Epididymal cysts are quite common, although the exact causes aren’t fully understood. In most cases, they don’t require surgery – in fact surgical treatment is usually strongly advised against for men who wish to have children, as it can damage the sperm tube or epididymis, which acts as a reservoir for sperm, at the back of the testicle. In men who have completed their family, or have large cysts which are causing pain, they can be excised or removed (although they may sometimes recur). This is usually performed as a day case procedure, although sometimes an overnight stay is required.

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