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Urology Community

This patient support community is for discussions relating to urology issues, benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections, and urological cancers.
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Question on cysts on right testicle

by joey247, Jul 24, 2008 08:07PM
I just got back from a clinic where i met a urologist. I got an ultrasound down and i have 2 cysts on my right testicle. I started to feel pain a few nights ago so this came to my attention.. I must admit the urologist at he clynic was very vague.. and so i have a few questions if any of you can answer i would REALLY  appreciate it.

Basically... one.. do they... disappear or... is this something that will be there forever?
and 2.. if this pain keeps up... Surgery is the only option correct? Is that a VERY risky procedure because of the area in which it resides?
and 3. The doctor basically told me " your just going to have to live with the pain. Just pop a tylenol if you need to"
to me thats not very ... professional advice, but yeah that is all they told me after all this.
If any of you can clearify these things for me it will definetly lift off this weight on back. Im only 20 and im honestly scared to death. Its been 2 days and im still feeling this pain.
Member Comments (15)

by joey247, Jul 24, 2008 09:51PM
Im actually feeling a lot of pain and discomfort right now. I took tylenol about an hour ago but still feel the pain. Im very scared.. Any advice please!

by joey247, Jul 24, 2008 10:39PM
I cant believe this is happening to me...
now im readying around about surgery and stuff... I will have to remove my testicle??
Wont be able to make babies?

I think id rather be dead now...

by Dr Smitha Mathews, Jul 24, 2008 11:07PM
To: joey247
Hi,

Cysts on the testes will need to be evaluated with an ultrasound to check their contents. This could be just to confirm they are indeed cysts.

Are the cysts on your testes or on the epididymis?
Epididymal cysts are usually harmless and are made up of fluid or sperms. These usually resolve by themselves overtime and do not need active intervention.
The intervention required for testicular cysts depend on determining what they are made of and their etiology.

If you have cysts on the scrotum, they could just be sebaceous cysts and will need lancing, which is not a complicated procedure.

Do take an Advil for the pain, if you do not have any renal conditions, and sit in a hot-water bath for 10-15 min once to twice daily.
Have an ultrasound done for the cysts.

Do post any doubts you may have and keep us updated on your progress.
Regards

by joey247, Jul 25, 2008 04:32AM
Thanks for the reply. Well i had the ultrasound done, but yeah like i said the urologist from the clinic wasnt very helpful at all and seemed like she just wanted to go home... so  i dont really know EXACTLY what kind of cyst it is. SHe did mention the epididymis? so maybe its that one. Yes she said its not cancerous or anything and it should be hamless.. but the pain / discomfort is whats really bothering me. I dont want to have to live my life in pain 24/7 u know? and i dont want to always have to pop advils in every hour. I tried tylenol extra strength and still felt the pain/discomfort.
I honestly wouldnt mind the ' lumps / cysts ', but due to the pain.. im really thinking about treatment.. which i guess is surgery. Unless any of you know of any other?
I guess i would like to know more about... the risks of surgery?
will i be able to have kids?
will i have to get my testicle removed?

i dont get approved for insurance till september so there is nothing i can really do till then... but yeah i would like to just get all this 'heavy weight' off my back... just so i can know.. ill be okay. or not.

I dont know if im allowed to ask this but would any of you MD's be able to talk to me on the phone for just a few minutes? I really need to get these questions answered. I dont have insurance so its not easy for me to visit the doctors. my hospital visits the past few days has been very simple... just a check up and ultrasound and that quick visit from the urologist but its running me 5k and im only 20.. so its a lot of money.



( sory im a little out of it. Its really difficult to sleep so in the past 48 hours ive had about 2 hours of sleep. Ive been trying to sleep since 12 and it is now 530.. thats how umcomfortable this is for me :( )

by joey247, Jul 25, 2008 08:23AM
Sorry another question....
I just talked to another doctor... that said..
If it appeared out of nowhere, it could be that i caused some trama and so the cyst appeared and then its possible itll go away in a few days.. .
I did cut myself shaving my 'balls' and that is actually when the cyst appeared. as far as i can tell..
True?

by joey247, Jul 25, 2008 01:09PM
anyone? please?

by joey247, Jul 25, 2008 09:32PM
somebody pleaseeee

by Dr Smitha Mathews, Jul 25, 2008 10:52PM
To: joey247
Hi,

Sorry about the delay in responding to your post.

Could you please specify whether the cyst is on the scrotum (covering the skin outside the testes) or is it on the testis (within the scrotum and felt in continuity over the testes?

Scrotal cysts are usually of the sebaceous and arise out of follicles that have become blocked or infected.
If you cut yourself shaving, it is possible to have infected the scrotal skin. This could be very painful and the cysts over the scrotum will need lancing and antibiotic therapy would be prescribed.

If the cyst is on the scrotum, the cause of its origin being from cutting yourself is more unlikely.
Again, an infected cyst will rarely heal by itself without complications and needs treatment with antibiotics. However, antibiotics cannot pass through purulent matter and the pus will need to be drained surgically. This will need to be determined given the fact that you have such acute pain and discomfort that it is likely that the cyst is infected or is an abscess.

Another differential is that of an epidermoid cyst