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Updated: Apr 30, 2026

Microscopic Cyst Resection for the Treatment of Patients Diagnosed with Epididymal Cyst
Published on: March 31, 2023
A subpubic cartilaginous cyst causing neurological and sexual symptoms in a 69-year-old man
Kevan Richard Wylie1, Joshua Griffiths, Joanne Pye
1Department of Urology, Royal Hallamshire Hospital, Sheffield, UK; University of Sheffield, Western Bank, Sheffield, UK.
Introduction:
Subpubic cartilaginous cysts (SCCs) are rare.
Aim:
This is the first reported case of a male patient presenting with neurological and sexual symptoms due to an SCC.
Method:
We describe the clinical history of a patient who reported neuralgic pain, numbness in the groin and base of his penis, and loss of sexual function.
Results:
A magnetic resonance imaging revealed the presence of an SCC with associated mass effect. A conservative approach was adopted and within 12 months, the cyst had decreased in size and his symptoms had improved.
Conclusions:
Men who present with erectile dysfunction and neurological symptoms merit a thorough assessment including appropriate investigation to exclude organic pathology.
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