Epididymal Cysts and Varicocele: What You Need to Know

Epididymal issues

Last month, I was examined by a urologist and diagnosed with varicocele.
However, a few days ago, during a self-examination, I noticed something above my testicles (without touching) that doesn't hurt.
Sometimes both sides have it, and sometimes only the right side appears to be about half the size of the other testicle.
I did some research online, and the condition that seems most similar is an epididymal cyst.
However, I have not yet reached puberty.
Is this normal, or is it a typical phenomenon related to my body's development, or could it be related to my varicocele?

Wu Xing, 10~19 year old female. Ask Date: 2021/11/09

Dr. Li Xinyi reply Urology

If you notice any changes in your condition, you should return to the original urology clinic to discuss it with your physician.

Reply Date: 2021/11/09

More Info

Understanding epididymal cysts and varicocele is essential for anyone experiencing changes in their reproductive health. Based on your description, it seems you have been diagnosed with a varicocele, which is an enlargement of the veins within the scrotum, similar to varicose veins that can occur in the legs. This condition is relatively common and can be associated with discomfort or a feeling of heaviness in the scrotum, but many individuals do not experience pain.

The presence of a lump or swelling above the testicle, which you suspect might be an epididymal cyst, is also not uncommon. Epididymal cysts are fluid-filled sacs that form in the epididymis, the coiled tube located at the back of the testicle where sperm matures and is stored. These cysts are usually benign and can vary in size. They often do not cause any symptoms and may be discovered incidentally during a physical examination or imaging study.

In your case, the fact that you are noticing a lump that is sometimes present on one side and sometimes on both sides could indeed suggest the presence of an epididymal cyst. These cysts can develop at any age and are generally considered a normal anatomical variation, especially if they are not causing pain or discomfort.
Regarding your concern about whether this is related to your varicocele, while both conditions can occur simultaneously, they are generally independent of one another. A varicocele is primarily related to the blood flow and venous drainage of the testicular area, while an epididymal cyst is related to the accumulation of fluid in the epididymis.
It is important to note that while both conditions are usually benign, they can sometimes be confused with more serious issues, such as testicular tumors or infections. Therefore, it is advisable to follow up with your urologist for a thorough examination. They may recommend an ultrasound of the scrotum to confirm the diagnosis of an epididymal cyst and to rule out any other potential issues.

In summary, based on your description, it seems likely that you are experiencing benign conditions such as a varicocele and possibly an epididymal cyst. These are generally not a cause for concern, especially if they are asymptomatic. However, it is always best to consult with a healthcare professional to ensure proper diagnosis and management. Regular check-ups can help monitor any changes and provide peace of mind regarding your reproductive health.

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