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Spermatocelectomy

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Definition

A spermatocele is a fluid-filled cyst near the testicles. A spermatocelectomy is the removal of this cyst.

Male Anatomy: Penis, Testicle, Scrotum, Epididymis
si2188 testicle
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Reasons for Procedure

Spermatocelectomy is done if a spermatocele is painful or large.

Possible Complications

Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:

  • Adverse reaction to the anesthesia
  • Infection
  • Excess bleeding
  • Swelling
  • Recurrence of spermatocele
  • Damage to the epididymis, which can increase risk of infertility
  • Nerve injury or damage to surrounding tissue or structures

Before your procedure, talk to your doctor about ways to manage factors that may increase your risk of complications such as:

  • Smoking
  • Drinking
  • Chronic disease such as diabetes or obesity

What to Expect

Prior to Procedure

Your doctor may do the following:

  • Perform a physical exam
  • Blood, urine, or imaging tests
  • Ask about your medical history

Talk to your doctor about any medications, herbs, or supplements you are taking. You may be asked to stop taking some medications up to one week before the procedure.

Arrange for a ride home from the hospital. Arrange for help at home as your recover.

The night before your surgery, eat a light meal. Do not eat or drink anything after midnight unless told otherwise by your doctor.

Anesthesia

The procedure is done under local or general anesthesia. You will be asleep or sedated. You will not feel any pain.

Description of Procedure

Once you are asleep or sedated, a small incision will be made in your scrotum. The spermatocele will be located and removed from the epididymis. Absorbable sutures will be used to close the area.

How Long Will It Take?

Less than one hour

How Much Will It Hurt?

Anesthesia will prevent pain during surgery. Pain and discomfort after the procedure can be managed with medications.

Post-procedure Care

At the Care Center

After the procedure, the staff may provide the following care:

  • Pain medications and IV fluids
  • Ice pack
  • Scrotum support

During your stay, the hospital staff will take steps to reduce your chance of infection such as:

  • Washing their hands
  • Wearing gloves or masks
  • Keeping your incisions covered

There are also steps you can take to reduce your chances of infection such as:

  • Washing your hands often and reminding visitors and healthcare providers to do the same
  • Reminding your healthcare providers to wear gloves or masks
  • Not allowing others to touch your incisions
At Home

You will be able to leave the hospital when you have recovered from the anesthesia and can walk. When you return home, follow instructions on how to care for the incision. This will help prevent infection. Pain and swelling can be relieved with ice packs and other self-care measures, such as wearing snug-fitting underwear or a jock strap for a few days. Restrict activity until your doctor says it is okay.

Call Your Doctor

It is important to monitor your recovery. Alert your doctor to any problems. If any of the following occur, call your doctor:

  • Increasing pain, redness, or swelling at incision site
  • Drainage, bleeding, or odor from incision site
  • Signs of infection, including fever and chills

If you think you have an emergency, call for medical help right away.

Revision Information

  • Family Doctor—American Academy of Family Physicians

    http://familydoctor.org

  • Urology Care Foundation

    http://www.urologyhealth.org

  • Canadian Urological Association

    http://www.cua.org

  • Health Canada

    http://www.hc-sc.gc.ca

  • Spermatocele. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated April 2, 2012. Accessed April 16, 2013.

  • Spermatoceles (spermatic cyst). Foundation of the American Urological Association website. Available at: http://www.urologyhealth.org/urology/index.cfm?article=117. Accessed September 11, 2012.

  • 6/6/2011 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Mills E, Eyawo O, et al. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.

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