946-.947zm-.722 3.038h1.444v10.041H6.647V7.416zm3.562 0h3.9c3.712 0 5.344 2.653 5.344 5.025 0 2.578-2.016 5.025-5.325 5.025h-3.919V7.416zm1.444 1.303v7.444h2.297c3.272 0 4.022-2.484 4.022-3.722 0-2.016-1.284-3.722-4.097-3.722h-2.222z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/scholar.google.com\/citations?user=lTgsRMUAAAAJ&#038;hl=en\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"Google Scholar\"\n     aria-label=\"View Google Scholar Profile\"\n     style=\"text-decoration: none; color: #4285F4; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M5.242 13.769L0.5 9.5 12 1l11.5 8.5-4.742 4.269C17.548 11.249 14.978 9.5 12 9.5c-2.977 0-5.548 1.748-6.758 4.269zM12 10a7 7 0 1 0 0 14 7 7 0 0 0 0-14z\"\/>\n    <\/svg>\n  <\/a>\n  \n<\/div>\n\n\n\n<p class=\"has-drop-cap wp-block-paragraph\">Epididymal cyst is one of the most common testicular-related issues at my urology office. It was defined as an encysted structure closures the epididymitis which is literally described as a result from prior injuries or inflammations of the epididymis tubule. These meaning that epididymal cyst are absolutely a benign lesion.<\/p>\n\n\n<script type=\"application\/ld+json\">\r\n{\r\n  \"@context\": \"https:\/\/schema.org\",\r\n  \"@type\": \"FAQPage\",\r\n  \"mainEntity\": [\r\n    {\r\n      \"@type\": \"Question\",\r\n      \"name\": \"What is an epididymal cyst?\",\r\n      \"acceptedAnswer\": {\r\n        \"@type\": \"Answer\",\r\n        \"text\": \"An epididymal cyst is a benign fluid-filled sac that forms near the epididymis, typically as a result of prior injury or inflammation of the epididymal tubule. The fluid inside contains spermatozoa or seminal fluid. It is completely benign and not cancerous.\"\r\n      }\r\n    },\r\n    {\r\n      \"@type\": \"Question\",\r\n      \"name\": \"What are the symptoms of an epididymal cyst?\",\r\n      \"acceptedAnswer\": {\r\n        \"@type\": \"Answer\",\r\n        \"text\": \"Most epididymal cysts are asymptomatic and are discovered incidentally during self-examination in the shower as a painless scrotal swelling. They are found incidentally in 20\u201340% of scrotal ultrasound studies. Some patients may experience mild scrotal discomfort.\"\r\n      }\r\n    },\r\n    {\r\n      \"@type\": \"Question\",\r\n      \"name\": \"Is an epididymal cyst dangerous or cancerous?\",\r\n      \"acceptedAnswer\": {\r\n        \"@type\": \"Answer\",\r\n        \"text\": \"No. An epididymal cyst is a completely benign lesion and does not become cancerous. It does not pose a serious health risk, though it can cause discomfort if it grows large.\"\r\n      }\r\n    },\r\n    {\r\n      \"@type\": \"Question\",\r\n      \"name\": \"Does an epididymal cyst go away on its own?\",\r\n      \"acceptedAnswer\": {\r\n        \"@type\": \"Answer\",\r\n        \"text\": \"It depends on the size. Cysts smaller than 10 mm have a 95% chance of resolving naturally within 3 years. Cysts between 11\u201320 mm have a 66% chance of natural resolution. Cysts larger than 20 mm have 0% chance of resolving on their own and may require intervention.\"\r\n      }\r\n    },\r\n    {\r\n      \"@type\": \"Question\",\r\n      \"name\": \"When does an epididymal cyst need treatment?\",\r\n      \"acceptedAnswer\": {\r\n        \"@type\": \"Answer\",\r\n        \"text\": \"Asymptomatic epididymal cysts of any size are best managed conservatively without intervention. Treatment is only considered when the cyst causes symptoms. Needle aspiration is recommended for symptomatic cysts between 11\u201350 mm. Surgical excision is the last resort for large symptomatic cysts due to the risk of affecting fertility.\"\r\n      }\r\n    },\r\n    {\r\n      \"@type\": \"Question\",\r\n      \"name\": \"Can surgery for an epididymal cyst affect fertility?\",\r\n      \"acceptedAnswer\": {\r\n        \"@type\": \"Answer\",\r\n        \"text\": \"Yes. Surgical excision of an epididymal cyst carries a risk of damage to the epididymis, which can potentially affect fertility. For this reason, surgery is only considered as a last resort for large symptomatic cysts that have not responded to other treatments.\"\r\n      }\r\n    }\r\n  ]\r\n}\r\n<\/script>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"3482\" data-permalink=\"https:\/\/drsoaraweeurology.com\/it\/2021\/07\/30\/epididymal-cyst-how-we-deal\/sad-young-man-in-the-morning-under-blanket-in-bed-lies\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Incidental-finding.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;5.6&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;Canon EOS 5D Mark III&quot;,&quot;caption&quot;:&quot;Image of a sad young man in the morning under blanket in bed lies.&quot;,&quot;created_timestamp&quot;:&quot;1551620305&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;57&quot;,&quot;iso&quot;:&quot;200&quot;,&quot;shutter_speed&quot;:&quot;0.008&quot;,&quot;title&quot;:&quot;Sad young man in the morning under blanket in bed lies.&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"The symptom will usually present as incidentally self-examination painless scrotal swelling during taking a shower.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;The symptom will usually present as incidentally self-examination painless scrotal swelling during taking a shower.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Incidental-finding.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Incidental-finding.jpg?resize=800%2C533&#038;ssl=1\" alt=\"Epididymal cyst: What should we deal with it?\" class=\"wp-image-3482\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Incidental-finding.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Incidental-finding.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Incidental-finding.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Incidental-finding.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Incidental-finding.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">The symptom will usually present as incidentally self-examination painless scrotal swelling during taking a shower.<\/figcaption><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\">Natural history of <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/31039113\/\">Epididymal cyst<\/a><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">While mostly asymptomatic, 20-40% are incidentally found on scrotal ultrasound. The natural history varies from spontaneous resolution, stable, or slow growing over time. It is highly recommended not to intervene with any asymptomatic epididymal cyst.<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Less than 10 mm &#8211; Conservative treatment with 95% natural resolution within 3 years.<\/li>\n\n<li>11-20 mm &#8211; Conservative treatment with 66% natural resolution within 3 years. Needle aspiration for symptomatic patients.<\/li>\n\n<li>21-50 mm &#8211; 0% natural resolution within 3 years. Needle aspiration for symptomatic patients. Surgical excision is last resort due to fertility risk.<\/li>\n<!-- \/wp:post-content --><\/ol>\n<!-- \/wp:list -->\n\n<!-- wp:image {\"id\":3481,\"sizeSlug\":\"large\",\"linkDestination\":\"none\"} -->\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"3481\" data-permalink=\"https:\/\/drsoaraweeurology.com\/it\/2021\/07\/30\/epididymal-cyst-how-we-deal\/surgeon-cutting-cotton-from-scissor-in-operation-room\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/If-more-than-2-cm.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;Surgeon cutting cotton from scissor in operation room at hospital&quot;,&quot;created_timestamp&quot;:&quot;1470109064&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;Surgeon cutting cotton from scissor in operation room&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Surgical excision will be considered in &gt; 2 cm symptomatic epididymal cyst.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Surgical excision will be considered in &gt; 2 cm symptomatic epididymal cyst.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/If-more-than-2-cm.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/If-more-than-2-cm.jpg?resize=800%2C533&#038;ssl=1\" alt=\"\" class=\"wp-image-3481\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/If-more-than-2-cm.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/If-more-than-2-cm.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/If-more-than-2-cm.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/If-more-than-2-cm.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/If-more-than-2-cm.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Surgical excision will be considered in more than 2 cm symptomatic epididymal cyst.<\/figcaption><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:paragraph -->\n<p>All I can say is, don&#8217;t be panic with the cyst. See you in next article!<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>You can feel free visit my official homepage <a href=\"https:\/\/drsoaraweeurology.com\/\">here<\/a>.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2 class=\"wp-block-heading\">Frequently Asked Questions<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\">Q1: Is an epididymal cyst dangerous?<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>No. An epididymal cyst is a benign (non-cancerous) lesion. It contains spermatozoa or seminal fluid and forms as a result of prior injury or inflammation of the epididymis tubule. The vast majority of epididymal cysts are harmless and do not require treatment unless they cause significant discomfort or grow to a large size.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\">Q2: Do epididymal cysts go away on their own?<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Many epididymal cysts resolve spontaneously, particularly smaller ones. Cysts less than 10 mm have a 95% chance of natural resolution within 3 years. Cysts between 11-20 mm have a 66% chance of resolution. However, larger cysts of 21-50 mm have essentially 0% chance of natural resolution and may require intervention if symptomatic.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\">Q3: When does an epididymal cyst need treatment?<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Treatment is generally recommended only when the cyst causes significant symptoms such as persistent scrotal pain or discomfort, or when the cyst is large and growing. Asymptomatic cysts are typically managed conservatively. Needle aspiration is an option for symptomatic cysts, while surgical excision is reserved as a last resort due to the risk of fertility impairment.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\">Q4: Can an epididymal cyst affect fertility?<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>An untreated asymptomatic epididymal cyst does not typically affect fertility. However, surgical excision carries a risk of damaging the epididymis and impairing sperm transport. This is why surgery is considered only as a last resort for large, symptomatic cysts.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 class=\"wp-block-heading\">Q5: How is an epididymal cyst diagnosed?<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Epididymal cysts are most commonly discovered incidentally during scrotal self-examination or detected on scrotal ultrasound. Ultrasound is the gold standard imaging tool for diagnosing and characterizing epididymal cysts, confirming their benign nature and measuring their size. A urologist will assess the findings and recommend the appropriate management plan.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>If you have discovered a scrotal lump or been told you have an epididymal cyst and would like a specialist evaluation, Dr. Soarawee Weerasopone offers consultations at Bangkok Hospital Headquarters. <a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\">Book a Consultation<\/a>.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Disclaimer:<\/strong> This content is written and reviewed by Dr. Soarawee Weerasopone, a board-certified urologist at Bangkok Hospital Headquarters. It is intended for educational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional before starting any medical treatment.<\/p>\n<!-- \/wp:paragraph -->","protected":false},"excerpt":{"rendered":"<p>Epididymal cyst is one of the most common testicular-related issues at my urology office. It was defined as an encysted structure closures the epididymitis which is literally described as a result from prior injuries or inflammations of the epididymis tubule. These meaning that epididymal cyst are absolutely a benign lesion. Natural history of Epididymal cyst [&hellip;]<\/p>\n","protected":false},"author":185281453,"featured_media":10041,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"Epididymal cyst is a benign scrotal lump. Learn the 10mm, 20mm, 50mm management rules and when surgery is needed. 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