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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 Selangor 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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Occupying the status of both the most populous and developed state, Selangor is indeed the pride of Malaysia. Its advanced infrastructure and superior living standards, coupled with the country's lowest instance of poverty, make it stand out. Perfectly positioned on the western coast of Peninsular Malaysia, it envelops Kuala Lumpur and Putrajaya, both of which were formerly a part of Selangor. Despite its impressive development marked by towering structures,
Selangor manages to retain its natural charm boasting splendid landscapes and tranquil retreats. The state's deep-rooted cultural essence and unmatched healthcare services further enhance its appeal.
Selangor is the medical tourists’ favorite destination because of its geographical position and low cost of living. The state has some of the best medical experts with 12 government hospitals and over 30 private hospitals and medical centers, many of which are recognized internationally and accredited by Joined Commission International and the Malaysia Society for Quality in Health (MSQH).
Selangor has become a preferred destination for medical tourists who seek procedures such as dental surgeries, cosmetic surgeries, IVF treatments, and eye surgeries. Among the numerous hospitals offering these procedures, KPJ Ampang Puteri and Sunfert International Fertility Centre have gained immense popularity due to their high standards and patient-centric approach. This underlines Selangor's standing as a leading destination for healthcare in the region.
Tourists who want to indulge in Selangor’s beautiful nature can go to Kuala Selangor Beach (Mirror of the Sky), Chilling Waterfalls, Kuala Selangor Nature Park, or the National Zoo of Malaysia. Those who want to experience culture can visit Galeri Diraja Sultan Abdul Aziz, Mah Meri Cultural Village, and Sultan Alam Shah Muzeum.
Among Selangor's numerous tourist magnets, Batu Caves stands out. This impressive limestone hill is home to three large caves and multiple smaller ones. Revered as a national treasure of Malaysia, Batu Caves hold immense religious significance for the Hindu community.
Visitors are always in awe of the world's tallest statue of the Hindu deity, Murugan, situated here. In addition to the religious and natural appeal, the site also offers sights of varied cave fauna and thrilling climbing routes, delivering an all-round enriching experience.
The state’s capital, Shah Alam, also has plenty to offer. Tourists can go to I-City to see millions of LED lights, indoor park, or to shop. The Blue Mosque (Sultan Salahuddin Abdul Aziz Shah Mosque) is also a popular destination where tourists can see the beautiful mix of Islamic and Malay architecture.
Adorned with a tropical rainforest climate, Selangor is characterized by a warm and humid environment all year round. Daytime temperatures generally fluctuate between 25 - 35°C, but during the dry season, these can peak at a scorching 37°C.
The wet season ushers into the region as the calendar transitions into April, often extending as far as October, leaving the land generously watered. An increased intensity of rains is observed towards September and October, marking the peak of the rainy spell. For prospective visitors seeking to avoid the wet season, the months from late November to February typically prove the most comfortable for exploring and sightseeing, blessed with less rainfall and mild temperatures.
However, it should be remembered that even amidst the monsoon season, the weather isn't uniformly gloomy; there are often luminous intermissions. The sun tends to break through the rain-soaked clouds, bathing the land in its warm rays. Consequently, even during the monsoons, numerous days are well-lit, and visitors have ample opportunities to explore the local beauty undeterred. Brazil, in every season, has its unique appeal. Whether it's soaked in rain or draped in warm sunshine, it never fails to mesmerize its guests.
There are two main airports: Kuala Lumpur International Airport (KLIA) and Subang Airport. Kuala Lumpur International Airport is the main airport in Malaysia that has a multitude of routes across the globe. The airport is divided into two parts, KLIA that mostly serves large airlines, and KLIA 2 that focuses on serving low-cost carries. Subang Airport is the hub for FireFly and Malindo Air.
Navigating Selangor is made effortless by its well-established infrastructure. The primary means of transportation include taxis, trains, and buses. Taxis, while economical, can prove to be slightly tricky, as some drivers refrain from using the fare meter. Visitors are therefore advised to approach taxi counters to secure a fixed-rate coupon, ensuring they aren't subjected to inflated prices.
Public transit systems like the KTM Komuter Train, MRT, and LRT are widely recognized as the most efficient modes of transportation for traversing Selangor. However, it's important to note that these service networks may not extend to certain rural areas. When visiting these less accessible regions, tourists may find it beneficial to hire a car, thereby gaining the advantage of flexibility. Alternatively, the option of using bus services provides a more economical solution for easy mobility.
Nationals hailing from countries like China, India, Myanmar, Sri Lanka, Nepal, Bangladesh, Pakistan, Bhutan, Serbia, and Montenegro are required to secure a visa prior to their arrival in Malaysia. Meanwhile, most other nationalities are offered the convenience of visa-free entry, valid for either a 30-day or 90-day stay. It is crucial for all visitors, regardless of their country of origin, to hold a passport that remains valid for at least six months subsequent to their entry into Malaysia.
An online visa application platform or eVisa is available for selected foreign nationals. eVisa can be applied around the world except for Malaysia and Singapore. Tourists who wish to visit Malaysia for medical treatment can apply for an eVisa Medical, valid for a single journey with a maximum of 30 days. The Malaysian Government has a very strict visa regulation, overstaying will result in RM10.000 fine and/or 5 year’s imprisonment, do ensure to extend your tourist visa if you need to.