[Epididymal cysts in childhood].
OBJECTIVE
To retrospectively review all cases of epididymal cysts registered over the last five years; 15 cases have been included. Simple epididymal cysts are a rare pathology in childhood, being most of them diagnosed in puberty. Currently, due to the scarce case series, there is not consensus about the most adequate therapy.


RESULTS
Mean age at presentation was 11.5 yr. (1-16). 50% were diagnosed incidentally and 29% presented increased scrotal size. 46% of the cases had associated left varicocele (n = 6) and 26% had history of orchiepididymitis. Diagnosis was based on physical examination and confirmed by ultrasound. 40% of the patients underwent surgery and the remainder received conservative treatment without evidence of complications on follow-up.


CONCLUSIONS
Due to the benign character and good evolution of all cases of epididymal cysts treated conservatively and the absence of benefit after surgical treatment, we believe that management should be conservative with clinical and ultrasound controls, leaving surgery for cysts with complications. The frequent association between epididymal cysts and varicocele is related to coincidence of both pathologies in the prepuberal age.
Chillón Sempere
Francisca Silvia
FS
Sección de Urología Infantil, Hospital Universitario La Fé, Valencia, España.
Domínguez Hinarejos
Carlos
C
Serrano Durbá
Agustín
A
Estornell Moragues
Francisco
F
Martínez-Verduch
Mario
M
García Ibarra
Francisco
F
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003560:Cysts / Q000175:diagnosis / Q000628:therapy; D004822:Epididymis; D005832:Genital Diseases, Male / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D007223:Infant; D008297:Male; D012189:Retrospective Studies