Ask an expert - body - genitals / urology - blood in urine

1 questions

Q:  I've had a small epididymal cyst (spermatocele) in each testicle for a few years now and while they cause constant mild discomfort I'm hesitant to look into surgical options. I've been checked out by my GP and had diagnostics to rule anything else out.  Do you think acupuncture could be of help and, if so, would it likely just treat the symptoms, ie. the discomfort, or is there any evidence to suggest it could help shrink the cysts themselves?

A:  This is the first time we have been asked about epididymal cysts. We have trawled the research literature for any evidence of research trials but there is nothing of consequence except for a few studies of epididymitis, which isn't close enough to warrant citing. Even acupuncture sites do not offer a great deal. We suspect that there are probably Chinese studies, but only a minute fraction of these are translated each year.

However, from a Chinese medicine perspective all cysts are simply accumulations of fluid which indicate a weakness of flow, either in a specific channel of energy or more systemically in one of the Organs responsible for the free flow of fluids (note the capital letter - Organ in Chinese medicine is not the same as organ in western medicine). If this is the case, then there should be some clear diagnostic signs pointing to the weakness or imbalance, and a practitioner might feel fairly confident that this would point to a potential change.

Even were this not to be so clear cut, Chinese medicine was and remains premised on the simple belief that a system in balance corrects itself, and we have seen many many cases over the years where there has been no clear diagnostic patterns but where problems have been resolved, even sometimes when no-one in conventional medicine knew what they were. Quite disturbing when no-one, western or eastern, can tell you what you used to have, but in then end gone is gone.

However, the danger with treating problems like yours where there isn't a substantial volume of case work to show that it might resolve is that treatment can sometimes extend much longer than is warranted by the returns. It is very useful to have some kind of measurable outcomes, and to review any progress on a regular basis (every four or five sessions) to keep an eye on how much the treatment.

The first step, though, is to see a local BAcC member for a brief informal assessment of what may be possible. Most are more than happy to spare a few moments without charge to see whether there are clear diagnostic signs which would underpin a slightly more precise assessment than we can give at this range.


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