Spermatocele
Medically reviewed by Drugs.com. Last updated on Oct 29, 2024.
AMBULATORY CARE:
A spermatocele
is a fluid collection or cyst that forms in the epididymis behind your testicles. The cyst contains a milky liquid that usually has sperm in it. The cyst will feel like a smooth mass near your testicles that you can move inside your scrotum. The mass is not cancer. A spermatocele is usually not painful, but you may feel heaviness in your scrotum. The area may also be swollen. The cause of your spermatocele may not be known. Trauma, blockage, infection, or inflammation in your scrotum may increase your risk.
Seek care immediately if:
- You have sudden, severe pain in your scrotum or testicle.
Call your doctor if:
- The cyst does not go away or gets bigger.
- The cyst becomes painful or causes discomfort.
- You have questions or concerns about your condition or care.
Treatment
may not be needed. You may need any of the following if the spermatocele becomes large or causes pain or other problems:
- Medicine may be used to relieve pain or swelling.
- Surgery may be used to remove the cyst. Talk to your provider about the risks of having a spermatocele removed. The procedure may cause infertility (problems fathering children).
Testicular self-exam:
A testicular self-exam is a monthly check of your testicles and scrotum. Your provider may ask you to check for changes, lumps, or pain. Ask for more information on how to do a testicular self-exam.
Follow up with your doctor as directed:
You may need to have the spermatocele checked over time. You may also be referred to a urologist if the spermatocele becomes large or painful, or causes other problems. Write down your questions so you remember to ask them during your visits.
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