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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 Portugal 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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Portugal is a country located in southwestern Europe. It’s one of the oldest nation-states of Europe and the world. Its territory had been continuously invaded, settled, and fought over since prehistoric times. Today, the country has become a major tourist destination, with its architecturally stunning cities, cobblestone villages, medieval castles, great food, stunning beaches, and incredible weather. Besides its beauty, Portugal is also attracting people from all around the world for its healthcare. The country offers a combination of state-of-the-art private medical centers, with spotless facilities and private rooms, a wide range of procedures, with very short waiting lists, as well as highly trained patient-oriented medical teams who are fluent in different languages. The physicians in this country have been trained by high standard medical schools, where just top and talented students are allowed to attend.
Lisbon is the capital and the largest city in Portugal. This city is filled with friendly people, history, mystique, and amazing food. Explore its many beautiful churches, listen to Fado, take a trip to the Castle of St. Jorge, see Sintra, and have some fun in one of its nightclubs. Another popular destination is Batalha, which is home to the UNESCO-listed Batalha Monastery. The monastery was build from 1386 to 1517 and is known as the greatest Gothic masterpieces in Europe. Those who want to party or soak up the sun should visit Lagos, while those who love to wander around and visit museums should visit Porto. Both of these cities are popular and fascinating.
International tourists usually arrive at Lisbon Airport. It is a hub for low-cost airlines EasyJet and Ryanair, and it serves flights to numerous cities around the world. To get around Portugal, trains and buses are very efficient. While trains are often cheaper, buses are usually quicker. Taxis are available in almost every city and are relatively cheap.
Since Portugal is part of the Schengen Area, citizens of 62 countries, including the US, Australia, the UAE, and Canada, are allowed to visit without a visa for up to 90 days. Citizens of most other countries are required to obtain a Schengen visa to visit the country.
From March to May it is spring and the weather is pleasant but there will likely be some heavy rain. Summer, is from June to mid-September, can be scorching hot with temperatures rising to mid 30oC. Autumn, starts from mid-September to December and it brings colder temperatures but and an increased chance of rain. Winter can get quite cold and the days are shorter and always expect rain and storms during this season.