Epididymal cyst surgery

For the treatment of

Epididymal Cyst 

Commissioning position

This intervention is commissioned for symptomatic epididymal cysts where there is:   

  • Persistent pain OR   

  • Discomfort due to the cyst size causing mechanical problems  

Summary of rationale

People with asymptomatic or mildly symptomatic epididymal cysts, confirmed by ultrasound scan, should not be referred from primary to secondary care. Reassurance should be provided with offer of review if symptoms/size changes. Aspiration is associated with fewer complications but a lower success rate and patient satisfaction rate than excision, so should only be considered if the patient is unfit for surgery.  

References

Asymptomatic Scrotal Swelling - Commissioning Guide — Royal College of Surgeons (rcseng.ac.uk)

Scenario: Epididymal cyst or spermatocele | Management | Scrotal pain and swelling | CKS | NICE

Associated Pathways

There are no associated pathways.

Specialties

Dermatology York Dermatology North Yorkshire Dermatology Hull Dermatology East Riding Dermatology North Lincolnshire Dermatology North East Lincolnshire General Surgery York General Surgery North Yorkshire

Places covered by

  • east-riding
  • hull
  • north-east-lincolnshire
  • north-lincolnshire
  • north-yorkshire
  • vale-of-york
Author:
Date created: 12/06/2025, 10:52
Last modified: 15/07/2025, 15:20
Date of review: 31/10/2027