Spermatocelectomy
A spermatocelectomy is a surgical procedure to remove a spermatocele, a fluid-filled cyst that develops in the epididymis, the coiled tube located at the back of the testicle that stores and transports sperm. A spermatocele is a benign (non-cancerous) cyst that typically contains clear or milky fluid and dead sperm cells.
It often feels like a smooth, firm lump separate from the testicle.
Many spermatoceles are small and asymptomatic, but larger ones can cause:
Pain or pressure
Swelling or heaviness
Cosmetic concerns
How the Procedure Works
Performed under local, general, or regional anesthesia, a small incision is made in the scrotum, and the spermatocele is dissected and removed from the epididymis. Dissolvable stitches are used to close the incision.
Recovery
Most patients go home the same day
Mild pain, swelling, and bruising are normal
Ice packs, scrotal support, and pain medication help reduce discomfort
Return to light activity in a few days; avoid heavy lifting or sexual activity for 2–4 weeks
Full recovery in 4–6 weeks