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A spermatocelectomy is surgery to remove a spermatocele. A spermatocele is a cyst (sac of fluid) that contains sperm. It forms inside your scrotum on the outside of your testicle. The cyst is most often attached to your epididymis. The epididymis is a tube that stores sperm.


Before your surgery:

  • Informed consent is a legal document that explains the tests, treatments, or procedures that you may need. Informed consent means you understand what will be done and can make decisions about what you want. You give your permission when you sign the consent form. You can have someone sign this form for you if you are not able to sign it. You have the right to understand your medical care in words you know. Before you sign the consent form, understand the risks and benefits of what will be done. Make sure all your questions are answered.
  • An IV is a small tube placed in your vein that is used to give you medicine or liquids.
  • Antibiotics may be given through your IV during surgery to help prevent an infection.
  • Anesthesia is medicine to make you comfortable during the surgery. Healthcare providers will work with you to decide which anesthesia is best for you.
    • General anesthesia is used to keep you asleep and free from pain during surgery. Healthcare providers may give you anesthesia through your IV. You may breathe it in through a mask or a tube placed down your throat. The tube may cause you to have a sore throat when you wake up.
    • Spinal (epidural) anesthesia is injected in the lower spine to numb the area where the surgery will be done. You will be awake during the surgery. You may still feel pressure or pushing during surgery.
    • Local anesthesia is injected into the area where the incision is made. It is used to numb the area and dull the pain. Your healthcare provider may also give you medicine to help you relax.

During your surgery:

  • After your scrotum and penis are shaved, a small incision will be made in your scrotum. Your testicle will be brought slightly outside your scrotum through the incision. This will make it safer and easier for your healthcare provider to perform the surgery. Your healthcare provider may also use a microscope to see the tissues better. He will open the membrane that covers your testicle and the spermatocele. He will carefully cut the spermatocele away from your testicle. The spermatocele will then be removed.
  • The membrane will be closed and your testicle will then be put back into your scrotum. The tissue inside your scrotum will be closed with stitches. Then the incision on the outside skin of your scrotum will be closed with stitches. The stitches will dissolve on their own so you will not need to have them removed later. A small tube may be used to drain the surgical area for a short time.

After your surgery:

You will be taken to a room to rest until you are fully awake. Healthcare providers will monitor you closely for any problems. Do not get out of bed until your healthcare provider says it is okay. When your healthcare provider sees that you are okay, you will be allowed to go home. If you are staying in the hospital, you will be taken back to your hospital room.

  • An athletic supporter may be used to hold bandages on your scrotum.
  • Ice helps decrease swelling and pain. Healthcare providers will place an ice pack on your scrotum every hour for 15 to 20 minutes.
  • Pain medicine is given to take away or decrease your pain. Do not wait until the pain is severe to ask for your medicine.


  • You may bleed more than expected or get an infection. Your epididymis may be injured or blocked. This may cause infertility. A blood clot may form inside your scrotum. The spermatocele may come back. Your blood vessels may be injured. This can cause your testicle to shrink. Sperm may leak into your scrotum. Pus may collect and form an abscess.
  • Without treatment, the spermatocele may become larger. This may cause pain. More serious disease such as a tumor may not be found.


You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your healthcare providers to decide what care you want to receive. You always have the right to refuse treatment.

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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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