Spermatocele
DEFINITION
A spermatocele (SPUR-muh-toe-seel) is an abnormal sac (cyst) that develops in the epididymis — the small, coiled tube located on the upper testicle that collects and transports sperm. Noncancerous and generally painless, a spermatocele usually is filled with milky or clear fluid that might contain sperm.
The exact cause of spermatoceles is unknown but might be due to a blockage in one of the tubes that transports sperm.
Spermatoceles, sometimes called spermatic cysts, are common. They typically don’t reduce fertility or require treatment. If a spermatocele grows large enough to cause discomfort, your doctor might suggest surgery.
CAUSES
The cause of spermatoceles is unknown. Spermatoceles might result from a blockage in one of the multiple tubes within the epididymis that transport and store sperm from the testicle. Trauma and inflammation also might play a role in causing the blockage.
SYMPTOMS
A spermatocele usually causes no signs or symptoms and might remain stable in size. If it becomes large enough, however, you might feel:
- Pain or discomfort in the affected testicle
- A feeling of heaviness in the testicle with the spermatocele
- A mass, or fullness, behind and above the testicle
When to see a doctor
Because a spermatocele usually doesn’t cause symptoms, you might discover it only during a testicular self-exam, or your doctor might find it during a routine physical exam.
It’s a good idea to have your doctor evaluate any scrotal mass to rule out a serious condition, such as testicular cancer. Also, be sure to call your doctor if you experience pain or swelling in your scrotum. A number of conditions can cause testicular pain, and some require immediate treatment.
