Epididymal Cyst Removal

An epididymal cyst, or spermatocele, is not uncommon among men, primarily affecting those between 20 to 50 years old. It is estimated that around 1 to 2 out of 10 men may develop epididymal cysts at some stage in their life. You can get the epididymal cysts removed by getting professional treatment because they can cause discomfort.

What is an Epididymal Cyst?

An epididymal cyst, often referred to as a spermatocele, is a fluid-filled sac in the epididymis, typically containing an accumulation of sperm. They are generally benign. The epididymis consists of a single, coiled tube approximately 6 meters (nearly 20 feet) in total length, which is compactly coiled to fit within the scrotum. It is situated inside the scrotum and surrounds the top and back of the testicle.

Epididymal cyst varies in size and appears to be a benign swelling in the epididymis. Usually, spermatoceles do not hurt, but if grown too large can cause pain. Therefore, it is better to get treatment for epididymal cyst removal in Dubai before the condition worsens.

What are the Causes?

The exact cause of epididymal cysts is often unknown, though they are sometimes linked to blockages in the epididymal ducts, which can impede sperm transport.


Although epididymal cysts typically do not cause pain or discomfort, they can be felt as a palpable lump on the testicles, which might be considered a symptom if it causes concern. As the cyst keeps on growing, you will feel heaviness in your testicles and scrotum. In addition to this, there will be swelling at the top or back of your testicles.


The doctors examine the bump on your testicles and perform tests to check whether the growth is a cyst or a tumor. For the diagnosis, your doctor will perform an ultrasound test and transillumination.

Transillumination involves shining a light through the scrotum to diagnose the nature of a growth. Light passing through indicates a fluid-filled cyst, whereas a solid mass blocks the light. But if the growth is a mass, the light won’t shine through.

Treatment Options

There are three main ways for epididymal cyst removal Dubai. Your doctor will choose the suitable option after diagnosis.

  • AspirationAspiration involves extracting fluid from the cyst with a needle. This method has a high recurrence rate, and there is also a risk of infection or damage to the surrounding tissues.
  • Sclerotherapy – It involves draining the fluid from the spermatocele followed by the sac filling with scar tissue. In this way, the chance of cyst reappearance lowers.
  • Epididymal CystectomyThis surgical procedure involves making a small incision in the scrotum to remove the cystic growth from the epididymis, preserving the integrity of the epididymis itself.

Epididymal Cystectomy Procedure

As epididymal Cystectomy is a surgical procedure for removing a cyst, it typically involves anesthesia, which may be local or general depending on the patient’s condition and the surgeon’s preference. The entire procedure typically takes only 15 to 20 minutes and involves the following steps:

  • In the first step, general anesthesia is administered.
  • The surgeon carefully makes a precise incision directly over the cyst on the scrotum to access and remove the cyst while preserving nearby tissues.
  • The surgeon will delicately separate the cyst from the surrounding epididymal tissue, ensuring minimal impact on the function of the epididymis, and then remove the cyst.
  • Afterwards, the skin incision will be closed with absorbable sutures, and the epididymis will be left intact unless specifically involved in the surgical procedure.


Post-treatment care is crucial for a successful and painless recovery. After a cystectomy, it is recommended to wear close-fitting disposable underwear or use scrotal support for at least a week to minimize swelling and support healing.

Epididymal Cyst Removal Cost in Dubai

The cost of epididymal cyst removal can vary based on several factors including the type of treatment (aspiration, sclerotherapy, or cystectomy), the surgeon’s expertise, and the clinic’s location. The charges of sclerotherapy and Cystectomy are entirely different. Therefore, the cost differs from one patient to another. Detailed consultation is advised to get a precise estimate.

Epididymal Cyst Removal FAQs

Does epididymal cyst affect fertility?

No, an epididymal cyst does not affect male fertility. Therefore, if you are considering epididymal cyst removal due to fertility concerns, rest assured that it typically does not impact fertility.

Can epididymal cyst cause erectile dysfunction?

No, an epididymal cyst itself typically does not lead to erectile dysfunction. However, a related condition, chronic epididymitis, might have complications that include erectile dysfunction if symptoms are prolonged or recurrent.

How to shrink epididymal cyst?

Treatment options include surgery or sclerotherapy. Surgical removal involves excising the cyst through an incision in the scrotum. Sclerotherapy involves draining the fluid and then causing the sac to scar, which helps prevent recurrence.

Schedule A Consultation

If you experience discomfort in your scrotum possibly due to an epididymal cyst, it’s important to consult a qualified healthcare provider to discuss effective treatment options for cyst removal. We have board-certified surgeons in our team who will diagnose the problem and assist you with the treatment. You can get an appointment with our surgeons by filling in the form below, and our staff will make sure to book your slot. So, what are you waiting for? Get in touch with us now!

Fill in the form to get a consultation

100% Financing with 0% Interest

Dubai Cosmetic Surgery Clinic