What should I do about hydrocele and stones in the right testicular sac of a male?

Patient's question:

MRI findings show normal morphology of both testicles with uniformly arranged internal echoes and no focal abnormal echoes. The right epididymal head section is of normal size, with a 0.36 cm 0.23 cm anechoic area observed internally, with clear boundaries. The left epididymal head section is of normal size, with no obvious abnormal echoes noted. The right testicular tunica vaginalis shows an anechoic area of approximately 1.2 cm in diameter, with an echogenic focus measuring about 0.5 cm 0.3 cm, accompanied by a shadow behind it, which can move rapidly with changes in body position. No significant fluid accumulation is observed in the left testicular tunica vaginalis. CDFI: No obvious abnormal blood flow signals are seen in the aforementioned organs. A palpable mass shows echogenicity of the spermatic vein. MRI confirms a right epididymal head cyst and right testicular tunica vaginalis effusion. MRI findings show normal morphology of both testicles.

Doctor's answer:

It is recommended that you undergo surgery promptly and actively to avoid further severe interference. It is advised that you promptly implement surgical treatment for this condition, while also being mindful in the future to undergo regular follow-up tests to check for the occurrence of hydrocele. Testicular conditions are prone to recurrence, requiring long-term medication. Additionally, for male patients, it is crucial to immediately seek diagnosis at a professional and reputable hospital, and treatment should be considered based on the examination results. Furthermore, pay attention to a proper diet and avoid sexual activity.

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