-spermatocele : Symptoms, Causes, Treatment & Prevention

What is spermatocele?

A spermatocele is an often pain-free benign cyst that occurs close to a testicle. It may also be known as a spermatic or epididymal cyst. The cyst forms in the epididymis. The epididymis is a coiled tube behind each testicle. The cyst is filled with fluid and may contain dead sperm. 

What are the symptoms of spermatocele?

A spermatocele usually causes no signs or symptoms and might remain stable in size. If it becomes large enough, however, you might feel:

• Pain or discomfort in the affected testicle
• A feeling of heaviness in the testicle with the spermatocele
• A mass, or fullness, behind and above the testicle

What are the causes of spermatocele?

The cause of spermatoceles is unknown. It might result from a blockage of the tubes within the epididymis that transport and store sperm from the testicle. Trauma and inflammation also might play a role in causing the blockage.

How is the spermatocele diagnosed?

A spermatocele can be diagnosed through:-

• A detailed examination of the genital area.
• Transillumination. By passing a light through the scrotum, your doctor can examine the entire area. Any spermatocele should be clearly seen.
• Ultrasound. If transillumination isn’t successful, an ultrasound can be used by your doctor to look inside the scrotum to search for a cyst.

What are the treatments of Spermatocele?

Spermatoceles may require medical attention if they grow too large or begin to cause pain.

Surgical treatment

A procedure called a spermatocelectomy generally is performed on an outpatient basis, using a local or general anesthetic. The surgeon makes an incision in the scrotum and separates the spermatocele from the epididymis.

Aspiration, with or without sclerotherapy

Another treatment that's not used as often is aspiration, sometimes with sclerotherapy. During aspiration, a special needle is inserted into the spermatocele, and fluid is removed (aspirated)