How should right epididymal cyst be treated?

Patient's question:

Doctor, recently I have noticed a small hard lump the size of a stone in my right epididymis. It hurts a little when pressed lightly. Since it's on the genital area, I didn't dare to apply any medicine randomly, so I went to the hospital for a thorough examination and found it to be a cyst. So, doctor, what should I do about the right epididymal cyst?

Doctor's answer:

Hello! Epididymal cyst is a benign inflammation and will never expand into a malignant inflammation. If currently, without affecting the reproductive organs, there are no obvious discomfort symptoms, treatment is not necessary. An annual check-up of scrotal color Doppler ultrasound is sufficient. However, if there are obvious symptoms of scrotal swelling, distension, and pain, and the epididymal cyst continues to enlarge, it is necessary to consider undergoing an epididymal cyst fenestration and decortication surgery.

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