Removal of spermatic cysts in children

This article is professionally consulted by resident Doctor Le Thanh Tuan - Department of General Surgery - Vinmec Nha Trang International Hospital. The doctor has extensive experience in examination, treatment and surgery of abdominal diseases.

Epididymal cyst disease and spermatic cord cyst in children are quite common diseases, so parents need to pay attention to their children when there are abnormal manifestations in the child's genital area. If there is swelling and tension in the testicles, you should take your baby to the doctor, treat and cut the sperm cyst for the baby.

A spermatic cord cyst in a child is defined as a congenital disease that exists in a small tube from the abdomen to the scrotum and forms a cyst. Normally for boys, when still a fetus, the testicles move from the abdomen to the scrotum, pulling the peritoneum to form a peritoneal tube, which connects from the abdomen to the scrotum. After birth, this tube atrophies and closes, in case the peritoneal tube is not atrophied, there will be 3 consequences:
If the hole is large: the intestine will descend into the scrotum, the child will have an inguinal hernia. If the opening is small: only water enters the scrotum, the baby has water in the testicles. If the hole is too small: water from the abdomen down gradually collects into a spermatic cord cyst in the child. Testicular cysts in children are difficult to heal on their own, in addition, after 2 years, the spermatic cord cysts have not decreased and are getting bigger, they have to have surgery to cut the child's spermatic cysts to block the opening to the scrotum. Testicular cyst is a benign disease caused by stagnation, blockage of one or several vas deferens in the epididymis, causing exudation and cyst formation.

You need to take the child to see the doctor and treat the vasectomy for the child if the child has swelling of the scrotum. Testicular cysts in boys are likely to go away on their own. But if the condition of the child's cyst does not go away after a year or is getting bigger, parents should see a doctor to check the vas deferens and perform surgery to remove the cyst when necessary.
Parents need to take their child to medical facilities immediately if the child has sudden pain or swelling of the scrotum, especially within a few hours of trauma to the scrotum. These signs and symptoms can occur with certain diseases, including blocked blood flow in a torsion testicle. Testicular torsion must be treated within hours of the onset of signs and symptoms to save the testicle from necrosis.

In order to perform a vasectomy for a child of any age, it is important that the specialist assess the condition of the child's spermatic cyst as it may be related to a number of underlying testicular conditions. . If the testicular cyst in a child does not go away on its own, the treatment of a hydrocele in a child may require surgical removal.
Children's cystectomy to remove the spermatic cord cyst can be done with general anesthesia for children or spinal anesthesia for adults. An incision is made in the scrotum or lower abdomen to remove the spermatic cord cyst. If a spermatic cord cyst is found during a child's vasectomy to treat an inguinal hernia, the surgeon may remove the cyst even if it's not causing any discomfort. Surgical treatment of spermatozoa for children will completely remove the water cyst, avoiding recurrence. Surgery to remove spermatic cord cysts for children requires a doctor with experience in microsurgery, meticulous dissection, and high accuracy, because surgery in the inguinal canal, spermatic cord has a bundle of spermatic vessels, and vas deferens. , lymphatics, scrotal levator muscle, very easy to cause damage, affecting reproductive function later. In particular, in the process of finding the peritoneal tubes, dissecting cysts, it is necessary to avoid damage to the vas deferens, blood vessels that cause hematomas or damage to the seminal arteries.

After surgery to remove spermatic cord cysts for children, children are nourished with intravenous fluids, given liquid and easily digestible food. In addition, the doctor may add some intravenous antibiotics in the first 1-2 days after surgery and the following days when using oral drugs. Other medicines include oral pain relievers or suppositories; edema-reducing medication. Change the bandage every 2 days and make an appointment for a follow-up visit after 1 month. In order to help the baby heal quickly and minimize complications, parents also need to pay attention to the care of the baby after surgery to remove the sperm cyst for the child.
Avoid bathing your baby for at least 2 days after surgery. Use only a damp cloth to gently wipe the baby's body. Do not let your child ride or sit on toys or hard objects for several weeks in a row. Parents should consult a doctor before letting their children play again with normal games. Dress your baby in comfortable clothes, the crotch should not be too tight; Give your baby more water to drink; Do not be excessively abstinent, feed the baby with adequate nutrients to increase resistance, recover health quickly; Use diapers if necessary, but parents should note that they must change diapers regularly for their children and sometimes let the baby "breathe"... Basically sperm cysts in children are likely to disappear on their own. , but after a year they still exist, parents need to take their children to the doctor for diagnosis, treatment advice, and avoid long-term serious effects on the health of the child.
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