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Conditions

Epididymal Cyst

An epididymal cyst is a smooth, fluid-filled lump found on the testicles. Although some men may worry that they are a sign of cancer or another serious problem, epididymal cysts are in fact benign and thus not a health risk.

The cysts form when fluid builds up in a tube behind the testicles called the epididymis, which stores and transports sperm. It is possible to have more than one cyst at a time and they can appear on both testicles. Up to a third of men are affected by this condition and the cysts can develop at any time in life, although it is most likely to occur in those who are middle-aged.

Epididymal cysts can be very small, but some can grow to the same size as a testicle or even as large as a grapefruit! There are normally no symptoms unless a cyst becomes infected, in which case it may drain fluid and become painful or swollen. Larger epididymal cysts can cause some discomfort, which is usually the reason why some men opt to have them removed. This procedure involves a simple operation to cut the cyst out of the epididymis. However, if a cyst is not infected and does not cause any pain or discomfort, it is not necessary to treat it.

Although epididymal cysts are benign, it is still important to get any new or unusual lumps and bumps in your genital area checked out by a GP.

Watch the Live from the Clinic interactive case video on testicular cysts >

Comments and Questions

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Hello, I've had 2 operatIons on what was called a hydrocele. We'll both didn't correct the problem. Should I possibly just have them take my left testicle and get an implant. My left teste hurts, well causes me great discomfort. It is just at my center of mass, I'm only relaxedwhem I can spread my legs far enough apart to not cause discomfort. I figure go in and have them take it, and put a prostheticss in there. What I ever be able to have children with this method. Thanks... Any one have prices on what this procedure will cost me? 😉cash only





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Is it still possible to get an erection if you have your testicles removed from testicular cancer??





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Sir I had affected cyst in both testicles.left testicles no pain. But right testicles cyst nw size is improved. Size going to big. 1 year no growthing but nw days day by day size going to improvement. Hw to reduce the size sir?





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I'm 25 and suffer from this. Discovered I had 2 cysts on left testicle last year. They were painful but nothing was done as pain went away after a few weeks. Went for another ultrasound a month ago after pain returning and i now have one on my right testicle. So that makes 3. Pain has been back with me now for a good few months and is gradually getting worse. My gp made a referral to Urology for me to discuss removing them. I'm taking Codeine 60mg 4x daily......Nefopam 90mg 3x daily and Amitriptyline 40mg at night for pain. Any input from people who suffers or have suffered from this is appreciated.





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Thanks for reply James. The lump isn't any bigger than I've felt before in previous months. N it doesn't hurt when I feel it. Although I don't squeeze it. The pain is only there now and agen and the doctor didn't suggest surgery. Do u know why the lump wud cause pain. It's not on my testicle it's on the tubes just below. Can I ever recover without surgery and did any pain killers work for it before ur op





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Hi there just wanted to share my story. Well at the moment I'm Getting pains in left testicle mostly. Feels like someone is just squeezing my testicle. Went to gp got given antibiotics for epididymitis. Seemed to do the trick the pain went. Then went for an ultra sound 2 weeks ago everything came back ok but I have a cyst at the bottom Of my left testicle. Think it's on the tubes below it. They sed its fine nothing to worry about. But now I'm getting pains in my lower back and sometimes a squeezing my testicle pain again. Although not as bad as b4 I took anti biotics. Been bak to gp got given anti inflammatorys and antibiotics and told to take co codamol. This pain is doin my head in can anyone help please be very appreciated thanks





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hey John i know what you are going through ,had the exact same type of pain. I first noticed mine years ago ,no pain just the small lump , it was like this for a long time , then it did start growing in size and it didn't take long until it was almost the size of the testicle itself ,and the pain was like you describe ,(getting your testicle squeezed ),and the pain would travel up into the abdomen .long story short , i had the surgery done this Monday past , so on day 3 post op ,everything seems to be good , the pain ( with meds ) is about the same as pre-op so bearable. The relief however is from knowing the lump is gone . Do yourself a favor and if you are worried about this , as im sure you are ,talk to your doc about having it removed . The surgery like i said is very simple and from pre-op to waking up afterwards about an hours time.I am happy i have had it done ,after years of wonder and worry. .... Best of luck to you.

About three months ago i found a lump on my left testicle. Sometimes i experience pain. I am 18 years of age (17 when i first found the lump). I visited the doctor today and although i said i was experiencing pain and the lump has been increasing in size he wasn't particularly worried and thought it was a Epididymal Cyst. He told me to go back after three weeks if i am still experiencing problems (even after 3 months!). Should i seek a second opinion?? I'd feel a lot more reassured if i had an ultra sound :/





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Yes get a second opinion and an ultra sound asap. My 17 year old son had same Symptoms. Dr said don't worry just an infection. Turned out to be cancer. It spread quickly . 4 years , 4 surgeries, and 60 chemo treatments later he is ok. Do not wait go to a urologist asap.

I've got two very hard marble sized lumps in my scrotum, one high up and one midway down. I experience pain every day and have started to get lower back pain aswell. My gp thought they were epidydmal cysts but so far none of the symptoms I've read fit my problem. I am going to see a eurologist on Thursday but I would like it if you could share your opinion with me, I'm 37.





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Ive had similar probs just had a scan and got a testicle stone .

14 years ago I had a node on one of my testicles checked. It was scanned by ultrasound, and was found to be nothing: it is still there today. The doctor/consultant at the time said he could see a cluster of small cysts in the tubes behind the other testicle.Over the years it has grown, and 18 months agao I again had it scanned and they said though it was large, if it was not giving any problems, they would not remove it. In the last 8 months it has doubled in size to the size of a small tennis ball, and is protruding. I am now wanting it removed, but I am scared of this procedure and what they will tell me. Can this be that it has gone from being a cyst to something more sinister? Also how ling is such a procedure?





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hopefully this will help anyone with this issue . I have experienced this same lump on one of my testicles , it has been there for a long time with no issues .Within the last year or so i noticed a dull pain going from the testicle up into the abdomen , tolerable pain yes but pain non the less. i chose to have the surgery to remove this cyst ,as it was always in the back of my mind that it may be something more serious . So i am writing this to anyone it may help , i am in day number 2 post op ,as of now with meds the pain is about equal to what i was experiencing before surgery so not so bad . The relief comes from knowing that the lump is now gone ,and i can finally after many years stop worrying about it. So anyone in this same situation with any questions or concerns about the surgery itself ,it is actually very simple and fairly quick , from the time i went into the pre op room to the time i woke up afterwards was about an hour , and you really will not feel or remember any of it. So for anyone in this position i say to you it is a great relief having this done and not left wondering everyday about what this lump might be or what it may be doing to my health. Again only 2 days post op but feel great ,slight pain when moving around ,but that is expected and bearable , so do yourself a favor and if you haven't been checked out the do so ,don't be embarrassed to talk to your doctor about this ,you didn't cause it ,it just happened and there is help. I hope this helps guys ,and good luck .

I'm 33 years old, I found my lump 8 years ago although it doesn't hurt it at all 6 months ago it has started to go smaller and smaller then it will grow back and it's kept doing this since. Is this normal? Also my wife and I have been try to conceive for at least 5 years my sperm tests show .5% motility and .1% morphology. During the last 6 months while the cyst has been shrinking and growing my sperm results changed slightly for the better if I had the cyst removed would this keep improving my results and help to finally conceive?





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It looks like no one else has asked this question, so please fill in the rest of your details below.





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