Title of article :
Mangement Challenges of Epididymal Cysts in Children
Author/Authors :
HEGAZY, ABDEL-FATTAH El-Sahel Teaching Hospital - Department of General Surgery, Egypt , EL ATREBI, MOHAMED El-Sahel Teaching Hospital - Department of Urology, Egypt
Abstract :
Purpose: We prospectively studied the outcome of conservative management of epididymal cyst in children at our institution.Material and Methods: We prospectively studied the outcome of twenty patients with epididymal cyst from 2007 to 2012 attending the outpatient clinic of the general surgery and urology department of El-Sahel Teaching Hospital. Age and mode of presentation as well as time to complete involution of the cysts were studied. Diagnosis of epididymal cyst was confirmed by scrotal ultrasound in all cases.Results: A total of 20 patients were identified with epididymal cyst. Average patient age at presentation was 11.5 years. Sixteen patients presented with scrotal mass and 4 with scrotal pain. Cysts were between 3 and 30mm. Only one patient required surgical excision due to persistent pain. Epididymal cysts resolved in 17 patients who completed follow-up. Average time to complete regression was 19 month. None of our patients had a history of exposure to diethylstilbestrol, cryptorchidism, and cystic fibrosis or von Hippel-Lindau disease.Conclusions: Our findings imply that most epididymal cysts involute with time.
Keywords :
Epididymis . Cysts . Spermatocele . Environmental exposure
Journal title :
The Medical Journal of Cairo University
Journal title :
The Medical Journal of Cairo University