How to exercise for self-healing of epididymal cysts

Written by Wang Shuai
Urology
Updated on January 12, 2025
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Epididymal cysts cannot heal through exercise alone. Also known as spermatocele, an epididymal cyst primarily occurs due to the blockage of the epididymal tubules, which can be caused by congenital factors or acquired factors such as infections or trauma. In most cases, epididymal cysts are small and the patient may not experience any discomfort. In such cases, no special treatment is needed; regular ultrasonic examinations at the hospital to monitor any changes in the size of the cyst are sufficient. However, some patients may have larger cysts that cause pain in the testicles and epididymis. For these cases, surgical removal of the cyst or aspiration of the fluid from the cyst can be considered.

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Written by Wang Shuai
Urology
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Epididymitis and orchitis, what is the difference?

The epididymis and testicles are both part of the male reproductive organs. The epididymis is an accessory gland of the testicle and is located adjacent to it. If epididymitis or orchitis occurs, it is difficult to distinguish between them based on symptoms alone, as both conditions can cause noticeable enlargement and pain of the scrotum, but further examination is required for a definitive diagnosis. During a physical examination, it can be observed that patients with epididymitis have a noticeably enlarged epididymis, while the enlargement of the testicle is not as prominent. Conversely, with orchitis, the testicle is significantly enlarged, while the enlargement of the epididymis is less noticeable. Since these two organs are adjacent, epididymitis often occurs with orchitis, and vice versa. Clarification typically requires examinations such as ultrasonography. However, there are no significant differences in the treatment of these two conditions, so they are often collectively referred to as epididymo-orchitis.

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Written by Wang Shuai
Urology
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How to treat epididymitis?

For the treatment of epididymitis, antibiotics are mainly used. Epididymitis is mostly caused by bacterial infections, such as Escherichia coli, Pseudomonas aeruginosa, and Staphylococcus aureus. In such cases, it is necessary to use fluoroquinolone antibiotics and cephalosporin antibiotics promptly. If it is caused by a viral infection, antiviral medications are recommended. During treatment, it is important to eat a light diet and avoid spicy and irritating foods. Smoking and alcohol should be avoided. Patients should lie down as much as possible, rest, and elevate the scrotum, which helps the circulation of blood in the scrotum and testicles and aids in the improvement of the condition. Vigorous exercise or prolonged standing during treatment can worsen the condition. (The use of medications should be guided by a professional doctor.)

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Written by Wang Shuai
Urology
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Does epididymitis require surgery?

Patients with epididymitis generally do not require surgical treatment. In most cases, they are treated with oral medications or intravenous antibiotics, and typically recover within 1 to 2 weeks of treatment. However, if the symptoms of epididymitis are severe and not treated in time, leading to further aggravation of the condition or even formation of an epididymal abscess, surgical intervention may be necessary. Typically, this involves incision and drainage of the abscess to remove pus from the body. It is also important to regularly change dressings and keep the wound area clean and dry until it gradually heals. (Please administer medication under the guidance of a doctor.)

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Written by Wang Shuai
Urology
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Is bed rest necessary for epididymitis?

After the occurrence of epididymitis, the epididymis will enlarge to various extents, accompanied by pain, and the weight of the epididymis will significantly increase. In such cases, if the patient stands or sits for extended periods, the pain becomes more noticeable and is not conducive to treating the condition. Frequent prolonged sitting or standing, or even intense physical activity, could potentially lead to the risk of testicular torsion. Therefore, after being diagnosed with epididymitis, doctors usually advise patients to lie flat as much as possible. It is best to elevate the scrotum while lying flat, as this helps with local blood circulation and positively affects the treatment of the condition. If there is a need for special circumstances requiring some activity, it is best to use a scrotal support to lift the scrotum.

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Radiology
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Epididymal cyst B-ultrasound manifestations

Epididymal cysts are formed due to the dilation of the efferent ductules and localized blockage of the epididymal duct, and they typically have characteristic appearances on ultrasound, showing as single or multiple anechoic areas. Epididymal cysts are usually located within the head of the epididymis and appear round or oval in shape with clear boundaries, varying in size from a few millimeters to several centimeters. The cyst walls are thin, with good internal sound transmission, and there are generally no significant blood flow signals inside the cysts. Some parts of the cyst walls may calcify, appearing as strong echoic shadows. Epididymal cysts are a type of benign lesion.