by Deanna M. Neff, MPH
A spermatocele is a fluid-filled cyst in the epididymis, a long tubule attached to the testicle. A spermatocelectomy is the removal of this cyst.
Reasons for Procedure
Spermatocelectomy is done if a spermatocele is painful or large.
Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:
Before your procedure, talk to your doctor about ways to manage factors that may increase your risk of complications such as:
What to Expect
Prior to Procedure
Your doctor may do the following:
Talk to your doctor about any medications, herbs, or supplements you are taking. You may be asked to stop taking some medications up to 1 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.
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 1 hour
How Much Will It Hurt?
Anesthesia will prevent pain during surgery. Pain and discomfort after the procedure can be managed with medications.
At the Care Center
After the procedure, the staff may provide the following care:
During your stay, the hospital staff will take steps to reduce your chance of infection such as:
There are also steps you can take to reduce your chances of infection such as:
Restrict physical and sexual activity until your doctor says it is okay. You may need to wear supportive or athletic underwear during healing.
Call Your Doctor
Call your doctor if any of the following occur:
If you think you have an emergency, call for emergency medical services right away.
Family Doctor—American Academy of Family Physicians
Urology Care Foundation
Canadian Urological Association
Common benign urologic conditions in men. EBSCO DynaMed website. Available at: http://www.dynamed... . Accessed January 29, 2021.
How are spermatoceles treated? Urology Care Foundation website. Available at:
...(Click grey area to select URL)
Accessed January 29, 2021.
Scrotal surgery: discharge advice. University College Hospital website. Available at: https://www.uclh.nhs.uk/PandV/PIL/Patient%20information%20leaflets/Scrotal%20surgery.pdf. Accessed January 29, 2021.
Last reviewed March 2020 by EBSCO Medical Review Board Adrienne Carmack, MD
Last Updated: 1/29/2021
EBSCO Information Services is fully accredited by URAC. URAC is an independent, nonprofit health care accrediting organization dedicated to promoting health care quality through accreditation, certification and commendation.
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
To send comments or feedback to our Editorial Team regarding the content please email us at email@example.com. Our Health Library Support team will respond to your email request within 2 business days.