Mangement Challenges of Epididymal Cysts in Children
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- Category: Vol. 80, December 2012
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Mangement Challenges of Epididymal Cysts in Children,ABDEL-FATTAH HEGAZY and MOHAMED EL ATREBI
Abstract
Purpose: We prospectively studied the outcome of con-servative 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 epid-idymal 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 diethylstil-bestrol, cryptorchidism, and cystic fibrosis or von Hippel-Lindau disease.
Conclusions: Our findings imply that most epididymal cysts involute with time.