Epididymal cyst (spermatocele) removal
The treatment of an epididymal cyst (spermatocele) includes several options: needle aspiration with the injection of a sclerosing agent or without it and surgical excision.
The needle aspiration of a spermatocele with the injection of a sclerosing agent or without it, or surgical excision is done, when the patient experiences discomfort due to the swollen scrotum (in patients of nonreproductive age) or when fertility is impaired.
How Is the Surgery Performed?
Children are operated on under general anesthesia. In adults, it is done under local, spinal, or general anesthesia.
The surgery involves an incision in the scrotum. The tunica vaginalis covering the testicle is opened, and the spermatocele or spermatoceles are separated from the epididymis and then are removed. Part of the tunica vaginalis can be excised and then their edges are sutured.
What Should Be Known After Surgery?
Sometimes, a spermatocele can reoccur after the treatment. In such a case, the fluid needs to be drained by needle aspiration, or the surgery should be performed repeatedly.