Urology Casablanca

Epidymal cyst The intervention, which is proposed to you, is intended to remove the cystic lesion with liquid content, located at the level of the epididymis of a bursa. The epididymis The epididymis is an elongated organ at the upper and posterior part of the testicle; it contains a conduit, which receives the sperm at the exit of the testicle and transports them to the vas deferens; its secretions also provide it with a sperm maturation function. Legend: te: testicle, ep: epididymis, de: vas deferens

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Why this action? The intervention is proposed because of the increase in the volume of the bursa and/or the discomfort or local pain that this benign tumor causes; its objective is to remove the lesion by surgical opening of the bursa; most often it is a single cyst developed at the expense of the swollen part or head of the epididymis; there may be several cysts within the same epididymis. The lack of treatment exposes you to the risk of an increase in the volume of the purse with the appearance or aggravation of clinical disorders. Are there other possibilities? A simple monitoring can be proposed, especially if the cyst has a small and stable volume and if it is not painful. Treatment of the cyst by puncture or injection of a sclerosing product can be proposed, but the risk of recurrence is high and secondary treatment by surgery becomes more difficult. Preparing for the intervention As with any surgery, a pre-operative anesthesia consultation is required a few days before the operation. The choice of the type of anesthesia (general, loco-regional or local) depends on the opinion of the surgeon and the anesthesiologist. Shaving and disinfection of the operating area are carried out the day before or the morning of the intervention.

Surgical technique A short incision is made at the level of the bursa; after verification of the underlying testicle, the cyst is removed by opening the envelope of the epididymis and dissecting as close as possible to the wall of the cyst. The different plans are successively closed after possible installation of a temporary drainage. In rare cases of multiple epididymal cysts, the surgeon may sometimes need to remove part or all of the epididymis. Usual suites If a drain has been placed, it is removed in the first postoperative days; pain at the incision is usually minimal and temporary. The duration of hospitalization varies from one to a few days on the indications of the surgeon. Local home care is prescribed; baths are not recommended until healing is achieved. Convalescence and work stoppage are adapted to the job you do. A follow-up consultation with your urologist is scheduled a few weeks after the procedure.

 

Risks and Complications Any surgical intervention involves a certain number of risks, including vital ones, due to individual variations which are not always foreseeable. Some of these complications occur exceptionally and may sometimes not be curable. During this intervention, the surgeon may find himself faced with a discovery or an unforeseen event requiring additional or different procedures from those initially planned, or even an interruption of the planned protocol. Some complications are related to your general condition and the anesthesia; they will be explained to you during the preoperative consultation with the anesthesiologist and are possible in any surgical procedure. Other complications directly related to the operation are rare but possible:- Hematoma: bleeding during or after the operation can lead to the formation of a hematoma of the bursa, possibly extending to the external genitalia; reoperation to stop the bleeding and drain the hematoma may be necessary. - Delayed healing that may require prolonged local care. - Infection: the existence of a discharge from the incision, general signs of infection such as fever, or local signs such as inflammation of the bursa can lead to the initiation of an appropriate antibiotic treatment and the treatment of a possible abscess by your surgeon. - Testicular atrophy: this occurs exceptionally after hydrocele surgery. - Recurrence: the risk is extremely low. Your urologist is at your disposal for any information.