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Spermatocelectomy

at Cedars-Sinai Marina del Rey Hospital

The excellent staff at Cedars-Sinai Marina del Rey Hospital will provide you with the care needed for you to get through the spermatocelectomy, if this will be the treatment option recommended to you. Here you will benefit from the latest developments in methods of treatment, the urologists at Cedars-Sinai Marina del Rey Hospital having the specialized training to employ these methods. Due to the care provided to you by our dedicated staff, your health will be brought back to the level you were accustomed to.

Spermatocelectomy is a surgical procedure by which a surgeon removes a large or painful spermatocele separating it from the epididymis. Spermatocele can appear due to trauma, infection, or congenital abnormalities and they are benign cyst-like masses filled with fluid and dead sperm cells causing discomfort to the patient.

The procedure is done under sedation or general anesthesia depending on the health and preferences of the patient and of the surgeon.

During surgery, an incision will be made in the scrotum and the testicle in order to reach and cut off the spermatocele while preserving the epididymis.

Absorbable sutures will be used to close the area. Post-surgery, the patient will be asked to take pain medication for a few days and apply ice packs to the affected area to help with pain and swelling.

Untreated spermatoceles can grow large in time creating discomfort and pain for the patient.

Spermatocelectomy can help by preventing future complications such as infection, fever, pain or bleeding, or a decrease in the blood supply to the penis (rare).

The removal of large spermatoceles will also eliminate the pressure on the testes and the redness of the scrotum.

Being an invasive surgical procedure, spermatocelectomy has certain risks. In some cases, epididymal injury and obstruction may occur causing infertility. Other risks refer to scrotal hematoma formation, wound infection, swelling, and recurrence of the spermatocele. A patient can also develop chronic pain in the area that has been operated on or testicular ischemia due to loss of blood flow to the testicle. Inability to urinate or reactions to post-surgery medication can also occur.