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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 Nepal 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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Nepal is a country in South Asia, sandwiched between India and China. Home to the mighty Mount Everest, this incredible country has diverse landscapes, from the Himalayan Mountains in the north to the sprawling plains in the south. Towering mountains, charming hill villages, golden mountains, and jungle wildlife, Nepal is truly one of the world’s best travel destinations. Beyond its nature and culture, this country is also increasingly popular for its healthcare. With its affordable high-quality medical facilities, Nepal is considered to have immense potential for medical tourism, due to the availability of good infrastructure, highly trained specialists, modern medical equipment, and relatively cheaper medical treatment. In fact, it’s currently the fastest-growing segment of the country’s tourism. Medical tourists coming to Nepal are usually seeking exceptionally high medical treatment at competitive rates. Some of the most sought after procedures are dental treatments, cardiac services, and neurological treatments.
Kathmandu, the capital and largest city in Nepal, is historic, enticing, spiritual, and vibrant. One of the most famous attractions in the city is the old town, where tourists can find the most popular Tibetan pilgrimage site, the Kathesimbhu Stupa. Another top attraction is Kumari Bahal, which is the home of the Kumari, the girl who is selected to be the town’s living symbol of Devi. Tourists looking to relax in a more laid-back vibe usually go to Pokhara. Stretching along the shore of an idyllic lake, it offers spectacular scenery. It also boasts a thriving adventure-sports industry, from paragliding to paddle boats. Anyone who wants to experience an ancient way of life should visit Bhaktapur, which is filled with artisan weave cloths, amazing cuisine, and beautiful temples.
The main international airport in Nepal is Tribhuvan International Airport, which serves flights to and from numerous cities in Asia, such as Delhi, Hong Kong, and Dubai. Getting around the country can be a challenge, but public transportation is available. Buses are affordable, however, they tend to be overloaded. Tourist buses are the best way to travel around as they are in good condition.
Citizens of India do not need a visa to enter Nepal without restrictions. Citizens of almost all nations, including the US and all EU countries, can obtain a visa on arrival that is valid for up to 90 days. Only holders of passports from 12 countries, need to have a visa in advance.
Nepal has five seasons. Spring starts in March until May, it offers pleasant weather that is not too cold nor too hot. Summer arrives in June and ends in August, bringing hot temperatures of around 28°C. Monsoon from June to September receives rain almost every day. Autumn and pre-winter bring sunny and pleasant weather, while winter can be very cold.
Local Currency: Nepali rupee (NPR) is the official currency. 1 USD converts to 115 NPR.
Money & Payments: ATMs are available in major cities, such as Kathmandu and Pokhara. Credit cards are accepted in major hotels and restaurants. Tipping is expected.
Local Language: The official language is Nepali. English is mainly spoken in tourism areas.
Local Culture and Religion: Hinduism and Buddhism coexist in Nepal peacefully. Islam, Kiratism, and Christianity are in the minority.
Public Holidays: Some of the most celebrated public holidays are Maha Shivaratri, Buddha Jayanti, Sambidhaan Diwas, and Bhaitika.