What is spermatocelectomy surgery?

A spermatocelectomy is a surgical procedure performed to treat a condition called a spermatocele. A spermatocele is a fluid-filled cyst that forms in the epididymis, which is a coiled tube located at the back of the testicle. Spermatoceles typically contain sperm and can cause discomfort, pain, or swelling. The main objective of this surgery is to eliminate the spermatocele by excising it from the epididymal tissue while ensuring the preservation of the reproductive tract.

When is a spermatocelectomy indicated?

A spermatocelectomy is indicated in the following situations:

• Symptoms: When a spermatocele causes symptoms such as pain, discomfort, swelling, or heaviness in the scrotum, surgical intervention may be considered. If the symptoms significantly affect the individual's quality of life or daily activities, a spermatocelectomy is often recommended.
• Enlargement or growth: If a spermatocele grows in size or becomes significantly enlarged over time, it may lead to increased discomfort or potential complications. In such cases, a spermatocelectomy may be indicated to remove the cyst and prevent further progression.
• Infertility concerns: Although spermatoceles usually do not directly affect fertility, in some instances, they can be associated with underlying issues that affect sperm production or transport. If a spermatocele is suspected of contributing to infertility or if fertility concerns are present, a spermatocelectomy may be considered to evaluate the underlying cause and potentially improve reproductive outcomes.

 Diagnostic uncertainty:

In certain cases, when a scrotal mass is present, and its exact nature is uncertain, a spermatocelectomy may be performed to obtain a definitive diagnosis. The excised tissue can be examined under a microscope to confirm the presence of a spermatocele and rule out other potentially worrisome conditions, such as testicular tumours.

How is a spermatocelectomy performed?

During a spermatocelectomy, the patient is given anaesthesia to ensure comfort throughout the procedure. An incision is made in the scrotum, allowing the surgeon to access the spermatocele. Surrounding tissues and blood vessels are carefully moved aside to expose the cyst. The spermatocele is then dissected and separated from the surrounding epididymal tissue, taking care to avoid damaging nearby structures.

Once the cyst has been completely removed, the incision is closed with stitches or sutures. The scrotum is typically bandaged to protect the surgical site. Following the procedure, the patient is monitored in a recovery area until the effects of anaesthesia wear off. The length of the hospital stay may vary depending on the individual case. It is important to consult with a healthcare professional for personalised guidance and information.