Definition
A spermatocele is a fluid-filled cyst near the testicles. A spermatocelectomy is the removal of this cyst.
Possible Complications
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
Smoking may increase the risk of complications.
Talk to your doctor about these risks before the procedure.
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 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
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 prevents pain during surgery. As you recover, you may have some pain. Your doctor will give you pain medicine.
Post-procedure Care
After the procedure, the staff may provide the following care:
- Pain medicines and IV fluids
- Ice pack
- Scrotum support
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.
