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- What is Spermatocelectomy
- Effects of Spermatocelectomy
- Candidates for Spermatocelectomy
- Your Consultation
- The Spermatocelectomy Procedure
What is Spermatocelectomy?
The surgical removal of the spermatocele from the adjoining epididymal tissue is called a spermatocelectomy. Removing the spermatocele and at the same time preserving of the male reproductive tract is the overall goal of surgical therapy.
Effects of Spermatocelectomy
This procedure gives the best effect in treating symptomatic spermatoceles and remains to be the best surgical treatment for this.
Candidates for Spermatocelectomy
Patients who will undergo spermatocelectomy have very limited surgical options for the treatment of symptomatic spermatocele. The main operative intervention is a spermatocelectomy through the transscrotal approach which may be performed to any reasonable candidate. The contraindications to this procedure are systemic anticoagulation and the desire to have children.
There are only a few guidelines for this procedure such as not eating or drinking before undergoing the surgery. Other guidelines are dependent on the physician or the facility where spermatocelectomy will be performed. Pre-procedure instructions or guidelines should be provided by the physician.
The Spermatocelectomy Procedure
This procedure is usually done as an outpatient procedure and has a variation of possible anesthetic agents. First, the surgeon creates an incision in the skin of the scrotum and gently pulls the testicles and the epididymis through the incision. Separating it from the epididymis, a suture is then tied around the spermatocele.
A pressure dressing which has an athletic supporter filled with fluffy gauze are usually applied as the patient is discharged home. Swelling usually occurs so ice packs are applied for approximately two to three days in order to minimize the swelling. Oral pain medications are generally used to relive pain for one to two days after undergoing the procedure. One is allowed to shower 24 to 48 hours postoperatively. A follow-up visit is scheduled for the patient one to two week after the procedure.
There is the risk of potential complications which may include fever, infection, bleeding or scrotal hematoma, and persistence of pain. In addition, an unintentional epididymal obstruction may occur which may lead to subfertility or infertility. If one desires to still have children, intervention should be done. A thorough surgical technique should be done including the use of an operating microscope or optical magnification in order to minimize the presence of complications.
What is a spermatocele?
A spermatocele is also known as a spermatic cyst. They are most of the time painless and benign (noncancerous) cysts that grow from the epididymis near the top of the testicle. They are usually smooth and contain a milky or clear colored fluid containing the sperm. Spermatoceles over time may continue to be stable in size or they may grow. Once its size becomes an inconvenience or causes pain, there are a number of treatment options to resolve the problem. Spermatoceles are more of a nuisance rather than a serious medical illness.
What causes the growth of spermatoceles?
The exact cause of spermatoceles is still unknown. They may appear as a result of trauma or inflammation but these conditions are not necessarily requirements for the formation of a spermatocele. There are reports that spermatocele formation are caused by blockage of the efferent ducts and the epididymis. Another possible cause that is being looked into is the in utero exposure to diethylstilbestrol (DES) which is a synthetic form of estrogen.
What are the symptoms of spermatoceles?
There are usually no symptoms associated with the formation of spermatoceles. On the other hand, when associated symptoms are there, scrotal heaviness and/or pain may be included.
How common are spermatoceles?
An estimated 30% of all men have spermatoceles although the precise incidence of this condition is still unknown. The incidence of this condition increases with age. The peak rate for its diagnosis occurs in men in their 40s and 50s. Predisposition of spermatocele to race or ethnicity is unknown.
Does spermatocele formation lead to testicular cancer?
Patients with spermatocele do not necessarily have an increased risk of testicular cancer. They are separate and distinct from the testicle. Spermatoceles are also benign (noncancerous) epididymal lesions.