What should I do if the testicles hurt and I go to the hospital for an ultrasound examination?

Patient's question:

Testicular pain, need a thorough examination. Had an ultrasound, found a 0.60.6 cm cyst in the head of the right epididymis with no echoes. How should it be treated? If surgery is needed, should it be open surgery or minimally invasive surgery? Could it affect fertility? I’m already married, what should I do?

Doctor's answer:

An epididymal head cyst can initially be treated with antibiotics. If the results are unsatisfactory, surgical treatment can be considered. For surgical treatment, the specific approach—whether open surgery or minimally invasive surgery—depends on the patient's condition. After surgery, it is generally absolutely unlikely to affect fertility, so there is no need to worry excessively. The testicle can recover, but the treatment period is usually long, and there is a higher risk of recurrence after treatment. Therefore, it is crucial to actively cooperate with the doctor during treatment, take medication appropriately, and maintain a healthy lifestyle with a balanced diet during the recovery period.

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