Spermatocelectomy
En Español (Spanish Version)

Definition
A spermatocele is a fluid-filled cyst near the testicles. A spermatocelectomy is the removal of this cyst.

Male Anatomy: Penis, Testicle, Scrotum, Epididymis

Copyright © Nucleus Medical Media, Inc.

Reasons for Procedure
Spermatocelectomy is done if a spermatocele is painful or large.

Possible Complications
Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:

  • Adverse reaction to the anesthesia
  • Infection
  • Excess bleeding
  • Swelling
  • Recurrence of spermatocele
  • Damage to the epididymis, which can increase risk of infertility
  • Nerve injury or damage to surrounding tissue or structures
Before your procedure, talk to your doctor about ways to manage factors that may increase your risk of complications such as:

  • Smoking
  • Drinking
  • Chronic disease such as diabetes or obesity
What to Expect
Prior to Procedure
Your doctor may do the following:

  • Perform a physical exam
  • Blood, urine, or imaging tests
  • Ask about your medical history
Talk to your doctor about any medications, herbs, or supplements you are taking. You may be asked to stop taking some medications up to one week before the procedure.

Arrange for a ride home from the hospital. Arrange for help at home as your recover.

The night before your surgery, eat a light meal. Do not eat or drink anything after midnight unless told otherwise by your doctor.

Anesthesia
The procedure is done under local or general anesthesia. You will be asleep or sedated. You will not feel any pain.

Description of Procedure
Once 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 Care
At the Care Center
After the procedure, the staff may provide the following care:

  • Pain medications and IV fluids
  • Ice pack
  • Scrotum support
During your stay, the hospital staff will take steps to reduce your chance of infection such as:

  • Washing their hands
  • Wearing gloves or masks
  • Keeping your incisions covered
There are also steps you can take to reduce your chances of infection such as:

  • 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
At Home
You will be able to leave the hospital when you have recovered from the anesthesia and can walk. When you return home, follow instructions on how to care for the incision. This will help prevent infection. Pain and swelling can be relieved with ice packs and other self-care measures, such as wearing snug-fitting underwear or a jock strap for a few days. Restrict activity until your doctor says it is okay.

Call Your Doctor
It 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
If you think you have an emergency, call for medical help right away.




RESOURCES:
Family Doctor—American Academy of Family Physicians

Urology Care Foundation

CANADIAN RESOURCES:
Canadian Urological Association


References:
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.

Last Reviewed January 2015



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