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Spermatocele
What is a Spermatocele?
A spermatocele is a fluid-filled cyst that forms in the epididymis, the small, coiled tube situated above the testicle. It is typically benign and contains sperm cells. While spermatoceles do not affect fertility, they can grow over time and cause discomfort in some cases.
Symptoms of a Spermatocele
- A painless lump or swelling in the scrotum
- A feeling of heaviness in the testicle
- Mild discomfort if the cyst becomes large
- No impact on sexual function or sperm production
Causes of Spermatocele
The exact cause of spermatocele formation is not always clear, but contributing factors include:
- Blockage in the epididymal ducts
- Prior scrotal infections or trauma
- Developmental anomalies in the male reproductive system
Diagnosis of Spermatocele
A physical examination is usually sufficient to diagnose a spermatocele. If needed, a scrotal ultrasound may be performed to confirm its size, location, and contents.
Treatment for Spermatocele
- Observation – Small, asymptomatic spermatoceles do not require intervention
- Aspiration and Sclerotherapy – Fluid removal with the injection of a sclerosing agent to prevent recurrence (not commonly recommended)
- Spermatocelectomy – Surgical removal of the spermatocele for large or symptomatic cysts
FAQ
Can a spermatocele go away on its own?
Spermatoceles typically do not resolve on their own but remain stable in size. If they grow or become symptomatic, treatment may be necessary.
Does a spermatocele cause infertility?
No, spermatoceles do not usually affect fertility since they do not interfere with sperm production or ejaculation.
When should a spermatocele be removed?
Surgical removal is considered when a spermatocele becomes large, painful, or interferes with daily activities.
