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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 Pakistan 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 Islamic Republic of Pakistan is a country located in South Asia and it is the fifth-most populous country of the world, with a population exceeding 207.8 million. Although the country has plenty of natural and historical riches, this country is off the radar for most tourists due to political instability. Those who are curious enough to visit the country will find that it is filled with beautiful, from Mughals and mountains to the mighty Karakoram.
A large number of ultra-modern medical centers are available, and they are equipped and facilitated with the most advanced medical technologies. Numerous doctors and surgeons at these medical centers are normally foreign qualified. Large numbers of patients from neighboring countries and the Middle East have traveled to Pakistan to undergo various medical procedures, mainly for organ transplants or fertility treatments.
The capital city of Pakistan is Islamabad. This city was built as a planned city to replace Karachi as the country’s capital. Islamabad is known for its safety, high standards of living, and plenty of green spaces. Here, tourists can admire the symmetry of the Pakistan Monument, check out the Daman-e-Koh viewpoint, visit the Lok Virsa Museum, and stroll around the Faisal Mosque. Karachi, the original capital of the country, is a sprawling metropolis. Most visitors usually come to check out the Quaid Mausoleum and the Tuba Mosque. Another popular city for tourism in Lahore, which is filled with beautiful architecture and interesting museums. The most popular attractions in this city are the Badshahi Mosque, the Lahore Fort, the Sheesh Mahal, and the Delhi Gate.
The busiest airport in Pakistan is the Jinnah International Airport, which is located in Karachi. It serves both domestic and international flights to and from several cities in Europe, Asia, and the Middle East. Taking domestic flights can be a great way to travel around. The rail network is also extensive and comfortable. Taxis and Uber are also available.
Citizens of 5 countries, including Maldives, Nepal, Samoa, Tonga, and Trinidad and Tobago, can visit Pakistan without a visa. Several countries, such as Austria and the UAE, may obtain a visa on arrival if they possess ETA. Citizens of 15 countries, including Armenia and India, are eligible to apply for an online visa.
Summer (March – October) is hot and dry in the northern regions. However, July and August can be rainy, making the weather hot and humid. The temperatures can range from 9°C to 38°C. Winter (November – April) can be really severe and most cities will get frost. Also, the northern part of the country experiences heavy rainfall during this season. The average temperature ranges from 3°C to 25°C.