What This Procedure Is For
A spermatocele is a benign, fluid-filled cyst that develops near the epididymis, typically above or behind the testicle. While small spermatoceles are often harmless, larger ones may cause scrotal swelling, discomfort, or cosmetic concern. Spermatocelectomy is the surgical removal of a spermatocele when it becomes symptomatic.
Who It’s For
This procedure is recommended for men who experience pain, a noticeable lump, increasing cyst size, or discomfort during physical activity or sex. It may also be performed for cosmetic reasons or when the diagnosis needs confirmation.
How the Procedure Works
Surgery is performed as an outpatient procedure under local or general anesthesia. A small incision is made on the scrotum, and the spermatocele is carefully separated from the epididymis and removed. The procedure takes 30–45 minutes, and dissolvable stitches are typically used.
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Risks & Safety
Most men recover without issues, but potential risks include infection, scrotal swelling, or scar tissue formation. Rarely, damage to the epididymis may occur, which could impact fertility—this is why the procedure is recommended mainly for men who do not plan future biological children.
Recovery & Aftercare
Patients should wear scrotal support underwear and limit physical activity for 7–10 days. Ice packs may help reduce swelling during the first 48 hours. Keep the incision clean and dry and avoid sex and ejaculation for 1–2 weeks.
frequently asked questions
Get answers to common questions about urology and men’s health
Will this affect my fertility?
There is a small risk if the epididymis is affected, but this is uncommon.
Is there a non-surgical option?
Aspiration is not recommended as it has a high recurrence rate—surgery is the definitive treatment.