The spermatocele, also known as seminal cyst or epididymal cyst, is a small pocket that develops in the epididymis, which is where the channel that carries sperm connects to the testis. In this bag there is the accumulation of small amounts of sperm and, therefore, it may indicate an obstruction in one of the channels, although it is not always possible to identify the cause.
In most cases, the spermatocele does not cause any type of pain, it is only identified with the palpation of the testicles during the bath, for example.
Although it is almost always benign, this change must always be evaluated by a urologist, since this type of change can also be a sign of a malignant tumor, even in more rare cases. Normally, the spermatocele does not reduce a man's fertility and therefore may also not need treatment.
Main symptoms
The main sign of the spermatocele is the appearance of a small lump next to the testicle, which can be moved, but which does not hurt. However, if it continues to grow over time, it may start to produce other symptoms such as:
- Pain or discomfort on the side of the affected testicle; Feeling of heaviness in the intimate region; Presence of a large lump near the testicle.
When any change in the testicle is identified, even if there are no other symptoms, it is very important to consult a urologist to screen for other more serious causes, such as testicular torsion or even cancer, for example.
How the treatment is done
Since most spermatoceles do not cause any complications or discomfort, no treatment is usually necessary. However, the urologist can schedule frequent visits, about 2 times a year, to assess the size of the cyst and ensure that it is not undergoing changes that may indicate malignancy.
If the spermatocele causes discomfort or pain during the day-to-day, the doctor may prescribe the use of drugs to reduce inflammation, such as Ibuprofen or Acetominophene. After using these remedies for 1 or 2 weeks, the symptoms may disappear completely and, if they do, no further treatment is necessary. However, if the symptoms persist, it may still be recommended to have a minor surgery.
Surgery for spermatocele
Surgery to treat a spermatocele, also known as spermatocelectomy, is usually done under general anesthesia and serves to help the doctor separate and remove the spermatocele from the epididymis. After surgery, it is usually necessary to use a underwear made of bandages that helps to keep the pressure in place, preventing the cut to open when moving, for example.
During recovery it is also recommended to take some precautions such as:
- Apply cold compresses to the intimate area; Take the drugs prescribed by the doctor; Avoid wetting the intimate area until the stitches are removed; Treat the wound at the health center or hospital.
Although it is rare, after surgery some complications can arise, especially infertility if there is any injury to the epididymis. Therefore, it is very important to select a certified urology clinic with a surgeon with enough experience.
