Английская Википедия:Epididymal cyst

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Шаблон:Infobox medical condition

Epididymal cyst is a harmless sac in the testicles filled with fluid.[1] The most frequent clinical presentation occurs when a routine physical examination yields an unexpected finding, which is then confirmed by scrotal ultrasonography.[2] Although the exact cause of epididymal cysts is unknown, it is likely a congenital anomaly associated with hormonal imbalances during the embryonic stage of development.[3]

Signs and symptoms

An epididymal cyst, a benign cystic fluid collection in the scrotum, usually manifests as a painless swelling on top of the testicle and can be inadvertently discovered during a physical examination.[1] The most typical clinical findings are scrotal mass and pain.[2]

Causes

The exact cause of an epididymal cyst is unknown, but it is most likely a congenital anomaly associated with hormonal imbalances during embryonic life.[3] Previous research has shown a correlation between the development of epididymal cysts and maternal exposure to endocrine disrupting substances like diethylstilbestrol during male fetal development.[4][5] It has been determined that the causes of epididymal cysts in children are vasal or epididymal obstruction and environmental endocrine disruptors.[6][7] There has also been a suggestion that the testicular dysgenesis syndrome may include an epididymal cyst.[8]

Diagnosis

An ultrasound is used to confirm 20–30% of epididymal cysts that are found during a physical examination.[1]

Treatment

An epididymal cyst usually resolves on its own over time and doesn't need to be surgically removed.[1] Nonetheless, patients who experience excruciating scrotal pain or whose cyst size does not appear to be involute are advised to have their epididymal cysts surgically removed.[3]

See also

References

Шаблон:Reflist

Further reading

External links

Шаблон:Medical resources

Шаблон:Male diseases of the pelvis and genitals