He told me that i could deal with the pain or get it removed. He said he would have to remove the epididymis and that it might affect my chance of having children. Dear Andrew, I am happy to hear that you consulted a physician about this problem. Anytime a man notices some change with his testicles, he needs to report it to his physician, preferably his urologist, quickly so that a proper evaluation can be done. An epididymal cyst could occur anywhere in the epididymis, but is most common in the region of the head of the epididymis.
Epididymal cysts are very common, benign, increase in frequency with age, and are often painless.
Intervention is usually indicated when a cyst is associated with unremitting pain, or if it has become uncomfortably large. Surgical removal of an epididymal cyst does not necessarily require removal of the epididymus itself. Provided that the unaffected testicle is functional, with normal sperm production, fertility should not be affected to any significant degree. These cysts may appear on either side, and often persist. With regard to the discomfort associated with the cyst, over the counter pain medicine may help.