Treatment FAQ

what is the best treatment for spermatocele?

by Prof. Victor Erdman Sr. Published 2 years ago Updated 2 years ago
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Surgical therapy known as spermatocelectomy is the most common treatment for a symptomatic spermatocele. The aim is to remove the cyst from the epididymis while, at the same time, preserve the genital system. This surgery is done as an outpatient procedure. That means you won't need to stay in a hospital overnight.

Medication

What is the Treatment for Spermatocele?

  • Spermatocele Treatment
  • Medications. If the patient experiences pain or swelling, then the doctor may provide some over-the-counter medicines.
  • Surgery. When oral medications do not give any relief, then the doctor recommends surgery to remove the cyst.
  • Aspiration. ...
  • Sclerotherapy. ...
  • Other Treatment Options. ...

Procedures

Thus, Spermatocele does not go away on its own but treatment is not always necessary since this condition is quite benign and asymptomatic.

Nutrition

Spermatocele Prognosis. Spermatic cysts usually do not cause any short-term or long-term problems. In more serious cases, the prognosis is generally positive with early diagnosis and proper treatment. The condition does not affect the fertility of the patient. Timely treatment allows the patient to live a long and normal life. Spermatocele ...

How to treat spermatocele at home naturally?

Treatment

  • Surgical treatment. A procedure called a spermatocelectomy generally is performed on an outpatient basis, using a local or general anesthetic.
  • Aspiration, with or without sclerotherapy. Other treatments include aspiration and sclerotherapy, though these are rarely used. ...
  • Protecting your fertility. ...

Do Spermatoceles go away on their own?

What is the prognosis of spermatocele following treatment?

How can a spermatocele be treated?

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How can I shrink my spermatocele naturally?

You cannot get rid of a spermatocele naturally. Although diet, herbal remedies and lifestyle modifications often claim to treat a spermatocele, there is no evidence that they help get rid of the condition. Most spermatoceles are not dangerous and do not require any treatment.

Should a spermatocele be removed?

They typically don't reduce fertility or require treatment. If a spermatocele grows large enough to cause discomfort, your doctor might suggest surgery.

How do you get rid of a spermatocele cyst?

Spermatocelectomy is the standard treatment for spermatoceles that cause symptoms. The goal of surgery is to remove the spermatocele from the epididymal tissue and preserve the reproductive tract. This outpatient procedure is often done with local or general anesthesia. It usually takes less than 1 hour.

Can spermatocele be treated with antibiotics?

No specific medical therapy is indicated for treatment of a simple spermatocele. Oral analgesics may be prescribed for symptomatic relief. If an underlying epididymitis is responsible for discomfort, antibiotics may be indicated. Observation is usually used for simple, small asymptomatic spermatoceles.

Can you live with a spermatocele?

Although your spermatocele probably won't go away on its own, most spermatoceles don't need treatment. They generally don't cause pain or complications. If yours is painful, your doctor might recommend over-the-counter pain medications, such as acetaminophen (Tylenol, others) or ibuprofen (Advil, Motrin IB, others).

Should I worry about spermatocele?

Spermatoceles aren't cancerous and are usually pain-free. Most people won't need treatment. Instead, your doctor will monitor the cyst during regular doctor appointments. Spermatoceles may require medical attention if they grow too large or begin to cause pain.

What causes a spermatocele to grow?

Spermatoceles happen when sperm builds up somewhere in the epididymis. Healthcare providers don't fully understand the factors that lead to this sperm buildup. Some medical experts point to a blockage in the epididymal duct or inflammation as potential causes.

How long do spermatoceles last?

The mean duration of symptoms was 48 months. At the time of excision, the average size of spermatoceles was 4.2 cm in greatest diameter, and most (71%) were right sided. Men who experienced pain as an isolated symptom were younger by approximately 10 years compared to those who experienced mass.

How long is recovery from spermatocele?

Your wound should heal within about 3 to 5 days. During this time, your wound may ooze very slightly. However, if your wound continues to ooze or you have any signs of an infection such as a red, hot, swollen, or painful wound please contact your own doctor as soon as possible.

How do you shrink an epididymal cyst at home?

Hot compress Simple heat is the most recommended and effective home measure for draining or shrinking cysts. Here's how it works: Heat may reduce the thickness of liquid in the cyst. In the case of liquid-filled epidermoid cysts, this may help fluid drain quicker into the lymphatic system.

How do you get rid of a cyst on your testicle without surgery?

Minimally invasive therapies A doctor may suggest an aspiration or sclerotherapy. These procedures involve puncturing the cyst and draining the contents, or injecting the cyst with an agent that causes it to heal. While these options may work, doctors do not use them often.

What is a spermatocele?

Spermatocele is a common growth that develops right above or behind the testicle. It is also called a testicular or epididymal cyst. Spermatoceles are benign (not cancer). Healthcare providers usually recommend treatment only when a large spermatocele hurts or bothers you. Ask your provider how cyst removal surgery could affect fertility.

What is spermatocelectomy surgery?

Spermatocelectomy is another name for spermatocele cyst removal surgery. It is an outpatient procedure. You go home after surgery instead of staying in the hospital. During a spermatocelectomy, a provider makes an incision in the scrotum or groin area. Then the provider carefully removes the spermatocele.

Why do spermatocele go undiagnosed?

Spermatoceles are a common condition. They usually cause few or no symptoms. Many times, a spermatocele goes undiagnosed because people don’t realize it’s there. The condition doesn’t generally lead to further health problems or pose a serious threat. Larger spermatoceles may be painful or uncomfortable.

Where is the spermatocele located?

A spermatocele is a fluid-filled cyst (growth) located above or behind the testicle. Inside each spermatocele is a clear or cloudy fluid that may also contain sperm. Healthcare providers sometimes call these growths spermatic cysts or epididymal cysts. Spermatoceles develop along the epididymis, which is part of the male reproductive system.

When do spermatoceles appear?

They affect close to 1 in 3 adult men. Spermatoceles can affect people at any age, but they commonly appear in midlife (the 40s or 50s).

How accurate are sonograms for spermatoceles?

Sonograms are nearly 100% accurate in diagnosing spermatoceles. Lab tests: If you have testicular pain, your provider may recommend blood tests (such as a complete blood count or CBC test) or urine tests (such as urinalysis ). These tests check for possible inflammation or infection.

Where does sperm build up?

Spermatoceles happen when sperm builds up somewhere in the epididymis. Healthcare providers don’t fully understand the factors that lead to this sperm buildup. Some medical experts point to a blockage in the epididymal duct or inflammation as potential causes.

How long does it take to remove spermatocele?

This outpatient procedure is often done with local or general anesthesia. It usually takes less than 1 hour. Sometimes all or a part of the epididymis may need to be removed as well.

Where are spermatoceles found?

They tend to be benign (not cancerous). These cysts are found near the top and behind the testicle, but are separate from the testicle.

What is the difference between sclerotherapy and aspiration?

Aspiration and sclerotherapy are 2 treatments that are available, but are not often used. Aspiration involves puncturing the spermatocele with a needle and drawing out its contents. Sclerotherapy involves injecting an irritating agent into the spermatocele sac. This causes it to heal or scar closed.

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How long does scrotal swelling last after surgery?

A follow up visit with your surgeon is often scheduled between 1 and 3 weeks later. Scrotal swelling is normal and typically lasts for 2 to 21 days.

What does it mean when spermatocele is light shining?

Light can be shined through a spermatocele. This generally shows if the mass looks like a solid tumor or a benign (not cancerous) cyst.

What is the function of the male reproductive tract?

The male reproductive tract handles the growth, maturation and delivery of sperm. Faults in the male reproductive tract can cause a mass to grow. If a mass forms in the scrotum, it may mean nothing or it could be a sign of something serious.

How to treat spermatocele?

For spermatocele treatment, natural remedies can also be used. Maintaining a balanced diet with less fat and more iodine content is vital. A deficiency of iodine can cause cyst formation. Also, the topical application of iodine, magnesium and chromium chloride can also be used for the spermatocele treatment .

What is the best medicine for spermatocele?

If the patient experiences pain or swelling, then the doctor may provide some over-the-counter medicines. Medicines like Tylenol or ibuprofen help in reducing the pain and swelling caused due to spermatocele.

Why is my sperm cyst cloudy?

Experts are still pursuing the cause of spermatocele, but it is believed to be caused due to some obstructions in the epididymal ducts.

What is a spermatocele and what are its causes

The epididymal cyst or spermatocele is a retention of spermatic fluid in the epididymis tubule that distends forming a bulge or cyst, therefore it is a benign cyst and it turns out to be the most common of those that form in the testicular area. . Generally, within this cyst this whitish or even transparent liquid contains dead sperm cells.

Symptoms of spermatocele

The epididymal cyst does not usually present noticeable symptoms by the sufferer. Normally when they are small, which happens in the vast majority of cases, these internal lumps of retention of spermatic fluid do not cause any pain .

Diagnosis of spermatocele

To detect and diagnose a benign cyst in this area of ​​the male body, it is essential that a man perform a testicular self-examination on a regular basis, we remember that it is recommended by specialists to do it every month, or that he also go to the urologist on a regular basis to check himself completely.

Treatment of spermatocele and spermatocelectomy

In most cases, as they are small cysts that do not produce pain or discomfort, no specific medical treatment is required.

Frequently asked questions about spermatocele

In addition to knowing what it is, the causes, symptoms and its possible treatments, there are some frequent doubts about sperm cysts that we answer below:

Symptoms

Spermatoceles cannot be seen during a visual exam. That’s because they’re contained within the scrotum. They can be felt, however. A spermatocele feels like a smooth, but separate, firm lump. The lump is found near the top of, or behind, a testicle.

Causes

Researchers don’t know what causes spermatoceles. Spermatoceles are neither cancerous nor do they increase your risk of testicular cancer.

Diagnosis

A spermatocele can be diagnosed through a detailed examination of the genital area. Your doctor will feel your testicles to search for masses, or areas that are tender or painful to the touch. You can expect to feel some pain when your doctor touches the affected areas.

Treatment

Spermatoceles aren’t cancerous and are usually pain-free. Most people won’t need treatment. Instead, your doctor will monitor the cyst during regular doctor appointments.

Outlook

Most people won’t experience any symptoms from a spermatocele. If you do experience pain or discomfort, spermatocelectomy should provide relief, though there is a risk for complications that may affect fertility. It’s also possible that your spermatocele might come back, even after surgery.

Why treat a spermatocele?

Most spermatoceles are painless. However, a spermatocele can grow large enough to cause discomfort, pain, and a sensation of heaviness or fullness. Spermatoceles are diagnosed by ultrasound which can be done in the office.

How big should a spermatocele be for sclerotherapy?

Generally, the spermatocele should be at least 1.5 cm to be amenable to treatment. The first step is a diagnosis, which can be done by an ultrasound in the office.

What is the right treatment for me?

Ultimately, the treatment you choose will depend on what your doctor recommends and what feels best to you. Some patients obtain surgery while others prefer a non-surgical option such as sclerotherapy, and only seek surgery if the treatment is not effective for them.

What is a spermatocele cyst?

A spermatocele or spermatic cyst is an abnormal sac in the upper part of the epididymis (the epididymis is a coiled tube in the testicle that collects and transports sperm). In most cases, a spermatocele is a smooth, soft mass that contains clear or milky fluid, and sometimes, sperm. The exact reason why spermatoceles develop is unknown ...

How successful is spermatocele aspiration?

With multiple treatments, the success rate improves to nearly 95%.

Why can't a urologist perform sclerotherapy?

There are several reasons why sclerotherapy by your urologist failed. The main reason is the lack of ultrasound guidance. Ultrasound confirms that all of the spermatocele fluid has been removed before injecting the medication. Any fluid left behind will dilute the medication rendering it inactive. Urologist perform this procedure blindly with a needle. There is no way to know if there is any fluid left in this manner. Needle aspiration is also not as effective in removing all of the fluid.

What is sclerotherapy in surgery?

Sclerotherapy is an outpatient procedure performed in the office that involves removing the fluid collection (aspiration) through a small tube followed by injection of a medication (sclerotherapy) that helps close the cavity that was containing the fluid. Our specialist applies a local anesthetic to make the procedure essentially pain-free. There is no nerve block or anesthesia required otherwise. There is no downtime, stitches or incisions. You will walk out of the office after the procedure.

What is the treatment for spermatocele?

When needed, the treatment of a spermatocele includes medications, surgery or both.

Can you get rid of spermatocele?

You cannot get rid of a spermatocele naturally. Although diet, herbal remedies and lifestyle modifications often claim to treat a spermatocele, there is no evidence that they help get rid of the condition.

Can spermatocele cause testicular cancer?

While a spermatocele is typically benign and does not increase your risk of testicular cancer, cancerous swelling may be mistaken for it. Hence, you must contact your doctor for a definitive diagnosis. Most spermatoceles do not cause pain or discomfort. A large spermatocele, however, may cause pain, heaviness or embarrassment.

Does spermatocele affect fertility?

Having a spermatocele per se does not affect a man’s fertility. However, treatment of a spermatocele (aspiration, surgery or sclerotherapy), may cause infertility. Surgery or sclerotherapy is generally avoided in men who wish to have children because there is a risk of epididymal injury that can cause infertility. Sclerotherapy may cause chemical epididymitis and resultant epididymal damage as side effects that may impair fertility.

How to treat spermatocele cyst?

The first is aspiration, during which your doctor will use a needle to puncture the spermatocele and then drain the fluid. The second is sclerotherapy which involves injecting an irritating agent into the cyst promoting healing and discouraging fluid from collecting again.

What is the procedure to remove spermatocele cyst?

Surgery for spermatocele, called spermatocelectomy, is the most common form of treatment for a painful spermatocele. During this outpatient procedure, the cyst will be removed from the epididymis while preserving the genital and reproductive system. It can be done with local or general anesthesia and usually takes less than an hour to perform.

How do you know if your spermatocele is enlarged?

If your spermatocele does become enlarged, you might feel: 1. Pain or discomfort in the affected testicle. 2. Heaviness in the enlarged testicle. 3. Fullness behind and above the testicle.

Where are spermatocele found?

A spermatocele feels like a firm, smooth lump that is distinct from the testicle. They are found near the top or behind the testicle.

Do spermatocele go away on their own?

Your spermatocele most likely will not go away on its own, however, most spermatoceles do not need treatment. Typically, most spermatoceles do not cause pain or complications and if they do, your doctor will most likely recommend over-the-counter pain relievers such as acetaminophen or ibuprofen.

Is spermatoceles cancerous?

There is no known cause of spermatoceles. They are not cancerous and do not increase your risk of testicular cancer.

Can spermatocele cause testicular cancer?

There is no known cause of spermatoceles. They are not cancerous and do not increase your risk of testicular cancer. Spermatoceles are not considered by doctors to cause infertility. If the spermatocele is large, the quantity and quality of sperm may be lessened.

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