Spermatocele (sperm-filled epididymal cyst)


Description

A sperm-filled sac that develops within the epididymis. The epididymis is a tube that lies on top of the testicle. Patients typically palpate a smooth firm lump above the testicle. Rarely patients experience infertility.

Symptoms

Painless mass in scrotum, painful mass in scrotum, infertility, enlarged scrotum.

Tests

Common tests used for diagnosis and treatment

Workup:
A history and physical exam will be performed. An ultrasound is typically performed to confirm the diagnosis and rule out other causes of the mass.

Tests:
Ultrasound

Specialists:
Urology

Treatment

All scrotal masses need an evaluation. Most spermatoceles do not require therapy. Occasionally surgery is needed.
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