ABSTRACT
OBJECTIVES: To retrospectively review all cases of epididymal cysts registered over the last five years; 15 cases have been included. Simple epididymal cysts are a rare pathology in childhood, being most of them diagnosed in puberty. Currently, due to the scarce case series, there is not consensus about the most adequate therapy. METHODS/RESULTS: Mean age at presentation was 11.5 yr. (1-16). 50% were diagnosed incidentally and 29% presented increased scrotal size. 46% of the cases had associated left varicocele (n = 6) and 26% had history of orchiepididymitis. Diagnosis was based on physical examination and confirmed by ultrasound. 40% of the patients underwent surgery and the remainder received conservative treatment without evidence of complications on follow-up. CONCLUSIONS: Due to the benign character and good evolution of all cases of epididymal cysts treated conservatively and the absence of benefit after surgical treatment, we believe that management should be conservative with clinical and ultrasound controls, leaving surgery for cysts with complications. The frequent association between epididymal cysts and varicocele is related to coincidence of both pathologies in the prepuberal age.
Subject(s)
Cysts , Epididymis , Genital Diseases, Male , Adolescent , Child , Child, Preschool , Cysts/diagnosis , Cysts/therapy , Genital Diseases, Male/diagnosis , Genital Diseases, Male/therapy , Humans , Infant , Male , Retrospective StudiesABSTRACT
OBJETIVO: Hemos realizado una revisiónretrospectiva de los casos atendidos en los últimos 5años; se han recogido un total de 15 casos. Los quistessimples de epidídimo son patología poco frecuenteen la infancia diagnosticándose la mayoría en la pubertad.Actualmente y debido a la escasa casuística noexiste consenso en la terapéutica más adecuada.METODOS/RESULTADOS: La edad media de presentaciónfue de 11,5 años (1-16).El 50% fueron diagnosticadosde forma incidental y un 29% cursó conaumento de tamaño escrotal. El 46% de los casos presentabanvaricocele izquierdo asociado (n=6) y un26% presentaba antecedentes de orquiepididimitis. Eldiagnóstico se basó en la exploración física con con-firmación ecográfica. Un 40 % fue tratado quirúrgicamentey el resto fue subsidiario de tratamiento conservadorsin constatarse la presencia de complicacionesen estos en los controles posteriores.CONCLUSIONES: Dada la benignidad y la buenaevolución de todos los casos de quistes de epidídimotratados de forma conservadora, y la ausencia debeneficio con el tratamiento quirúrgico, creemos que eltratamiento debe ser conservador con controles clínicosy ecográficos reservando el tratamiento quirúrgico paraaquellos quistes que presenten complicaciones. La frecuenteasociación encontrada entre el quiste epididimarioy el varicocele responde a una coincidencia deambas patologías en la edad peripuberal
OBJECTIVES: To retrospectively review all cases of epididymal cysts registered over the last five years; 15 cases have been included. Simple epididymal cysts are a rare pathology in childhood, being most of them diagnosed in puberty. Currently, due to the scarce case series, there is not consensus about the most adequate therapy. METHODS/RESULTS: Mean age at presentation was 11.5 yr. (1-16). 50% were diagnosed incidentally and 29% presented increased scrotal size. 46% of the cases had associated left varicocele (n = 6) and 26% had history of orchiepididymitis. Diagnosis was based on physical examination and confirmed by ultrasound. 40% of the patients underwent surgery and the remainder received conservative treatment without evidence of complications on follow-up. CONCLUSIONS: Due to the benign character and good evolution of all cases of epididymal cysts treated conservatively and the absence of benefit after surgical treatment, we believe that management should be conservative with clinical and ultrasound controls, leaving surgery for cysts with complications. The frequent association between epididymal cysts and varicocele is related to coincidence of both pathologies in the prepuberal age
