Complex cyst that contains an area of septation

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About 8 years ago I found a lump on my right testicle. Went to my then family doctor and had it checked out. Just by the exam he was pretty sure that it was just an Epididymal cyst and nothing to worry about but sent me for an ultrasound anyway. The ultrasound confirmed what he had thought and surprised with me a present. An epididymal cyst on my left testicle as well. I was told there was nothing to worry about and that they do not turn cancerous.

3.5 years ago I had another ultrasound done just out of curiousity. The funny thing is that I never remembered getting results. I think at the time I figured that if I didn't hear back then there was nothing to worry about. I've sinced moved and have a new practice that i go to.

Over the past 2 years or so I've had a discomfort in my upper right abdomen and lower back. I've had all kinds of tests done and nothing was found for either of my issues. So here I am worrying about getting older and unexplained problems with my body when i remembered about my ultrasound 3.5 years ago. I tracked down the results today and here's what they were:

No Focal mass evident in either testicle
No Hydrocele are seen
Both the left and the right epididymis contain a cyst (just one each)
The Cyst in the left epididymis is complex and contains an area of septation. SO....this is where i get confused. Everything I've read online leads me to believe that i still have nothing to worry about but with the word "complex" and "septation" in there I was a little freaked out.

I went to my general practitioner with this information and she really wasn't sure what it all meant but felt confident that it was still benign. I mean she knew about complex cysts with areas of septation on the ovaries and said that they are benign so formulated that the same would hold true for the testicles.

Suggestions? Explanations?

Thank you very much in advance for your comments.

[Kevin Pho, MD]

I'm not sure what to make of the septation - it simply means that the cyst is divided into different parts.  This can be a description of what the cyst looks like, and should not be indicative of whether it is dangerous.  

Most cases of epidydimal cysts can be managed via observation - but if it is giving you symptoms, then you may want to consider having them removed.

It is unlikely that the right upper abdomen symptoms are related to the scrotum.  I would first consider an abdominal ultrasound to evaluate the liver and the gallbladder, as well as blood tests looking at the liver function.

I would discuss this with your personal urologist.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
Medical Weblog:
kevinmd_b

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