Dec 8, 2023
Safeguarding your ability to conceive
An abnormal sac (cyst) called a spermatocele grows in the epididymis, the tiny, coiled tube on the upper testicle that gathers and transmits sperm. A spermatocele is a benign, mostly painless protrusion filled with a clear or milky fluid that may or may not contain sperm.
Although the precise reason for spermatoceles is yet unknown, one possibility is an obstruction in the sperm transport tube.
Spermatoceles, also known as spermatic cysts, are a common occurrence. They usually don't need medical attention or have an impact on fertility. If a spermatocele becomes bothersome, your physician may recommend surgery.
It is unknown what causes spermatoceles. Spermatoceles can be brought on by an obstruction in one of the many tubes in the epididymis that transport and retain sperm from the testicle.
Typically, a spermatocele shows no symptoms and can maintain its size. On the other hand, should it get large enough, you might:
The development of spermatoceles is associated with few established risk factors. Spermatoceles seem to be more common in males whose mothers used diethylstilbestrol (DES) to prevent loss and other pregnancy complications during their pregnancies. The use of this medication was stopped in 1971 due to worries about an increased risk of rare vaginal cancer in women.
It's quite beneficial to examine your testicles during or immediately after a warm bath or shower. The heat from the water relaxes your scrotum and makes it easier for you to notice anything unusual.Afterward, take these actions:
While the majority of spermatoceles don't need to be treated, yours probably won't go away on its own. They typically don't cause problems or discomfort. If yours is extremely painful, your doctor might recommend over-the-counter medications like acetaminophen or ibuprofen .
Spermatocelectomy operations are often performed as outpatient procedures, using either a local or general anesthetic. The surgeon makes an incision in the scrotum to separate the spermatocele and epididymis.
Following surgery, it could be required to wear an athletic supporter packed with gauze to apply pressure and protect the wound site. Your doctor might also suggest that you:
There are two options: sclerotherapy and aspiration.
Aspiration and sclerosing therapy are other, albeit rarely used, treatments. During aspiration, a specialized needle is inserted into the spermatocele to remove fluid (aspirated).
If the spermatocele reappears, your doctor can suggest aspirating the fluid again and then administering a painful injection (sclerotherapy) into the sac.
The irritating chemical causes scarring in the spermatocele sac, which fills in the space the fluid originally occupied and lessens the chance that the spermatocele will reappear.
The sclerotherapy may cause harm to the epididymis. It's also possible that your spermatocele will grow back.
There is a chance that surgery or sclerotherapy will harm the epididymis or vas deferens, which could affect fertility. This problem may need you to put off these treatments until after you have finished having children. If your spermatocele discomfort is too severe for you to wait, talk to your doctor about the benefits and drawbacks of sperm banking.
You should do scrotal self-examinations at least once a month to check for changes in your scrotum, such as masses, even if spermatoceles cannot be prevented. Any new mass in your scrotum has to be checked out immediately.
By learning how to conduct a testicular self-examination from your physician, you can raise your chances of finding a mass.
It is unlikely that a spermatocele will cause problems.However, if your spermatocele is painful or has grown to such an extent that it is causing you problems, surgery may be necessary to remove it.
After being surgically removed, damage may occur to the epididymis itself or the vas deferens, a tube that transports sperm from the epididymis to the penis. Damage to either may reduce fertility. Another possible outcome is that the spermatocele may, albeit rarely, return after surgery.
Download the PrepLadder App and get the best neet pg online coaching with world-class video lectures, QBank, Mock Tests and more!
Download PrepLadder's best app for neet pg preparation for Android
Download PrepLadder's best app for neet pg preparation for ios
Get access to all the essential resources required to ace your medical exam Preparation. Stay updated with the latest news and developments in the medical exam, improve your Medical Exam preparation, and turn your dreams into a reality!
The most popular search terms used by aspirants