Small cysts as well as asymptomatic larger cysts are better left alone and carefully observed. However, treatment can be considered if the cysts are causing discomfort/pain, enlarging in size, or per patient request. There are a few different treatment options, ranging in levels of invasiveness. Medications Certain drugs such as oral analgesics or anti-inflammatory medications can be taken by mouth to decrease<unk> -related symptoms such as pain and/or swelling. At the moment, there is no medication that can inhibit the production of a<unk>  or cure it. Common medications recommended by doctors are acetaminophen (Tylenol) that can treat pain. To treat the inflammation and pain, non-steroidal anti-inflammatory drugs (NSAIDs) are recommended such as ibuprofen (Motrin, Advil), naproxen (Aleve), and others. Antibiotics may also be prescribed in cases where risk of infection and discomfort is indicated. Medical Procedures Aspiration and sclerotherapy are treatments that remove fluid from the<unk>  and seal the<unk>  sac closed from further fluid build-up, respectively. Due to a higher risk of epididymis damage, fertility problems, and further recurrences, these procedures are not recommended and not commonly used. Surgical Treatments Surgical treatments must be thoroughly discussed with people prior to any final decisions. Different types of surgical procedures may be chosen based on the extent of risk. A short procedure called a<unk> ctomy can be performed for<unk> s that cause irritating symptoms. This standard procedure can be performed in an outpatient setting with the use of local or general anesthesia. This procedure typically consists of removing the<unk>  and a portion of the epididymis. The risk of epididymal injury is 17.12%. This incident may happen when the<unk>  is being dissected from the head of the epididymis.<unk> ctomy can cause complications such as hematoma, wound infection, scrotal abscess as well as recurrence. After surgery, the doctor may recommend to apply ice packs for several days to help reduce swelling. Oral pain medications can also be taken for a few days to reduce discomfort. In addition, the patient returns 2-6 weeks after to inspect any progress/complications. If received a vasectomy, then two semen samples must be collected and analyzed after 6-12 weeks post-operation and several ejaculations. The centrifuged semen samples are used to look for the absence of viable sperm in the semen. Risk of Complications After surgical removal, it is possible that the pain will persist and recurrence can occur. Fertility may be compromised with these surgical procedures, so people may consider postponing surgery until after having children. If the pain is intolerable and the person would like to get the<unk>  removed immediately, the person should talk to his doctor about the possibility of freezing or donating sperm in case infertility occurs.
Spermatocele
Testicular cancer
Hematocele
Chronic testicular pain
Hydrocele
Testicular pain
Urethrocele
Varicocele