Patient's question:
[Condition Description: Ultrasound Description: The bilateral testicular sections are normal in size and shape, with smooth and uniform surfaces. The internal echoes are fine and dense, evenly distributed, and no obvious abnormalities are observed within. Near the head of the left epididymis, a cystic anechoic dark area is visible, approximately 0.60.5 cm in size. The shape is round with clear boundaries, thin and smooth walls, and enhanced posterior echoes. Above the left testis, the spermatic cord is thickened, with a pampiniform venous plexus inside, and the venous diameter is about 0.20 cm. CDFI; During the Valsalva maneuver, reflux is observed. The right spermatic vein shows no varicosity. Ultrasound suggests: A cystic lesion at the head of the left epididymis, suggesting a possible seminal vesicle cyst.]Doctor's answer:
Any process that can cause acute inflammation of the epididymis or testis can lead to swelling of the epididymis and testis. Physical examination of a seminal vesicle cyst shows it as an independent mass unrelated to the testis, smooth in texture, well-defined, soft in consistency, and mobile. It may be associated with sexual arousal stimulation, chronic infection of the testis or epididymis, or partial obstruction of the sperm duct. If the size is small and discovered accidentally by oneself or during a physical examination, with no symptoms at ordinary times, no treatment is necessary. If the seminal vesicle cyst causes complications or becomes a source of anxiety for the patient, surgical removal should be considered.