Does having a cyst in the testicle cause varicocele?

Patient's question:

A while ago, I felt pain in my right testicle and noticed it was hard when I touched it. Later, I didn't pay attention, and the pain gradually went away. However, today when I went to the hospital for a thorough check-up, the doctor suspected varicocele and recommended an ultrasound. During the ultrasound, the technician said they didn't find any varicocele but did notice a small cyst and no other abnormalities. Later, when I showed the report to the doctor, they still insisted there was varicocele and told me about many symptoms and discomforts associated with it. However, none of those symptoms or discomforts apply to me. But the doctor still recommended surgery. I said I would think about it at home. I don't understand why the ultrasound technician didn't see anything but just a cyst, yet the attending doctor still insisted it was varicocele! Moreover, when the ultrasound technician asked me where it had hurt before, I told her.

Doctor's answer:

The pain in the testicles, which had no apparent cause, improved within a few days. Today, the doctor suspected varicocele. The ultrasound revealed no varicocele, but instead a small cyst in the right epididymis. This isn't a confirmed varicocele, but rather an epididymal cyst. The doctor questioned whether you might have varicocele and performed an ultrasound, but it didn't detect varicocele; only a cyst was suspected on the epididymis. You should still trust the ultrasound report. A cyst will never lead to varicocele. For patients with epididymitis, timely treatment can reduce the incidence of the condition. If left untreated, it can affect overall health. Therefore, patients should receive timely and appropriate treatment, and in daily life, they should avoid overexertion and pay attention to personal hygiene.

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