تدريب Shadowing: Doctor explains TESTICULAR LUMPS: PART 1 - EPIDIDYMAL CYSTS (causes, symptoms and treatments) - تعلم التحدث بالإنجليزية مع YouTube
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In this video we're going to cover key things
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In this video we're going to cover key things
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that you need to know about something called an epididymal cyst
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which is a harmless fluid filled growth or lump on a man's testicle which is also known as the testes.
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These are quite common and don't usually require treatment and in this video we're going to cover what they are,
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symptoms, treatment options and when you should see your doctor about a lump on the testicle.
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So the vast majority of testicular lumps and swellings are caused by benign
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or non-cancerous conditions that may not need treatment
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but it's important to know what's normal for you and
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so always see your doctor if you notice any changes in your testicle
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or lumps so they can try to identify the cause.
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So first of all let's start off the video by covering what is an epididymal cyst.
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Well a cyst is just any small bulge that's filled with fluid and cysts can grow almost anywhere in the body.
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The epididymus is the name of the little tubes just above the testicle
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and this picture will show you where the epididymus is.
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So all this means is that an epididymal cyst is a harmless growth
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that grows from the tubes just around a man's testicle.
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So who develops epididymal cysts?
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Well men are most likely to develop these cysts during middle age and children rarely get them before they become teenagers.
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It's hard to give you an exact percentage of boys
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or men who've got epididymal cysts because most people who've got them don't know that they do.
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So if you have an epididymal cyst what might you feel?
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Well you might feel a soft slightly squidgy lump at the top or bottom of your testicle which is normally painless.
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They don't tend to get infected or affect your ability to pass urine or to ejaculate or pass sperm.
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So what else could it be?
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So a lump in the testicle could be lots of different things
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and I'll make a video at a later date about some of these specific things in more detail
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but it could be inflammation.
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So some illnesses cause a thickening of the epididymis and surrounding structures which can feel like an epididymal cyst.
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It could be a hydroseal.
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This is caused by a collection of fluid in the scrotum.
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It could be a varicocele.
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This is like varicose veins and the small veins next to one of the testicles or both testes.
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It's usually described like feeling like a wriggling bag of worms.
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It could also be a lipoma.
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This is a fatty lump which can sometimes cause difficulty
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because it can be felt separate from the testicle just like an epididymal cyst.
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In rare cases testicular lumps could be a sign of testicular cancer.
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It's important to remember that there are many other causes of lumps in the testicle other than cancer
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and Cancer Research UK estimates that fewer than four in every hundred testicular lumps are cancerous.
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So people often ask do you need any tests for an epididymal cyst?
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Usually they are quite typical in the way that they feel
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and the doctor can normally tell it's a cyst by feeling it
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but sometimes they might arrange an ultrasound scan which is a jelly scan of your scrotum.
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Some people also ask are there any illnesses associated with epididymal cysts.
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Now most men with epididymal cysts are quite healthy and they can develop at random.
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However there are some quite rare conditions that are associated with epididymal cysts and these include cystic fibrosis.
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This is an inherited illness where there are cysts in the lungs, pancreas and other areas of the body as well as polycystic kidney disease.
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This is again an inherited condition in which cysts develop in the kidneys and again in other parts of the body.
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It's also important to note
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that men who have epididymal cysts are not at increased risk of infertility if they are otherwise well and healthy.
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So now we know what they are and what they can feel like, what is the treatment for epididymal cysts?
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Well if the cyst is small
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and causing you no problems then your doctor might advise you to keep an eye on it
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and see them again if it gets bigger or more painful.
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In certain cases surgical removal might be necessary if they become painful or don't start to shrink.
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Large or painful cysts can be surgically removed or treated by aspiration.
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This means drawing out the fluid, an injection of a substance to shrink and seal the cyst.
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Usually epididymal cysts don't cause any problems at all, but very occasionally they can twist around and become very painful.
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This is something called torsion and it happens pretty quickly, typically within about half an hour.
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So if you experience sudden or really severe pain in your testicles, it's really important to contact your doctor immediately and visit your nearest accident
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and emergency or emergency room because urgent surgery might be required to save your testicle.
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This needs to be done within a few hours.
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Finally, remember that you should see a doctor if you notice any lumps, swelling or changes in your testicles.
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And it's important to regularly check your testicles to know what's normal for you.
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I've included a link in the description section of this video with a guide of how to check your testicles correctly.
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If you have noticed a lump then your doctor will ask you about your symptoms
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and examine your testicles to try and identify the cause of the problem.
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In some cases you might be referred for other tests such
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as the ultrasound scan of your scrotum to confirm what the lump is.
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