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Medically reviewed by Last updated on Dec 2, 2022.

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.

During your surgery:

  • You may be given general anesthesia to keep you asleep and free from pain during surgery. You may instead be given spinal or local anesthesia to numb the surgery area. With spinal or local anesthesia, you may still feel pressure or pushing during surgery, but you should not feel any pain.
  • Your surgeon will make a small incision in your scrotum. He or she will open the membrane that covers your testicle and the spermatocele. Your surgeon will carefully cut the spermatocele away from your testicle. He or she will then remove the spermatocele. Your incision will be closed with stitches or medical tape. A small tube may be used to drain extra blood or fluid 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 able to go home or be taken to your hospital room.

  • An athletic supporter may be used to decrease swelling and pain, and 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 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.


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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