Patient's question:
Left testicular mass, possible spermatic cord cyst.Doctor's answer:
A spermatic cyst, also known as hydrocele of the spermatic cord, refers to a cystic swelling that forms on the spermatic cord, often located above the testicle and near the epididymis. It is more common in young and middle-aged adults. The causes of spermatic cysts are generally believed to be related to excessive sexual stimulation, acute or chronic inflammation of the testicle and epididymis, injury, or the presence of sexually transmitted diseases.Guidance:
Cysts are classified as congenital or secondary. Congenital spermatic cysts are caused by abnormal development of the mesonephric duct and are often accompanied by other organ developmental abnormalities, such as absence of the kidney on the same side or polycystic kidney disease. Secondary spermatic cysts are usually caused by inflammation or obstruction of the ejaculatory duct following transurethral resection of the prostate. In cases where the cyst is symptomatic, drainage through the perineum may be performed. If the cyst is accompanied by ectopic ureteral orifices, a nephrectomy and ureterectomy may be considered. If the cyst is large and symptomatic, surgical removal may be recommended. It is advised to seek further examination at a regular hospital's urology department and receive symptomatic treatment under the guidance of a treating physician based on the examination results.