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Spermatoceles
Spermatoceles
Published: 2013/01/20
Channel: mdconversation
Andrew Kramer, MD:  Excision of Large Epididymal Cyst/Spermatocele
Andrew Kramer, MD: Excision of Large Epididymal Cyst/Spermatocele
Published: 2016/11/19
Channel: Andrew Kramer
spermatococele
spermatococele
Published: 2010/11/19
Channel: NeilBaumMD
I feel like a new man after scrotal spermatocele surgery by Dr. John Lin
I feel like a new man after scrotal spermatocele surgery by Dr. John Lin
Published: 2017/04/24
Channel: Sunrise Urology
My Spermatocele Friend
My Spermatocele Friend
Published: 2009/07/30
Channel: nalts
SPERMATOCELE  vs EPIDIDIMAL CYST
SPERMATOCELE vs EPIDIDIMAL CYST
Published: 2015/03/14
Channel: Tahir Ultrasound Center
Different types of Testes swelling
Different types of Testes swelling
Published: 2016/07/08
Channel: Dr Praveen Choudhary
A Big Epididymal Cyst (Spermatocele) Removal Surgery
A Big Epididymal Cyst (Spermatocele) Removal Surgery
Published: 2016/02/27
Channel: Dr Praveen Choudhary
Spermatocele
Spermatocele
Published: 2014/03/26
Channel: Dr Praveen Choudhary
Spermatocele Sonography
Spermatocele Sonography
Published: 2017/07/18
Channel: Dr.Jamil Hawramy
Do Testicular Cysts Go Away On Their Own?
Do Testicular Cysts Go Away On Their Own?
Published: 2017/09/11
Channel: Shadow the Question
Epididymal Cyst Operation(Excision)
Epididymal Cyst Operation(Excision)
Published: 2017/02/11
Channel: Sukumar Maiti
Dr. Marc Goldstein: Microsurgical Management of Spermatocele
Dr. Marc Goldstein: Microsurgical Management of Spermatocele
Published: 2012/06/18
Channel: cornellbrady1
Are Cysts On Scrotum Common?
Are Cysts On Scrotum Common?
Published: 2017/09/11
Channel: Shadow the Question
What Causes Cysts On Testicles?
What Causes Cysts On Testicles?
Published: 2017/09/15
Channel: U Answers
Do Testicular Cysts Go Away On Their Own?
Do Testicular Cysts Go Away On Their Own?
Published: 2017/11/13
Channel: Zuentxi Zurs
Spermatocele (Medical Condition)
Spermatocele (Medical Condition)
Published: 2015/04/22
Channel: Medical Condition Information
What Is The Meaning Of Spermatocele?
What Is The Meaning Of Spermatocele?
Published: 2017/09/01
Channel: Beyond Question
What Are The Symptoms Of Spermatocele?
What Are The Symptoms Of Spermatocele?
Published: 2017/09/01
Channel: Beg the Question
Large Spermatocele Ultrasound
Large Spermatocele Ultrasound
Published: 2016/12/27
Channel: Dr.Jamil Hawramy
Can A Spermatocele Go Away On Its Own?
Can A Spermatocele Go Away On Its Own?
Published: 2017/09/01
Channel: Beg the Question
Can A Spermatocele Be Painful?
Can A Spermatocele Be Painful?
Published: 2017/09/11
Channel: Shadow the Question
How Do You Get A Spermatocele?
How Do You Get A Spermatocele?
Published: 2017/11/13
Channel: Ywads Yefd
What Causes Cysts On Testicles?
What Causes Cysts On Testicles?
Published: 2017/09/01
Channel: Beg the Question
Epidedymal Cyst Removal by Dr Praveen Choudhary
Epidedymal Cyst Removal by Dr Praveen Choudhary
Published: 2014/02/20
Channel: Dr Praveen Choudhary
What Is The Meaning Of Spermatocele?
What Is The Meaning Of Spermatocele?
Published: 2017/11/13
Channel: Afyujj Asuin
SUPER NUT. SURGERY GONE WRONG
SUPER NUT. SURGERY GONE WRONG
Published: 2017/01/28
Channel: Jeremy Anderson
What Causes A Spermatocele?
What Causes A Spermatocele?
Published: 2017/09/11
Channel: Shadow the Question
What Is A Spermatocele?
What Is A Spermatocele?
Published: 2017/11/13
Channel: Bixopu bixo
Do your balls hang low?
Do your balls hang low?
Published: 2016/05/14
Channel: Yourology101
How Do You Get A Spermatocele?
How Do You Get A Spermatocele?
Published: 2017/09/11
Channel: Shadow the Question
What Is A Spermatocele?
What Is A Spermatocele?
Published: 2017/09/11
Channel: Shadow the Question
Percutaneous Epididymal Sperm Aspiration - Short Version
Percutaneous Epididymal Sperm Aspiration - Short Version
Published: 2011/10/10
Channel: VideosAndrofert
BILATERMAL RETE TESTIS MASS with RT SPERMATOCELE
BILATERMAL RETE TESTIS MASS with RT SPERMATOCELE
Published: 2015/03/14
Channel: Tahir Ultrasound Center
What Is A Spermatocele?
What Is A Spermatocele?
Published: 2017/08/30
Channel: Don't Question Me
QA Spermatocele and Skin Tag
QA Spermatocele and Skin Tag
Published: 2014/12/08
Channel: Stages of Life Media
Is Spermatocele Cancerous?
Is Spermatocele Cancerous?
Published: 2017/09/01
Channel: Beg the Question
What Is A Spermatocele?
What Is A Spermatocele?
Published: 2017/09/01
Channel: Beyond Question
How Do You Get A Spermatocele?
How Do You Get A Spermatocele?
Published: 2017/09/01
Channel: Beg the Question
What Causes A Spermatocele?
What Causes A Spermatocele?
Published: 2017/09/01
Channel: Beg the Question
What Causes Cysts On Testicles?
What Causes Cysts On Testicles?
Published: 2017/10/11
Channel: Pan Pan 2
EPIDIDYMAL CYST- Scrotal Swellings
EPIDIDYMAL CYST- Scrotal Swellings
Published: 2016/01/02
Channel: Surgical Educator
Do Spermatoceles Go Away On Their Own?
Do Spermatoceles Go Away On Their Own?
Published: 2017/09/11
Channel: Shadow the Question
I FOUND A LUMP | JamieTLD
I FOUND A LUMP | JamieTLD
Published: 2016/11/14
Channel: JamieTLD
Artificial Spermatocele Treatment in Male or Female? and Placement of Penile Implants : TV5 Newsws
Artificial Spermatocele Treatment in Male or Female? and Placement of Penile Implants : TV5 Newsws
Published: 2015/02/03
Channel: TV5 News
How to Pronounce Spermatocele
How to Pronounce Spermatocele
Published: 2013/11/14
Channel: Emma Saying
After Justin
After Justin's surgery...
Published: 2012/02/11
Channel: Jarrod Adams
What Causes Epididymal Cysts?
What Causes Epididymal Cysts?
Published: 2017/08/30
Channel: Don't Question Me
Do Testicular Cysts Go Away On Their Own?
Do Testicular Cysts Go Away On Their Own?
Published: 2017/08/15
Channel: sandy sandy
Excision Of Epididimal Cyst   Scrotal Exploration   YouTube
Excision Of Epididimal Cyst Scrotal Exploration YouTube
Published: 2013/11/13
Channel: urology.expert
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WIKIPEDIA ARTICLE

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Dilated rete testis containing spermatozoa within cyst lumen. H&E stain 20x
Spermatocele
Spermatocele.JPG
Ultrasound of a testicle (grey) and a spermatocele (black).
Classification and external resources
Specialty urology
ICD-10 N43.4
ICD-9-CM 608.1
DiseasesDB 31243
MeSH D013088

Spermatocele (/spɜːrˈmætəsl/[1][2]) is a retention cyst of a tubule of the rete testis or the head of the epididymis distended with barely watery fluid that contains spermatozoa. Small spermatoceles are relatively common, occurring in an estimated 30 percent of all men[3]. They vary in size from several millimeters to many centimeters. Spermatoceles are generally not painful. However, some men may experience discomfort from larger spermatoceles. They are not cancerous, nor do they cause an increased risk of testicular cancer. Additionally, unlike varicoceles, they do not have a negative impact on fertility[4].

Causes[edit]

Spermatoceles can originate as diverticulum from the tubules found in the head of the epididymis. Sperm formation gradually causes the diverticulum to increase in size, causing a spermatocele. They are due to continuity between the epididymis and tunica vaginalis.

They are also believed to result from epididymitis, physical trauma, or vasectomy[5]. Scarring of any part of the epididymis can cause it to become obstructed and in turn form a spermatocele[6].

Diagnosis[edit]

Micrograph of a spermatocele. The characteristic sperm are present (black dots - left of image). H&E stain.

Spermatoceles can be discovered as incidental scrotal masses found on physical examination by a physician. They may also be discovered by self-inspection of the scrotum and testicles.

Finding a painless, cystic mass at the head of the epididymis, that transilluminates and can be clearly differentiated from the testicle, is generally sufficient. If uncertainty exists, ultrasonography of the scrotum can confirm if it is spermatocele.

If an individual finds what he suspects to be a spermatocele, he is advised to consult a urologist.

Treatment[edit]

Small cysts are best left alone, as are larger cysts that are an asymptomatic condition. Only when the cysts are causing discomfort and are enlarging in size, or the patient wants the spermatocele removed, should a spermatocelectomy be considered. Pain may persist even after removal.

Spermatocelectomy can be performed on an outpatient basis, with the use of local or general anesthesia.

A spermatocelectomy will not improve fertility.

References[edit]

  1. ^ Entry "spermatocele" in Merriam-Webster Online Dictionary.
  2. ^ OED 2nd edition, 1989.
  3. ^ "UroPartners - Spermatoceles". www.uropartners.com. Retrieved 2017-11-21. 
  4. ^ "Urology Care Foundation - What are Spermatoceles (Spermatic Cysts)?". www.urologyhealth.org. Retrieved 2017-11-21. 
  5. ^ "Spermatocele | Prime Health Channel". Prime Health Channel. 2013-01-13. Retrieved 2017-11-21. 
  6. ^ "Spermatocele: Testicular cysts usually need no treatment". Mayo Clinic. Retrieved 2017-11-21. 

See also[edit]

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