Are there any medicines to treat epididymal cysts?

Question

Hello doctor,

I was operated for cryptorchidism when I was nine years. My left testicle is 3.5 by 2.5 cm. I feel this is too small. Please suggest tablets to increase its size. I have epididymal cysts 7 cm long in both testicles. I have burning sensation and numbness and pain. Suggest tablets for this as well. Some days ago I put Flexabenz or Chlorobenzene and Linseed oil cream for joint pain by mistake on my right testicle side, but I washed it immediately. Will it cause any damage or shrinkage of my right testicle?

I am worried. Also, I have white spots called elevated Meissner's corpuscles on the left side of the urethral opening on the glans penis. I have elevated lunar and semilunar elevated papillae on inner foreskin. I have white spots on inner foreskin also. I have numbness, loss of sensation, itching and burning sensation on both glans and inner foreskin. Please suggest medicines for all these. Please do not suggest topical gels or creams. I am scared of those. Please suggest only tablets.

Answer 1

Hello,

Welcome to icliniq.com.

The normal size of an adult testis is 3 by 4 cm with an approximate volume of 12 to 19 cc. Patients with a history of cryptorchidism may have a slightly smaller size of the testis at adult stage. However, the size of the testis does not matter as long as the semen functional tests are normal. Moreover, there are no medicines available to increase the size of a small testis. In your case, the size is just borderline and nothing to worry.

I would advise you get a semen analysis done to see the functioning of the testis. Also, the spots that you have mentioned are physiological and represent the oil glands on the genitalia. They do not warrant any treatment. With regards to the use of Chlorobenzene and other oils, they can at times lead to an allergic contact dermatitis. But otherwise, do not affect the testicular size.

I hope you are satisfied with my answer. For further queries, you can consult me at icliniq.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

I have gone through the images (attachment removed to protect patient identity). I regret to tell you that epididymal cysts cannot be treated with medicines. It would need a surgery as tablets do not work. With respect to the white spots that you have mentioned, they are just enlarged oil glands and are considered physiological.

You would need to relax and stop getting too conscious about normal variations of the body. I suggest taking tablet Levocetirizine 5 mg once daily at night for two weeks for itching. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent.

I hope you are satisfied with my answer. For further queries, you can consult me at icliniq.

Thank you.