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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.


The week before your surgery:

  • Write down the correct date, time, and location of your surgery.
  • Arrange a ride home. Ask a family member or friend to drive you home after your surgery or procedure. Do not drive yourself home.
  • Ask your healthcare provider if you need to stop using aspirin or any other prescribed or over-the-counter medicine before your procedure or surgery.
  • Bring your medicine bottles or a list of your medicines when you see your healthcare provider. Tell your provider if you are allergic to any medicine. Tell your provider if you use any herbs, food supplements, or over-the-counter medicine.
  • You may need an ultrasound of your scrotum and testicle. Talk to your healthcare provider about this or other tests you may need. Write down the date, time, and location for each test.

The night before your surgery:

Ask healthcare providers about directions for eating and drinking.

The day of your surgery:

  • Ask your healthcare provider before you take any medicine on the day of your surgery. Bring a list of all the medicines you take, or your pill bottles, with you to the hospital. Providers will check that your medicines will not interact poorly with the medicine you need for surgery.
  • You or a close family member will be asked to sign a legal document called a consent form. It gives healthcare providers permission to do the procedure or surgery. It also explains the problems that may happen, and your choices. Make sure all your questions are answered before you sign this form.
  • Healthcare providers may insert an intravenous tube (IV) into your vein. A vein in the arm is usually chosen. Through the IV tube, you may be given liquids and medicine.
  • An anesthesiologist will talk to you before your surgery. You may need medicine to keep you asleep or numb an area of your body during surgery. Tell healthcare providers if you or anyone in your family has had a problem with anesthesia in the past.
  • Antibiotics may be given through your IV during surgery to help prevent an infection.


What will happen:

  • 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.


  • You cannot make it to your surgery.
  • You have a fever.
  • You get a cold or the flu.
  • You have questions or concerns about your surgery.

Seek Care Immediately if

  • The problems for which you are having the surgery get worse.


  • 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.

Care Agreement

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.

Further information

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