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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 Ireland 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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Ireland, also known as the Republic of Ireland, is a country located in north-western Europe that occupies 26 of 32 counties on the island of Ireland. The country’s breath-taking landscape, wonderful people, and fascinating history have made it an unforgettable destination for many visitors. Aside from its beauty, more and more people also come to Ireland for high-quality healthcare. The country is a newcomer to the medical tourism market. However, it’s seen as an increasingly attractive destination due to the reasonably priced and high standard of clinical care available in the country. Most foreign patients come for cosmetic surgery and dental treatments, but many hospitals and clinics in the country offer a wide variety of services, such as cardiology, pathology, pulmonary, and gynecology. Also, the Joint Commission International has accredited several hospitals in the country, most of which are located in Dublin.
Ireland’s capital and largest city, Dublin, is the most popular tourist destination within the country. In fact, it’s the fourth most visited European capital. It’s filled with excellent pubs serving the perfect pint of Guinness, amazing Georgian architecture, and layers of fascinating history. Tourists in this city usually visit the Guinness Storehouse Factory, tour the Old Jameson Distillery, admire the Spire of Dublin, explore Dublin Castle, and marvel at the beauty of St. Patrick’s Cathedral. Another famous city is Cork, which is the second-largest city in the country. It’s a youthful cosmopolitan city packed with artisan coffee bars and snug pubs. Tourists usually come to kiss the Blarney Stone for good luck, enjoy the coastal landscape in Mizen Head, or hike around Gougane Barra. Other popular cities and towns include Galway, Killarney, Kilkenny, and Letterkenny.
The main airport in Ireland is Dublin Airport. It connects the country with numerous cities around the world, including New York, Abu Dhabi, and Hong Kong. Trains and buses are available to travel around the country. However, public transportation is generally sparse in rural areas. Therefore, renting a car is the best mode of transport. Taxis and Uber are available to travel inside major cities.
Ireland has opted out of the Schengen Area. The country allows all EU citizens, as well as citizens of 56 other countries (such as the UAE and the US), to stay without a visa for up to 90 days. Citizens of other countries are required to apply for a visa in advance.
Summer (June – September) provides plenty of sunshine and lower levels of rainfall, with an average temperature of 14°C - 16°C. Winter (October – February) is chilly, with ample rainfall and some snow. Spring and autumn are generally pleasant, with warmer temperatures and more sunshine.