Spermatoceles

Spermatoceles cannot be seen during visual exams but can be felt by a manual exam since they are contained within the scrotum. A spermatocele feels like a firm, smooth lump that is distinct from the testicle. They are found near the top or behind the testicle.

Symptoms of Spermatocele

A spermatocele does not typically cause any signs or symptoms and may stay at the same size. As a result, you might only discover it during a self-exam, or your doctor may find it during a routine physical exam. If your spermatocele does become enlarged, you might feel:

Pain or discomfort in the affected testicle
Heaviness in the enlarged testicle
Fullness behind and above the testicle

Since a mass in your scrotum can be a sign of other issues, it is important to see your doctor if you feel any kind of lump on or near your testicles. For more information, schedule an appointment today or call to speak with one of our patient coordinators.

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Initial Visit

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Urine is sent for urine culture to look bacteria. Imaging of the kidneys and bladder is performed via ultrasound.

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Causes & Treatments

Causes

There is no known cause of spermatoceles. They are not cancerous and do not increase your risk of testicular cancer. Spermatoceles are not considered by doctors to cause infertility. If the spermatocele is large, the quantity and quality of sperm may be lessened. If you have been trying to conceive for a year or more and are concerned about your fertility, consult with a licensed physician.

Treatments

Your spermatocele most likely will not go away on its own, however, most spermatoceles do not need treatment. Typically, most spermatoceles do not cause pain or complications and if they do, your doctor will most likely recommend over-the-counter pain relievers such as acetaminophen or ibuprofen.

Surgery for spermatocele, called spermatocelectomy, is the most common form of treatment for a painful spermatocele. During this outpatient procedure, the cyst will be removed from the epididymis while preserving the genital and reproductive system. It can be done with local or general anesthesia and usually takes less than an hour to perform.

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