Part of the TeachMe Series

Consent: Epididymal Cyst Excision

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Last updated: June 18, 2021
Revisions: 4

Last updated: June 18, 2021
Revisions: 4

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This article is for educational purposes only. It should not be used as a template for consenting patients. The person obtaining consent should have clear knowledge of the procedure and the potential risks and complications. Always refer to your local or national guidelines, and the applicable and appropriate law in your jurisdiction governing patient consent.

Overview of Procedure

Epididymal cysts are fluid filled collections located within the epididymis. They do not require treatment if they are small and not causing any symptoms, especially in young males where there is a risk of infertility after excision. However if they become large and symptomatic, there can be an indication for their elective excision.

Complications

Intraoperative

Complication Description of Complication Potential Ways to Reduce Risk
Haemorrhage Damage to local blood vessels when making the incision
Damage to surrounding structures Injury to nearby structures, including the vas deferens and the genital branch of genitofemoral nerve Careful dissection and identification of key structures throughout
Anaesthetic risks Includes damage to the teeth, throat and larynx, reaction to medications, nausea and vomiting, cardiovascular and respiratory complications Forms a part of the anaesthetist assessment before the operation

 

Early

Complication Description of complication Potential Ways to Reduce Risk
Scrotal swelling This is expected and can last several days post-operatively
Haematoma formation Accumulation of blood around the testes, however this will usually gradually resolve spontaneously Adequate haemostasis intra-operatively
Infection Surgical site infections can develop at the incision site Maintain an aseptic technique throughout the procedure

 

Late

Complication Description of complication Potential Ways to Reduce Risk
Recurrence There is low risk of recurrence following the procedure
Infertility Rarely, scarring of the epididymis can occur, which may lead to obstruction of sperm transport from the testis
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