Bilateral Synchronous Multilocular Epididymal Cysts: A Case Report

Ushida, Hiroshi; Hayashida, H; Kim, Chol Jang; Park, Kyun Il; Okada, Yusaku

doi:10.5980/jpnjurol1989.90.692

Cited by 3 publications

(5 citation statements)

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“…Preoperative diagnosis of bilateral multilocular hydrocele was made. 10 The epididymal cyst can be unilateral and unilocular or multilocular. These are commonly of less than 1cm in size.…”

Section: Discussionmentioning

confidence: 99%

A randomised study of management modalities in epididymal cyst

Arora

2019

Int Surg J

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Background: Epididymal cysts are common in teenagers and young adults. They can present as unilocular or multilocular swelling. These cysts are generally present on one side but can be bilateral. Small epididymal cyst are asymptomatic but are detected on ultrasound examination of scrotum. This study was done with aim of treating epididymal cyst with different modalities based on size of the epididymal cyst. Methods: A total of 124 patients of epididymal cyst were included in this study. Scrotal ultrasonography was done in these patients. The clinical presentations of these patients were asymptomatic detected on ultrasound, orchialgia, scrotal swelling and physical examination. Based on the size of epididymal cyst patients were divided into three groups. The treatment modalities used these were natural involution, aspiration, aspiration and sclerosing agent and surgical excision. Results: The group I consisted of cyst size less than 10mm having 73 patients. The group II consisted of patients with cyst size 11-20mm having 39 patients; and group III patients were with cyst size 21-50mm having 12 patients. Natural involution was most effective treatment modality in group I and group II. Aspiration was the second was most effective. Only a few patients required aspiration and sclerosing agent. Surgical excision was done in majority of group III patients and failed aspiration in group II. Conclusions:The results of present study show that asymptomatic and small epididymal cyst can be cured by natural regression in 77.42%. The cysts 11 to 20mm are amenable to aspiration alone, only a few need repeat aspiration and instillation of a sclerosing agent. These conservative approaches save the cost. Excision should be reserved for very large cysts and in which conservative approach fails.

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“…Preoperative diagnosis of bilateral multilocular hydrocele was made. 10 The epididymal cyst can be unilateral and unilocular or multilocular. These are commonly of less than 1cm in size.…”

Section: Discussionmentioning

confidence: 99%

A randomised study of management modalities in epididymal cyst

Arora

2019

Int Surg J

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“…The incidence of either hydro or spermatocele diagnosed in specialized healthcare is approximately 100 per 100,000 men [ 9 ]. Bilateral epididymal cysts are significantly less frequent [ 4 ]. Multilocularity of epididymal cysts is rarer and rarely reported in the literature.…”

Section: Discussionmentioning

confidence: 99%

“…Multilocularity of epididymal cysts is rarer and rarely reported in the literature. Only Ushida H et al [ 4 ] had reported multilocular bilateral synchronous epididymal cysts to date. Similar findings were noted in our case, too.…”

Section: Discussionmentioning

confidence: 99%

“…They are mostly benign and unilateral in nature, although the bilateral presence is rare [ 3 ]. An asymptomatic, bilateral, and multilocular giant epididymal cyst is extremely rare, and only a few cases have been reported until today [ 4 , 5 ]. Approximately 30% of men have been diagnosed with small spermatoceles, while fewer have larger spermatoceles.…”

Section: Introductionmentioning

confidence: 99%

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Asymptomatic Bilateral Giant Multilocular Epididymal Cyst in a Middle-Aged Patient

Gupta¹,

Shinde²,

Rathod³

et al. 2022

Cureus

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Bilateral multilocular huge epididymal cysts are a rare entity with few reports in the literature. Epididymal cysts are mostly found in middle-aged men with or without symptoms. We present the case of a 45-year-old man with asymptomatic bilateral scrotal swelling, which was clinically diagnosed as a right epididymal cyst with left hydrocele. However, an ultrasound of the scrotum revealed bilateral epididymal cysts with normal testes. Intraoperatively, it demonstrated bilateral huge epididymal cysts for which the patient underwent excision of bilateral epididymal cysts. Postoperatively, the patient is doing well on follow-up. Thus, it is concluded that when the epididymal cyst is larger than 10 mm or 1 cm and does not involute with time, surgery is indicated. In comparison, epididymal cysts smaller than 10 mm or 1 cm are managed conservatively.

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“…Simple cysts usually are small, approximately 1 cm in diameter, more frequently unilateral, uni- or multilocular, and located in the caput epididymis. Cysts in the corpus and cauda also have been reported [66]. Most cysts are asymptomatic, although larger ones may cause scrotal discomfort, pain, or present as a mass.…”

Section: Epididymal Anomaliesmentioning

confidence: 99%

Perspectives in Pediatric Pathology, Chapter 12. Congenital Epididymal Anomalies

et al. 2016

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Congenital anomalies of the epididymis are frequent. Their understanding requires familiarity with their embryological origins. They are important given their impact on fertility. INTRODUCTION. EMBRYOLOGIC REMARKS John Hunter (1728-1793), the great Scottish surgeon whose many contributions advanced medicine in general and pathology in particular, was among the first to provide detailed descriptions of the male genital system in many species, including his elegant account of absent ductus deferens in a man: ''In dissecting a male subject, in the year 1755, for a side view of the contents of the pelvis, I found a bag on the left side, lying contiguous to the peritonaeum, just on the side of the pelvis where the internal iliac vessels divide above the angle of reflection of the peritonaeum at the union of the bladder and rectum. The left vas deferens was seen passing on to this bag; and what is very singular, that of the right, or opposite side, crossed the bladder, near its union with the rectum, to join it. I traced the left vas deferens down to the testicle; but, on following the right through the ring of the external oblique muscle, I discovered that it terminated at once, about an inch from its passage out of the abdomen, in a blunt point, which was impervious. On examining the spermatic chord from this point to the testicle, I could not find any vas deferens; but, by beginning at the testicle, and tracing the epididymis from its origin, about halfway along where it lies upon the body of the testicle, I perceived that it at first became straight, and soon after seemed to terminate in a point" [1]. Malformations of sperm excretory ducts have been recorded in the medical literature for more than two centuries. Mainly in the last two decades has interest in this field increased, thanks to new medical developments. These include a more complete assessment of infertile patients and modern techniques, such as transrectal

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Bilateral Synchronous Multilocular Epididymal Cysts: A Case Report

Cited by 3 publications

References 0 publications

A randomised study of management modalities in epididymal cyst

A randomised study of management modalities in epididymal cyst

Asymptomatic Bilateral Giant Multilocular Epididymal Cyst in a Middle-Aged Patient

Perspectives in Pediatric Pathology, Chapter 12. Congenital Epididymal Anomalies

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