Definition

A hydrocele is fluid around a testicle; an epididymal cyst arises in the epididymis.

Symptoms

Scrotal swelling, heaviness or a small, often painless lump.

How it may be discovered

Usually noticed gradually or during examination, sometimes after inflammation.

When to seek care

Any new lump needs examination. Sudden severe pain must not be assumed to come from a cyst.

Investigations and tests

Examination and selected ultrasound to identify the swelling and assess the testicle.

Reaching a diagnosis

Distinguish benign fluid lesions from hernia, infection or a testicular mass.

Treatment options

Observation if minimally bothersome; surgery according to discomfort and size, considering risks and fertility plans.

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