Patient's question:
The baby usually shows no obvious symptoms and is in good spirits. They eat well, and their current weight is 18 pounds. From birth to six months, the baby was exclusively breastfed and had been experiencing diarrhea, but it did not affect their weight. By the time they were seven or eight months old, their bowel movements had improved.The baby started using disposable diapers at night in November 2009 and only stopped using them in mid-March 2010. Could this be related to using disposable diapers?
On April 1, it was discovered that one of the baby's testicles was larger. No abnormalities were noticed otherwise, so the child underwent an ultrasound examination, which revealed a right varicocele. The questions are: Is this condition serious? What is the cause? If surgery is needed, at what age is it most appropriate to have it done? Can the baby undergo surgery now? What is the recurrence rate after surgery?
Doctor's answer:
Epididymal cyst, also known as hydrocele of the spermatic cord, refers to a cystic swelling that forms on the spermatic cord, often located above the posterior part of the testis and near the epididymis. It is more common in young and middle-aged adults. The causes of epididymal cysts are generally believed to be related to excessive sexual stimulation, acute or chronic inflammation of the testis and epididymis, injury, or sexually transmitted diseases.Guidance:
Cysts are classified as congenital or secondary. Congenital epididymal cysts result from 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 epididymal 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 of the cyst through the perineum may be performed. If there is associated ureteral orifice ectopia, 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.