When It’s Not Cancer: An Uncommon Case of Tubular Ectasia of the Epididymis as a Post-vasectomy Sequela

Tubular ectasia of the epididymis is a rare, benign condition that arises from blockage of the seminiferous ducts, resulting in dilated tubular structures and retention of sperm within the epididymis. It represents an important differential among benign intratesticular lesions and should be considered in the diagnostic evaluation of scrotal pathologies. Recognition of its typical imaging characteristics, in conjunction with relevant clinical history, enables accurate identification and prevents unnecessary diagnostic or therapeutic procedures. This case report describes a 43-year-old male patient with post-vasectomy tubular ectasia, highlighting the diagnostic approaches utilized and management undertaken.