Multiple Intratesticular Cysts
A 62-year-old male presented with chronic pain on the right scrotum. Chronic epididymitis was diagnosed after ultrasound findings of chronic inflammation of the epididymis, with further findings of multiple testicular hypoechoic lesions, according to analytical and negative markers (). There were no abnormalities in testicular tumor markers. Conservative management, consisting of scrotal support and non-steroidal anti-inflammatory medication, was applied without resolution of pain.\nTherefore, we performed right epididymectomy for pain relief and diagnostic testicular cyst enucleation (). The cyst was removed intact.\nPathology presented findings of a multiple cystic lesion filled with clear fluid free of sperm and unaffecting the epididymis or tunica albuginea, with the largest measuring 1.0×0.8 cm. The examination revealed a fibrous wall lined with simple flattened epithelium with multilobulated cysts (). No evidence of malignancy was found.