H1: Do you have pain during sitting or sexual intercourse? Then you could have a spermatocele!


Not only at an advanced age should you feel your sexual organs regularly. Especially the scrotum should be checked carefully for changes. If you then feel a small bump, the uncertainty is probably great, because you are thinking directly of testicular cancer. Normally such enlargements are harmless, especially if you are not in pain.


The urologist will examine you and, at best, diagnose a spermatocele. Surgery is not always necessary, because the doctor does not have to remove the accumulation of fluid. Sometimes the regression occurs by itself and healing occurs automatically. However, complications can also occur if the course of the disease is unfavorable. Then, of course, action must be taken and therapy initiated.


H2: What exactly is a spermatocele?


A spermatocele is a cyst that originates in the epididymis. Between the testis and the upper epididymis, congestion has formed. This bladder with fluid usually consists of semen and protein.


Almost 80% of all men have a spermatocele, but only a few feel it and have complaints. Most cysts are discovered by chance – either by yourself or by another urologist. Small cysts are often no more than one centimeter in diameter and are painless.


The cause of a spermatocele is largely unknown. Most cysts are congenital or are acquired later by a blow. So you cannot prevent it. The advantage is that this disease is usually rather harmless.


H2: When should you go to the doctor?


If you notice an enlargement of your testicle, then it would be important to know whether there is a spermatocele behind it or a worse disease like testicular cancer. This diagnosis is also important for yourself because then you know for sure that you don’t have to worry a lot.


In any case, you should go to a doctor if you have pain during exercise. Then it could be an advanced untreated spermatocele that is removed during surgery. After that, a quick recovery should be expected.


However, if you have no symptoms and no other impairments in your life, the doctor will not recommend an operation. By the way, the harmless cysts cannot be induced to recede with medication or other measures. There is only the option “wait and see” or “surgery”.


H2: What the doctor does with you


As a specialist, you should look for a urologist. The urologist is also familiar with men’s venereal diseases. First of all he will feel your genitals and ideally feel the cyst. From his experience, he will make the right diagnosis. If he is unsure, he will also carry out an ultrasound examination, which will give him confidence.


If you additionally suffer from pain while urinating, the doctor will also perform a urine test. This serves mainly to rule out inflammation of the epididymis.


Under difficult circumstances, the urologist also sometimes decides to perform a color Doppler sonography. But you see, all means of diagnosis are easy to perform and painless. If the spermatocele disease is clearly diagnosed, the doctor will discuss further therapy with you.


If your cyst does not cause you any pain, the doctor will decide that no therapy is necessary. However, if you have any complaints about the cyst, only surgery will help.


H2: What happens during an operation?


The operation normally does not take long and is now a standard operation. Most surgeries are therefore also offered on an outpatient basis. So if you’re otherwise healthy and the doctor doesn’t expect any complications, you can try outpatient surgery.


During the operation, a lateral incision is made in the scrotum to remove the testicles and epididymis. The cyst at the upper end is simply removed and the testicles returned. The wound is then sutured. Experience has shown that after a few days the wound has healed to such an extent that you can move normally again.


H2: You may have to expect these complications during surgery


The greatest danger lies in the restriction of fertility. Spermatocele originates in the epididymis of the spermatic cord. If the spermatic cord is unintentionally damaged during the operation, infertility can unfortunately occur. The doctor will tell you this beforehand. If you absolutely want to conceive another child, you should consider whether the operation can still wait until you have conceived the child.


A sperm clinic can be the right place to go if you have a very pronounced desire to have children. In this institution, you can be helped in any case. They specialize in diseases such as spermatocele and unfulfilled childlessness. Perhaps the spermatocele is even the reason why it has not yet worked out with childbearing. In this clinic, you will be helped with both problems.


Of course, every general anesthesia entails health risks. You should always be aware of this. Even wounds sometimes, for whatever reason, do not heal as quickly as desired. After the operation, a swelling can develop on the scrotum that only disappears very slowly. If the tissue becomes inflamed, there may be additional pain in addition to the general wound healing.


Bleeding from the scrotum can also be a complication after surgery. These complications can of course also be treated in a good clinic. The treatment of the actually harmless operation takes much longer than predicted. Unfortunately, no one can predict how long you will be ill after the operation.


But there are also more drastic complications, which should not be concealed here. In addition to a hardening of the spermatic cord (sperm granuloma), an epididymis occlusion can also develop. If the operation goes very badly, the man may become sterile. In very rare cases the loss of the testicles may even occur. In the latter two cases, the consequence is that the man can no longer conceive children.


H2: Is healing guaranteed forever?


Unfortunately, spermatocele is a disease that can occur again and again. Operation is, therefore, no guarantee that you have now overcome this disease forever. Cysts, in particular, are known to be able to reappear from nowhere. But because very few cysts cause problems, surgery is not always necessary.