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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 Hong Kong 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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The former British colony became a special administrative region of China in 1997, when Britain's 99-year lease of the New Territories, north of Hong Kong Island, expired. Hong Kong is governed under the principle of "one country, two systems", under which China has agreed to give the region a high degree of autonomy and to preserve its economic and social systems for 50 years from the date of the handover.
Hong Kong welcomes an ever-increasing number of medical tourists each year, many of which travel for Epididymal Cyst Removal procedures. Hong Kong is a well-established hub for medical tourism, although it is better known for its quality and cutting-edge procedures than for cost.
Hong Kong is a blend of a dynamic cultural landscape with an astonishing skyline, glamorous shopping, as well as one of the world’s top culinary destinations.
Hong Kong’s weather is influenced by the monsoon subtropical climate. The temperature is mostly mild all year round. May to September are the warmest months with an average temperature of 33 °C while mid-December to February are the coldest months with the temperature falling to 10 °C. Spring starts from March and ends in early May and the weather during this season is pleasant with many sunny days, but you can also have foggy, rainy, and stormy days.
The summer in Hong Kong is hot and humid with a perpetual threat of rain showers, thunderstorms, and sometimes even typhoons. Summer lasts for around four months from May to September. With August as the wettest month in the city.
The best time to visit Hong Kong is in the autumn, starting from October to early December when the days are generally sunny and the temperatures range from 22 °C to 28 °C. Winter is the holiday season in the city and the average temperature is around 16 °C to 18 °C but it can drop under 10 °C.
The main gateway to Hong Kong is the Hong Kong International Airport. The airport is built on reclaimed land on the island of Chek Lap Kok and it serves international destinations to almost every major city in the world, including, Dubai, Amsterdam, Seoul, Canada, Singapore, and Sydney. For affordable travel, budget airlines such as AirAsia, Eastar Jet, and IndiGo are available. There are a wide variety of public transport services to and from the airport. The best options are Airport Express, public buses, and taxis.
To get around Hong Kong, it is best to purchase Tourist Day Tickets which gives you unlimited access to the main MTR and certain Rail lines for HK$65. If you are planning to stay longer in the city, the Octopus Card will be a big help. The card is reusable and can be used for almost every public transportation mode and you can buy the card for HK$150.
One of the fastest and easiest ways to get around the city is by the MTR (Mass Transit Railways) and it is one of the most advanced metro systems on the planet. The MTR operates 11 lines from 06.00 am to 01.00 am. The fare ranges from HK$3.6 to HK$52.6 depending on the distance.
The public bus is a great way to explore Hong Kong, especially the south side of the island and the New Territories. Most buses are double-decker and air-conditioned and it is an affordable way to get around the city and the fares will vary based on the distance traveled. Other public transportation modes such as tram and ferry are also available.
If you need a more flexible way of travel, taxis are easy to find and offer excellent value. There are three types of taxis, the red taxis operate throughout the city except for Lantau Island and the fares start at HK$24. The green taxis only operate in the New Territories and the fares start at HK$20.50. The blue taxis serve Lantau Island and the fares start at HK$19.
Citizens of around 170 countries and territories may visit and stay in Hong Kong without a visa for up to 180 days. Other countries not listed in the visa-free entry such as Albania, Armenia, and Cambodia need to apply and obtain a visa before entering the country. All visitors must have a passport valid for at least one to six months beyond the date of entry to Hong Kong. Visitors can apply for a visa from their nearest Chinese embassy or consulate.
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