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Epididimal Cyst in Children: A Single-Institutional Experience
Onursal Varlikli1, Mustafa Alper Akay2, Semih Metin2
1Department of Pediatric Surgery, Kocaeli University Faculty of Medicine, İzmit, Kocaeli 41001, Turkey. ovarlikli@yahoo.com.
Urology Journal
|November 27, 2024
Summary
Simple epididymal cysts (EC) are rare in childhood. Most cases are managed conservatively, with surgery reserved for persistent pain or acute scrotum, indicating a benign nature for these common scrotal findings.
Area of Science:
- Pediatric Urology
- Andrology
- Diagnostic Imaging
Background:
- Simple epididymal cysts (EC) are uncommon in children, typically presenting during puberty.
- Current treatment guidelines lack consensus, with a conservative approach often favored.
Purpose of the Study:
- To analyze patients diagnosed with epididymal cysts (EC) regarding symptoms, diagnostic methods, and treatment outcomes.
- Evaluate the clinical presentation and management of pediatric epididymal cysts.
Main Methods:
- Retrospective analysis of patients treated for EC between March 2012 and March 2023.
- Diagnosis confirmed by physical examination and scrotal ultrasonography (US).
Main Results:
- Epididymal cysts (EC) detected in 10.7% (72/1829) of scrotal Doppler US studies.
- Mean age at presentation was 14.8 years; 41 patients reported scrotal pain.
- Only 3 (4.1%) patients required surgical excision for persistent pain.
Conclusions:
- Epididymal cysts (EC) are benign lesions managed conservatively.
- Surgical intervention is indicated for persistent scrotal pain or acute scrotum presentations.
