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Epididymal cyst removal also referred to as the excision of epididymal cysts or epididymal cystectomy, is a surgical procedure to remove epididymal cysts.
An epididymal cyst is a noncancerous lump filled with fluid in the epididymis. The epididymis is the tube that collects sperm around the top of men’s testicle, in the scrotum. This type of cyst is harmless. In most cases, you do not need treatment for it. The reasons why you may need epididymal cyst removal are as follows:
The cyst has grown large enough to be a nuisance, look unsightly, or make you feel embarrassed.
The cyst is causing discomfort and pain.
The cyst reoccurs after other types of treatment.
Epididymal cyst removal is carried out under general anaesthesia. In some cases, local anaesthesia with sedative drugs may be used instead. With local anesthesia, you will be awake but the affected area will be numbed. Sedative drugs will help you feel more relaxed.
Your surgeon will start the procedure by making a small incision in your scrotum over the cyst. Then, the cyst is carefully separated from the tissue that surrounds it and removed. Your surgeon will try to preserve as much of the epididymis as possible. However, sometimes a portion of the entire epididymis has to be removed as separating the two can cause damage to other structures.
Once the cyst is removed, your surgeon will close the epididymis and the skin incision using dissolvable stitches, which do not need removing.
Epididymal cyst removal is usually performed as an outpatient procedure, meaning you do not need to stay overnight in the hospital. You may leave as soon as the effects of the anaesthesia subside. Still, you need to plan to stay in Berlin for 5 to 7 days for initial recovery and follow-up checkups.
You should minimize activity and rest as much as you can for the first two days after your epididymal cyst removal in order to prevent swelling. You may be able to do some light activities and get back to work (office job) within 3 to 5 days following the surgery. In general, you should be able to return to your normal activity in around a week. However, strenuous exercise and heavy lifting must be avoided for at least 2 weeks. Therefore, if you have a manual job, take at least 2 weeks off work. Since the sutures used are typically self-dissolving, they will fall out on their own within two to three weeks following the surgery.
After epididymal cyst removal, you will need to do the following to avoid complications:
Your doctor will likely prescribe you painkillers to help ease any pain or discomfort. Make sure to take them as prescribed.
If you have any medications you need to take (for other medical conditions you may have) ask your doctor when you can restart your medication.
Make sure you have someone to help you out for at least the first 24 hours following your surgery.
Avoid driving or operating machinery, such as cookers and other domestic appliances.
Avoid drinking alcohol for a few weeks after your surgery.
Wear scrotal support and supportive underwear to prevent swelling.
Wash the surgical wound daily with soap and water. Make sure to dry it thoroughly with a clean towel in order to prevent infection.
You can shower the day after surgery but do not take a bath, swim, use a hot tub, or soak the surgical site in water.
Apply ice compresses to the surgical site.
Avoid sexual activity until your wound has fully healed and it is comfortable for you to do so.
Epididymal cyst removal is a safe and efficient procedure. However, as with any surgical procedure, there is a risk of complications and side effects, such as:
Recurrence of the cyst or new cyst appearing in the future.
Hematoma or blood collection of the testes.
Possible infection of the incision or the testes.
Chronic pain in the affected area.
Testicular ischemia/loss.
Shrinkage of the testicle.
Reduced fertility.
These complications can be avoided if you choose a board-certified surgeon and follow every post-operative instruction your doctor gives you.
The alternatives to epididymal cyst removal are:
No treatment – in some cases, if the cyst is not causing any symptoms and is not growing any bigger, your doctor may suggest you leave it alone.
Aspiration – during this procedure, your surgeon will drain the fluid from the cyst using a needle.
If you experience pain, discomfort, or embarrassment before you undergo epididymal cyst removal, you will not experience them anymore after the surgery. You will be able to enjoy many activities you enjoyed before without having to experience pain.
Whilst the information presented here has been accurately sourced and verified by a medical professional for its accuracy, it is still advised to consult with your doctor before pursuing a medical treatment at one of the listed medical providers
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Berlin is the capital and the largest city of Germany and with over 3.7 million inhabitants; it is the second-most populous city of the European Union after London. It is an alpha city of culture, politics, media, and science. The metropolitan city is also a popular tourist destination, thanks to its rich history, vibrant culture, lively parties, delightful food, and incredible architecture.
Today, Berlin is one of the most popular destinations for medical tourism. The number of medical tourists coming to the city increases each year. Most of them travel from Poland, the Netherlands, France, and the Middle East. Some of the more popular treatments are oncology, cardiology, dentistry, and even tummy tuck. Although the cost is considerably higher than the neighboring countries such as Hungary, medical tourists still come for high-quality treatment with cutting-edge technology. Thousands of medical tourists prefer Berlin for the following reason:
As a famous tourist destination, Berlin has numerous attractions to see and many things to do. Whether you want to indulge in its culture, eat its food, or have a non-stop party, there will always be something for you.
Just like the rest of Germany, Berlin enjoys four distinct seasons, making it a year-round destination for tourists. Spring starts around March and ends in May. This season is characterized by the arrival of cherry blossoms and the increase of the temperature. The temperature is around 4.3 °C in early March and will get as warm as 19.4 °C in May.
Summer runs from June to August with an average temperature of 24 °C but can get as high as 30 °C in the hottest days. This season is the peak of tourism because people can enjoy outdoor activities, so prices can be a lot higher than usual.
The months of September and November are Autumn. The weather in this season is similar to summer, which is warm and pleasant. However, the temperature can drop significantly in late November. Tourists usually visit the city during autumn for the Oktoberfest.
Winter in the city can be freezing, cloudy, and wet. The temperature can plummet to -10 °C on the coldest days. The city is generally very festive during this season, thanks to the Christmas spirit.
Berlin has two main airports: Berlin Tegel Airport and Berlin Schönefeld Airport. The main international airport is the Berlin Tegel Airport located in the northwest. The airport serves domestic flights to other cities in Germany and international flights to almost every major city around the globe. Berlin Schönefeld Airport is the secondary airport that mainly serves budget airlines such as EasyJet and Ryanair. It is also an international airport that operates domestic and international flights. To get to the city center from both airport, bus, train, taxi or car are available.
To get around Berlin, there are various transportation modes to choose from. The main means of transport in the capital is the U-Bahn system, which comprises 9 metro lines and 173 stations. During peak hours, trains run every two to five minutes and every ten minutes in the evening and on Sundays. Along with the U-Bahn, the S-Bahn system is also one of the main means of transport. It has 15 lines serving 166 stations and has a longer average distance between station than the U-Bahn.
Tourists can also ride the tram and the tram lines mostly operate in the eastern neighborhoods since the tram lines in the former West Berlin were replaced by bus and U-Bahn. The tram lines operate 24 hours a day in some areas.
The bus in Berlin has around 151 lines running every 10 minutes for 24 hours. The buses also replace metro trains during closing hours. Taxis can be found easily enough around the city, with more than 7,000 taxicabs. The taxis can be identified by the beige or ivory color. The base fare is 3.90 EUR and tourists can hail the taxis from the street, by phone, or via an app. Other transportation such as Ferry, car sharing, and e-scooter is also available.
The citizens of Australia, Canada, Israel, Japan, New Zealand, Poland, the United States, and Switzerland can enter and stay in Berlin for up to 90 days. Since Germany is a member of the European Union, citizens from other European Union countries do not need to obtain a visa to enter. Citizens of other countries need a Schengen Visa. It is advisable to always check the requirements for Germany Visa Application before applying.