There are lumps in the epididymis without discomfort, and they are noticeably palpable. What kind of disease is this?

Patient's question:

Detailed medical condition and consultation purpose: There is a lump in the epididymis with slight discomfort, and it is noticeably palpable. What kind of condition is this? How should it be treated? Thank you!
Current general condition: No obvious discomfort, only a slight sense of soreness and fullness.
Medical history: Four years ago after a pneumothorax surgery, it gradually became noticeable, starting small and gradually getting larger.
Previous diagnoses, treatments, and outcomes: No diagnosis was made, and no targeted treatment was administered.

Doctor's answer:

Is there a lump in the epididymis with a slight discomfort? Small nodules can be felt in the scrotum without pain or discomfort. It is generally common for these to be epididymal cysts. Small cysts do not require treatment as they do not cause compression or pain. However, it is best to undergo a scrotal ultrasound examination for further confirmation. Additionally, pay attention to your sitting posture to avoid squeezing your scrotum.

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