DefinitionA spermatocele is a fluid-filled cyst near the testicles. A spermatocelectomy is the removal of this cyst.
|Male Anatomy: Penis, Testicle, Scrotum, Epididymis|
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Reasons for ProcedureSpermatocelectomy is done if a spermatocele is painful or large.
Possible ComplicationsProblems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:
- Adverse reaction to the anesthesia
- Excess bleeding
- Recurrence of spermatocele
- Damage to the epididymis, which can increase risk of infertility
- Nerve injury or damage to surrounding tissue or structures
- Chronic disease such as diabetes or obesity
What to Expect
Prior to ProcedureYour doctor may do the following:
- Perform a physical exam
- Blood, urine, or imaging tests
- Ask about your medical history
AnesthesiaThe procedure is done under local or general anesthesia. You will be asleep or sedated. You will not feel any pain.
Description of ProcedureOnce you are asleep or sedated, a small incision will be made in your scrotum. The spermatocele will be located and removed from the epididymis. Absorbable sutures will be used to close the area.
How Long Will It Take?Less than one hour
How Much Will It Hurt?Anesthesia will prevent pain during surgery. Pain and discomfort after the procedure can be managed with medications.
Post-procedure CareAt the Care CenterAfter the procedure, the staff may provide the following care:
- Pain medications and IV fluids
- Ice pack
- Scrotum support
- Washing their hands
- Wearing gloves or masks
- Keeping your incisions covered
- Washing your hands often and reminding visitors and healthcare providers to do the same
- Reminding your healthcare providers to wear gloves or masks
- Not allowing others to touch your incisions
Call Your DoctorIt is important to monitor your recovery. Alert your doctor to any problems. If any of the following occur, call your doctor:
- Increasing pain, redness, or swelling at incision site
- Drainage, bleeding, or odor from incision site
- Signs of infection, including fever and chills
Family Doctor—American Academy of Family Physicians
Urology Care Foundation
Canadian Urological Association
Spermatocele. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated April 2, 2012. Accessed April 16, 2013.
Spermatoceles (spermatic cyst). Foundation of the American Urological Association website. Available at: http://www.urologyhealth.org/urology/index.cfm?article=117. Accessed September 11, 2012.
6/6/2011 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Mills E, Eyawo O, et al. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.
- Reviewer: Adrienne Carmack, MD
- Review Date: 01/2015
- Update Date: 04/29/2014