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Spermatocelectomy

Pronounced: sperm-a-TOE-sell-ek-toe-me

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
Copyright © Nucleus Medical Media, Inc.

Reasons for Procedure    TOP

Spermatocelectomy is done if a spermatocele is painful or large.

Possible Complications    TOP

Complications are rare, but no procedure is completely free of risk. If you are planning to have spermatocelectomy, your doctor will review potential problems. Complications may include:

  • Adverse reaction to the anesthesia including lightheadedness, low blood pressure, or wheezing
  • 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    TOP

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 medicines you are taking. Do not start taking any new medicines, herbs, or supplements without talking to your doctor. You may be asked to stop taking some medicines up to one week before the procedure. This may include medications such as:

  • Anti-inflammatory medications
  • Blood thinners
  • Anti-platelet medications

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    TOP

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?    TOP

Less than one hour

How Much Will It Hurt?    TOP

Anesthesia prevents pain during surgery. As you recover, you may have some pain. Your doctor will give you pain medicine.

Post-procedure Care    TOP

At the Care Center

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

  • Pain medicines 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, do the following to help ensure a smooth recovery:

  • Take pain medicine as directed.
  • Apply ice packs to the area to reduce swelling and pain.
  • Use rolled towels to elevate the area when you are in bed. Your doctor may also recommend that you wear snug-fitting underwear or a jock strap for a few days.
  • Avoid strenuous activity until told it is safe by your doctor.
  • Do not drive or have sex until your doctor says it is safe to do so.
  • Keep bandages in place as directed by your doctor.
  • Ask your doctor about when it is safe to shower, bathe, or soak in water.
  • Be sure to follow your doctor’s instructions.
  • See your doctor for follow-up.

Call Your Doctor    TOP

After arriving home, contact your doctor if any of the following occurs:

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

In case of an emergency, call for medical help right away.

RESOURCES:

The American Academy of Family Physicians Family Doctor
http://familydoctor.org
Urology Care Foundation
http://www.urologyhealth.org

CANADIAN RESOURCES:

Canadian Urological Association
http://www.cua.org

References:

Spermatocele. EBSCO DynaMed website. Available at:
...(Click grey area to select URL)
Updated April 2, 2012. Accessed April 16, 2013.
Spermatoceles. Foundation of the American Urological Association website. Available at:
...(Click grey area to select URL)
Accessed September 11, 2012.
6/6/2011 DynaMed's Systematic Literature Surveillance
...(Click grey area to select URL)
Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.
Last reviewed March 2014 by Adrienne Carmack, MD
Last Updated: 4/29/2014