The information on this website is not intended for diagnosis or treatment. Please consult your physician for health concerns.

+90 850 321 50 00

Spermatocele Excision

Surgical treatment of epididymal cyst.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Üroloji department. Book Appointment →

What is Spermatocele Excision?

Spermatocele is a cystic lesion containing sperm and spermatocytes that originates from efferent ductules in the head (caput) of the epididymis. It occurs in 7% of men and is usually asymptomatic. Its difference from an epididymal cyst is the presence of sperm in the fluid.

On physical examination, a soft, translumination-positive scrotal mass distinct from the testis is palpable. Scrotal ultrasonography confirms the diagnosis and rules out testicular pathology.

Surgical excision is indicated only for symptomatic spermatoceles (pain, size, discomfort). Aspiration and sclerotherapy are not preferred due to high recurrence rates and risk of epididymal damage. Surgery should be carefully planned in patients in whom fertility preservation is required.

Symptoms

Painless mass in the scrotum (above/behind the testis)
Sensation of scrotal heaviness
Mild scrotal pain or discomfort
Cosmetic concerns due to size increase
Usually asymptomatic (incidental detection)

Risk Factors

Epididymal damage (risk of infertility)
Recurrence (5-10%)
Hematoma formation
Chronic scrotal pain
Wound infection

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • When a newly noticed mass appears in the scrotum (to rule out tumor)
  • When the spermatocele increases in size
  • When pain or discomfort affects daily life
  • For preoperative counseling in patients with fertility concerns

Treatment Methods

01
Observation and follow-up (in asymptomatic, small spermatoceles)
02
Surgical spermatocelectomy (for symptomatic cases)
03
Microsurgical excision preserving the epididymis
04
Scrotal ultrasonography (diagnosis confirmation and ruling out testicular pathology)
05
Pain management (in symptomatic patients not desiring surgery)

Which Department to Visit?

You can visit our Üroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Üroloji Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

Book AppointmentContact Us

Related Health Topics

Other articles from the same department you may want to explore.

ESWL (Extracorporeal Shock Wave Lithotripsy)

Üroloji

ESWL delivers focused extracorporeal shock waves to fragment kidney stones into small pieces that can pass through the urinary tract spontaneously.

TURP (Transurethral Resection of the Prostate)

Üroloji

TURP is the endoscopic resection of prostatic adenoma causing lower urinary tract obstruction in benign prostatic hyperplasia.

Cystoscopy (Bladder Endoscopy)

Üroloji

Cystoscopy passes a thin endoscope through the urethra to inspect the bladder and urethra directly for both diagnostic and therapeutic purposes.

Varicocelectomy (Varicocele Surgery)

Üroloji

Varicocelectomy is a microsurgical or laparoscopic ligation of the enlarged veins of the pampiniform plexus; it plays an important role in treating male infertility.

Nephrectomy (Kidney Cancer Surgery)

Üroloji

Nephrectomy is the surgical procedure to remove a kidney with cancer (renal cell carcinoma) either radically or partially.

Radical Prostatectomy

Üroloji

Radical prostatectomy is the surgical removal of the entire prostate and seminal vesicles in localised prostate cancer; the robotic approach is today's standard.

Urethroplasty (Urethral Stricture Surgery)

Üroloji

Urethroplasty is the surgical widening or reconstruction of a urethral stricture; success rates are 85-95%.

Radical Orchiectomy (Testicular Cancer)

Üroloji

Radical inguinal orchiectomy is the surgery to remove the cancer-bearing testis along with the spermatic cord through a groin incision, used both for diagnosis and treatment of testicular cancer.

Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.