Fine needle aspiration of testis and scrotal lesions is not commonly done. FNA was done in 18 patients with epididymal nodules or thickening. Epididymal nodules constituted 0.6% of total FNAs done over a period of five years. Granulomatous lesions were the commonest. Spermatocele and adenomatoid tumors were next common lesion encountered. Six cases were available for histopathologic correlation. Diagnostic accuracy in these cases was 100%. Most of the epididymal nodules were non-neoplastic, which is in keeping with the high prevalence of tuberculosis and filariasis in our region. Thus FNAC served as an important tool to screen and diagnose all palpable lesions of epididymis and should be used with increased frequency.

Key words : FNAC, epididymal nodules