Q&A

What is an epididymal mass?

What is an epididymal mass?

Also known as a spermatic cyst or epididymal cyst, spermatocele is a typically painless, noncancerous (benign), fluid-filled sac in the scrotum, usually above the testicle. Epididymitis. This is inflammation of the epididymis, the comma-shaped structure above and behind the testicle that stores and transports sperm.

What is the normal size of epididymis?

Gross anatomy The total length of the epididymis is usually 6-7 cm but it is tightly coiled and would measure 6 m if uncoiled 3. The head is the largest and most prominent part and is found at the superior pole of the testis.

Can you get a tumor on epididymis?

There is only one extremely rare epithelial tumor of the epididymis, the papillary cystadenoma, which seems to be a partial menifestation or forme fuste of Hippel-Lindau’s disease. So far only 40 cases have been described in the world literature.

Does epididymitis start in the tail?

The infection usually originates in the bladder or prostate gland spreads through the ductus deferens and the lymphatics of the spermatic cord to the epididymis, and finally reaches the testis, causing epididymo-orchitis. Due to this progression, infection starts in the tail of the epididymis.

How do you feel epididymis?

With your free hand, glide your thumb and fingers along both sides of the testicle, from top to bottom. Feel for any lumps or bumps. Then, glide your fingers over the front and back of the testicle. On the back at the top, you should feel the epididymis, a tube that carries sperm.

Why is there a lump on my epididymis?

An epididymal cyst occurs when the long, coiled tube behind the testicles called the epididymis becomes filled with fluid and can’t drain. If the cyst contains sperm, it’s known as a spermatocele. This form of testicular lump is very common. It most often resolves on its own.

How big is the tumor in the tail of the epididymis?

On Ultrasound examination there was a well-defined isoechoic solid mass lesion with a definite hypoechoic capsule in the region of tail of right epididymis. Mass measured 2.6 x 2.2×2.1 cms in size with 3.5 mm capsule. There was no calcification, cystic changes or necrotic changes within the lesion.

How old is patient with adenomatoid tumor of epididymis?

A definitive diagnosis of the tumor is very important because it is very difficult to differentiate it clinically and radiologically from the other intrascrotal tumors. Herein, we report a case of adenomatoid tumor of the epididymis in a 60-year old male patient, with its clinical data and review of the literature. 1. Introduction

Which is the most affected region of the epididymis?

Ultrasound The epididymal tail is the most affected region, and reactive hydrocele and scrotal wall thickening are frequently present. As the infection spreads, it can ascend the body and later the head of the epididymis.

What is the resistive index of epididymitis?

Analysis of the epididymal waveform may reveal a low-resistance pattern as compared with the normal pattern; a resistive index (RI) < 0.5 is frequently present 5. Pertechnetate scintigraphy can be used in evaluating acute scrotum. Increased perfusion and uptake of the scrotal contents are characteristic of epididymo-orchitis.