No pain | Epididymis are swollen – What is behind it?

No pain

If epididymal swellings occur without pain, this is mostly due to epididymal cysts, spermatoceles. Surgical removal of these structures is only indicated in cases of functional restrictions due to the size of the mass. In the case of painless masses, however, a tumor clarification must always be performed. Since most testicular tumors grow rapidly, early detection and surgical removal is crucial for prognosis.

Duration/Prediction

As a rule, a good prognosis can be assumed in case of epididymal swelling. Inflammations usually respond well to antibiotic therapy and heal without consequences. Only in rare cases does sterility occur due to adhesions and subsequent dislocation of the vas deferens.

In the case of epididymal cysts, an uncomplicated course without consequential damage can be assumed. In the case of malignant tumors, the prognosis depends largely on the exact type of tumor and its stage.