Spermatocelectomy

  • Definition

    A spermatocele is a fluid-filled cyst near the testicles. A spermatocelectomy is the removal of this cyst.
    Male Anatomy: Penis, Testicle, Scrotum, Epididymis
    si2188 testicle
    Copyright © Nucleus Medical Media, Inc.
  • Reasons for Procedure

    Spermatocelectomy is done if a spermatocele is painful or large.
  • 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
    Before your procedure, talk to your doctor about ways to manage factors that may increase your risk of complications such as:
    • Smoking
    • Drinking
    • Chronic disease such as diabetes or obesity
  • 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
    At the Care Center
    After the procedure, the staff may provide the following care:
    • Pain medicines and IV fluids
    • Ice pack
    • Scrotum support
    During your stay, the hospital staff will take steps to reduce your chance of infection such as:
    • Washing their hands
    • Wearing gloves or masks
    • Keeping your incisions covered
    There are also steps you can take to reduce your chances of infection such as:
    • Washing your hands often and reminding visitors and healthcare providers to do the same
    • Reminding your healthcare providers to wear gloves or masks
    • Not allowing others to touch your incisions
    At Home
    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.
  • Call Your Doctor

    After arriving home, contact your doctor if any of the following occurs:
    • Increasing pain, redness, or swelling at incision site
    • Drainage, bleeding, or odor from incision site
    • Signs of infection, including fever and chills
    In case of an emergency, call for medical help right away.
  • RESOURCES

    The American Academy of Family Physicians Family Doctor http://familydoctor.org

    Urology Care Foundation http://www.urologyhealth.org

    CANADIAN RESOURCES

    Canadian Urological Association http://www.cua.org

    Health Canada http://www.hc-sc.gc.ca

    References

    Spermatocele. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated April 2, 2012. Accessed April 16, 2013.

    Spermatoceles. Foundation of the American Urological Association website. Available at: http://www.urologyhealth.org/urology/index.cfm?article=117. Accessed September 11, 2012.

    6/6/2011 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.

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