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Volume 25, Issue 6 (November 2023) 25, 750–752; 10.4103/aja202311
The impact of subcentimeter cysts on chronic scrotal pain
Luca Rutigliani 1, Pranjal Agrawal 2, Amin Sedaghat Herati 2
1School of Clinical Medicine, The University of Cambridge, Cambridge CB20SP, UK.
2The James Buchanan Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, MD 21224, USA.
Correspondence: Dr. AS Herati (aherati1@jhmi.edu)
Originally published: April 28, 2023 Received: November 13, 2022 Accepted: March 6, 2023
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Subcentimeter cysts can be the cause of severe chronic scrotal pain (CSP), a condition that significantly impacts patients and is often difficult to manage. This article aims to investigate the impact of subcentimeter cysts on CSP and compare the effectiveness of surgical removal for cysts of different sizes. The primary outcome was the comparison of the average pain reduction pre- and postoperatively. After a median postoperative time of 27.80 (range: 0.59–36.30) months, the average pain reduction was 6.00 (standard deviation [s.d.]: 2.27) for subcentimeter cysts and 2.72 (s.d.: 1.43) for larger cysts (P = 0.0031). In total, 81.0% of all patients were pain-free after cyst removal and 100.0% reported some improvement in pain. The postoperative pain reduction was significantly greater for subcentimeter cysts.
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