Do testicular cysts go away on their own?

Answered by Frank Schwing

Testicular cysts, also known as epididymal cysts or spermatoceles, are relatively common and usually benign. These cysts typically develop within the epididymis, which is a coiled tube located on the back of the testicle that stores and transports sperm. While the exact cause of testicular cysts is not fully understood, they are believed to occur as a result of blockages or abnormalities in the tubes that carry sperm.

In most cases, testicular cysts do go away on their own without any specific treatment. These cysts are often small and asymptomatic, causing no pain or discomfort. Many men may be unaware of their presence until they are discovered incidentally during a routine physical examination or imaging tests for other reasons.

When a testicular cyst does not cause any symptoms or complications, medical intervention is typically not necessary. Instead, a “watch and wait” approach is usually adopted, where the cyst is monitored periodically to ensure it does not grow or cause any problems. Rest and scrotal support, such as wearing supportive underwear or using a scrotal sling, may be recommended to relieve any associated discomfort.

However, there are instances where testicular cysts may require medical attention. If the cyst becomes enlarged and causes pain or discomfort, it may be necessary to consider treatment options. Additionally, if the cyst becomes infected, it can lead to symptoms such as redness, swelling, and fever. In such cases, medical intervention, including surgical removal of the cyst, may be necessary to alleviate symptoms and prevent complications.

Surgical intervention for testicular cysts can be performed through various techniques, including open surgery or minimally invasive procedures such as laparoscopy. The specific approach depends on the size and location of the cyst, as well as the individual’s overall health and preferences. It is important to note that surgery is typically considered a last resort and is reserved for cases where conservative management has failed or when there are significant complications.

It is worth mentioning that the majority of testicular cysts are benign and do not pose a significant risk to a person’s overall health or fertility. However, it is always advisable to consult with a healthcare professional for an accurate diagnosis and appropriate management plan. They can provide personalized advice based on the specific characteristics of the cyst and the individual’s medical history.

Testicular cysts often resolve spontaneously without any specific treatment. However, if the cyst becomes enlarged, causes pain, or becomes infected, medical intervention, including surgical removal, may be necessary. Regular monitoring and consultation with a healthcare professional are essential to ensure appropriate management and to address any concerns or complications that may arise.