Spermatocele (Sperm Filled Epididymal Cyst)
Description
A sperm-filled sac that develops within the epididymis. The epididymis is a tube that lies on top of the testicle. Patients typically palpate a smooth firm lump above the testicle. Rarely patients experience infertility.
Symptoms
Painless mass in scrotum, painful mass in scrotum, infertility, enlarged scrotum.
Tests
A history and physical exam will be performed. An ultrasound is typically performed to confirm the diagnosis and rule out other causes of the mass.
Standard Workup
- Ultrasound
Treatment
All scrotal masses need an evaluation. Most spermatoceles do not require therapy. Occasionally surgery is needed.
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