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Urology (Expert Forum)
Epididymal cyst
Answered by
Kevin Pho, MD - Internal Medicine
Kevin, M.D.
Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
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Epididymal cyst
by ARBB, Jul 19, 2007 12:00AM
I had a urologist look at a small hard nodule on my right testicle two months ago and after finding it said it was a epididymal cyst. As I'm zipping up he says he wants to do a ultrasound just to make sure (this confused me, he was so sure of what it was). Had to cancel due to going out of town but since then the nodule has gone away. I used to be able to find it within seconds and I haven't been able to find it in a few weeks. Can these just go away? I do have some very slight discomfort of my right testicle I notice just 1-2 times a day (very slight, almost to the point I think it's psychological) and also just some very slight intermittent (notice 4-5 times daily) discomfort under my right ribs like a mild stitch you get when running or lightly hit in the testicles. As a side note I was sick with flu like symptoms about 3 months ago for approx. 1 week (worse sickness I have every had), and since then my bowel movements have not been as regular as before (very constipated after the sickness). My gut feeling is the very mild stitch is degestive in nature and the testicular discomfort is just me thinking about the nodule and not getting the US. Should I reschedule the US even with no mass or/and get some baseline blood work from PCP? I'm 33, not overweight, non-smoker, no immediate family history of cancer. Thanks
Doctor's Answer
by Kevin Pho, MD, Jul 20, 2007 12:00AM
, Jul 20, 2007 12:00AM
A smaller cyst can sometimes resolve on its own.
However, I agree with the testicular ultrasound, because more dangerous diseases like testicular cancer needs to be ruled out.
Regarding the pain on the upper right quadrant of the abdomen, you can consider an ultrasound to evaluate the liver and gallbladder.
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
However, I agree with the testicular ultrasound, because more dangerous diseases like testicular cancer needs to be ruled out.
Regarding the pain on the upper right quadrant of the abdomen, you can consider an ultrasound to evaluate the liver and gallbladder.
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
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