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Spermatocelectomy

WHAT YOU NEED TO KNOW:

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.

HOW TO PREPARE:

The week before your surgery:

  • Arrange to have someone drive you home when you are discharged.
  • Tell your surgeon about all medicines you currently take. He or she will tell you if you need to stop any medicine for surgery, and when to stop. He or she will tell you which medicines to take or not take on the day of your surgery.
  • 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:

You may be told not to eat or drink anything after midnight.

The day of your 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.
  • Take only the medicines your surgeon told you to take.
  • An IV will be placed into a vein. You may be given medicine or liquid through the IV.
  • 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.

WHAT WILL HAPPEN:

What will happen:

  • 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.

CONTACT YOUR HEALTHCARE PROVIDER IF:

  • You have a fever.
  • You get a cold or the flu.
  • You have questions or concerns about your surgery.

Risks

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.

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

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.