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Spermatocele
Spermatocele is a small cyst present behind the testis. It contains clear fluid which may sometimes contain sperms. It sometimes increase in size or become hard due to the development of  scars. It rarely becomes a tumour. Spermatocele is usually present on one side and is discovered on routine clinical and sonographic examination.     



Tubuli of the testis
Sac filled with clear liquid, sometimes containing sperm
E = epididymis / T = testis
S = spermatocele


Who qualifies for the operation?

Patients who have their lesion increased in volume to agonize them, infected spermatocele and painful or hard ones are indicated for removal. It is not recommended to excise spermatoceles in young males if they may need to have children as the operation may interfere with the canals of sperms.

How does the operation function?

The spermatocele is exposed through a small incision done in the middle line of the scrotum. The testis is delivered outside. The lesion is identified and is prepared free with care. The pedicle is ligated and the lesion is removed. The testis is returned to the scrotum which is closed in layers.



Incision


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Frequently asked questions (FAQ):
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  1. I have an abnormal enlargement which is accidentally detected. Is it cancer?
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    No, this small lump which is present at the upper pole behind the testis  is a collection of fluids and sperms and it is called spermatocele. It is not cancer. It appears as a clear cyst in ultrasonography.
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  2. Does it interfere with sexual intercourse?
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    No, it does not at all.
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  3. Does it affect my ability to have children?
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    No, Spermatocele does not affect fertility.
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  4. Should it be removed?
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    No, the indication to remove it is when it enlarges, become infected, causes pain or become hard.
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  5. Is it true that I must remove it as early as possible to avoid becoming infertile?
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    No, on the contrary, the removal of spermatocele must be done only under strict indications. Its removal at the fertile age may itself affect fertility except when indicated.