What size does an epididymal cyst need surgery?

Patient's question:

The size of the left testis shows no significant abnormalities, with a smooth surface, uniform internal echoes, no mass, and normal blood supply. A cystic structure approximately 2616mm in size can be detected above the left testis, with a regular shape and clear boundaries. No abnormal echoes are observed in the right epididymis. How large does an epididymal cyst need to be for surgery?

Doctor's answer:

Acute and chronic epididymitis are classified as subacute and chronic epididymitis. The scrotum often experiences pain, swelling, and a sensation of heaviness, with pain potentially radiating to the lower abdomen and the same side of the inner thigh. The affected epididymis becomes enlarged with mild tenderness, clearly demarcated from the testis, and the scrotal skin shows edema and redness. Accompanying symptoms include thickening of the spermatic cord and vas deferens, as well as hardened prostate with fibrous nodules and other chronic prostatitis manifestations. Bilateral chronic epididymitis can lead to infertility. It is recommended that you visit a hospital for follow-up to identify the cause and receive targeted treatment.

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