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Spermatocelectomy is surgery to remove a spermatocele, a fluid-filled cyst that develops in the epididymis near a testicle. It may be considered when the cyst causes pain, discomfort, or bothersome swelling. The surgeon removes the cyst while aiming to preserve the surrounding structures. Most spermatoceles do not require surgery.
read more about spermatocelectomy ...A spermatocele that causes no symptoms may only need observation. Surgery may be considered if it becomes painful, grows bothersome, or interferes with daily activities. An examination helps confirm the cause of a scrotal lump before treatment. People planning to have children should discuss the possible effects on fertility before surgery.
The surgeon makes an incision in the scrotum and separates the cyst from the epididymis. The procedure is performed with anesthesia and is generally outpatient surgery. The incision is closed after the cyst is removed. The testicle is usually left in place.
Scrotal soreness and swelling are expected after surgery. A supportive garment and ice packs may help during the first few days. The care team provides instructions about wound care, activity, and follow-up. Recovery time varies with the procedure and individual healing.
Possible complications include bleeding, infection, and recurrence of the cyst. Injury to the epididymis or vas deferens can interfere with sperm transport and affect fertility. The risk matters especially if surgery is needed on both sides. A surgeon can explain the likely benefits and risks for the specific cyst.
No. A spermatocele without troublesome symptoms can usually be monitored.
No. The surgeon removes the cyst and generally preserves the testicle.
Yes. Damage to the epididymis or vas deferens can impair sperm transport, so fertility goals should be discussed before surgery.
Yes. A spermatocele can recur even after surgical removal.
About Your Surgery: Spermatocelectomy. UW Medicine. https://healthonline.washington.edu/sites/default/files/record_pdfs/About-Your-Surgery-Spermatocelectomy.pdf. Date Accessed September 30, 2026.
Evaluating the risk of epididymal injury during hydrocelectomy and spermatocelectomy. PubMed. https://pubmed.ncbi.nlm.nih.gov/15126805/. Date Accessed September 30, 2026.
Spermatocele - Diagnosis & treatment. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/spermatocele/diagnosis-treatment/drc-20377833. Date Accessed September 30, 2026.
Spermatocele: Causes, Symptoms, Diagnosis & Treatment. Cleveland Clinic. https://my.clevelandclinic.org/health/diseases/17492-spermatocele. Date Accessed September 30, 2026.
Spermatocelectomy (Inpatient Care). Riverside Health. https://riversidemychart.org/MyChart-PRD/en-US/docs/Education/DischargeInstructions/Carenotes/cnen_metatags/ND7936I.HTM. Date Accessed September 30, 2026.