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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 Morocco 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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Morocco is a popular destination, attracting culture lovers, backpackers, adventure travelers, couples, families, foodies, and more to its four imperial cities: Marrakesh, Fes, Meknes, and Rabat. Rabat is the current capital city. Although a modern city at first glance, it has several interesting historical attractions, such as the Kasbah of the Oudaias, the old medina, and the Hassan Tower. The gleaming Royal Mausoleum is also well worth a visit. Known as the Red City, Marrakesh is famous for its old medina, numerous souks, ancient palaces like Badi Palace and Bahia Palace, the striking Koutoubia Mosque, the energetic Djemaa el-Fna, and the Saadian Tombs. The former capital of Fes boasts plenty of stunning architecture, though it is perhaps most known for its large tanneries and for being home to one of the oldest universities in the world. Meknes has one of the most impressive monumental gates in all of Morocco, Bab el-Mansour. Horse-drawn carriages are a great way to explore the charming and relaxed imperial city. Morocco has beaches along both the Mediterranean Sea and the Atlantic Ocean. Popular holiday spots with foreign visitors include Tangier and Agadir, while Asilah attracts mainly locals and Spanish visitors. The vast Sahara Desert is the world’s largest hot desert. There are several places in Morocco from where you can begin expeditions into the desert, and there are plenty of experienced operators offering trips to remember.
The country welcomes an ever-increasing number of medical tourists each year, many of which travel for Epididymal Cyst Removal procedures. Medical Tourists travel from all across the globe, particularly from neighboring African countries with an inferior healthcare system. Casablanca and Marrakesh are the popular cities and they mostly cater to dentistry and plastic surgery requirements
Morocco, with a population of over 35 million people, is known to be magical and chaotic. The country is very diverse, from Saharan Dunes, High Atlas, ancient medinas, friendly locals to traditional life; Morocco has everything for every tourist.
Morocco’s climate is generally moderate and subtropical with cool breezes from the Atlantic and the Mediterranean Sea. Temperature varies greatly depending on region and altitude. Summer lasts from June to August and is often really hot. Winter comes in November and ends in January. It is the wettest and coldest season in the country. The best time to visit is in Spring and Autumn where the weather is warm and pleasant.
The coastal regions have nice weather throughout the year, the Winter has mild temperature and although the temperature will rise in the Summer, it’s not too hot. The High Atlas Mountains can be visited all year round but the winter can get really cold. There will be snow on the peaks during Winter. The summer can be a little too hot for any long-distance hike.
Morocco’s main gateway is Casablanca's Mohammed V International Airport. The airport is located in Nouaceur Province and is the busiest airport in the country. It is the hub for Air Arabia Maroc, Royal Air Maroc. It serves domestic and international flights to and from many cities in the Middle East, Europe, and America. Major and budget airlines operate flights from this airport. Other important airports include Menara airport in Marrakesh, Fes–Saïss in Fez, Ibn Batouta International in Tangier.
There are several options for tourists to travel to downtown Casablanca. Buses are affordable, a single ticket costs 20.00 MAD. It will take around 45 minutes to get to the city center. There’s also a bus line that will take tourists to Rabat.
Casablanca Airport has an underground train station that connects to Mers Sultan, Casa Port, Casa-Voyageurs or L’Oasis. The total trip time to downtown Casablanca is 45 minutes. The trains operate from 06.00 am to 10.00 pm.
Taxis are the most convenient mean of transportation, but they’re also more expensive than trains and buses. The base fare is around 250.00 MAD to 300.00 MAD (25 to 30 USD). Always avoid non-authorized taxis because they are known to overcharge. Refuse to board a taxi with broken or turned off meters. Remember that Casablanca official taxis are painted in white.
The most efficient and affordable way to get around Morocco is by the intercity buses. The most popular operators are Supratours, CTM, SATAS, and Ghazala. A ride from Marrakesh to Casablanca is around 4 hours and should cost 90 MAD (9 USD).
Morocco’s national rail network is operated by ONCF and connects major cities like Marrakesh, Casablanca, Fez, and Rabat. The trains are usually on-time and comfortable. First-class tickets cost about 45 MAD (5 USD) per hour and the second class tickets cost around 30 MAD (3 USD).
Citizens of Australia, New Zealand, Canada, the United States, the European Union, Britain, Japan, and South Africa do not need a visa to enter the country. Citizens of 66 countries can enter and stay in Morocco for up to 90 days. Citizens of the Republic of the Congo, Guinea, and Mali do not require a visa but must obtain an Electronic Travel Authorization in advance.
It is recommended to check the current regulations with the Moroccan Embassy or Consulate in your country. All visitors must hold a passport valid for over 6 months at the entry date.