Request for funding for removal of epididymal cysts.
Cysts, testicular lump, epididymal and testes
Who can apply
Epididymal cysts form when fluid builds up in the epididymis – this is a long, narrow tube above your testicles that stores sperm. Epididymal cysts are harmless and not a sign of testicular cancer.
(also known as or related to – cysts, testicular lump, epididymal and testes)
File type: PDF
File size: 404 KB
Description: This is a Prior Approval policy. Please complete the PA application form for all patients requiring this intervention. IF the patient clearly meets the criteria, please forward the application to the EFR Team and await confirmation of funding before making a referral.
File type: DOC
File size: 92 KB
Description: Please complete this form for all patients requiring this intervention who meet the criteria. Please forward the application to the Referral Service and await confirmation of funding before making a referral