Epididymal cyst removal (spermatocele) is a procedure for the removal of cysts (fluid-filled sacs under the skin) from the testicular region. An alternative to the surgery is to drain the fluid with a needle; but, the fluid usually refills the cyst after a month or two.

A surgeon administers general anesthesia, making patient unconscious before the surgery. This is a simple procedure during which the surgeon makes an incision in the area, removes the cyst, and sutures the opening shut. Although they are typically benign, the surgeon might have the cyst and fluid examined after the removal.

Epididymal cyst removal is fairly quick and most patients are discharged after a few hours of recovery in the hospital. Rest, antibiotics, and pain medication are usually prescribed once the patient is discharged. It may take 7 to 10 days for recovering fully.

Epididymal cyst removal is a relatively minor outpatient surgery, although most males would argue that no surgery in that area is minor. Smokers and overweight patients are always at risk. Similarly, men with blood pressure, heart, or lung problems should consult their doctors before pursuing the surgery. While patients can expect mild bruising or swelling, the greatest risk during the procedure is usually the general anesthesia, which may affect the heart or lungs. There is a potential of sterilization (infertility), but these cases are extremely rare.

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