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Spermatoceles: symptoms, causes, treatment and possible complications


Spermatozale( cyst of the epididymis) is a benign hollow formation on the testicle or its appendage.The condition arises from the violation of a full-fledged outflow of secretion from the epididymis.The disease can be of an innate or acquired nature.In other words, it is a cyst, since it is an oval formation in a fibrous capsule that is not associated with surrounding tissues.

More often the cyst is small in size, so there is practically no symptomatology.When the spermatoceles begin to grow, the first symptoms appear and you need to see a doctor immediately.

Important! Because of the anatomical and physiological characteristics of the male body, the cyst of the left testicle is more common.

Table of contents: Reasons for development Clinical picture Diagnosis of pathology Treatment of spermatoceles, surgery Possible complications Prevention of spermatoceles

Reasons for development


Congenital cyst is formed in the uterus during embryogenesis.For this reason, up to 50% of all cases of

develop.Pathology is found in newborn babies, either in the senior or adolescent years.

Important! In congenital spermatoceles, the inner contents do not have spermatozoa and are a clear liquid.Sometimes such cysts do not grow and eventually dissolve by themselves.

Acquired spermatoceles develop due to impairment of sperm outflow through the appendages.

Seed cyst may be caused by the following factors :

  • previous inflammatory diseases of epididymis and testicles;
  • trauma to the scrotum and genitals;
  • adolescence and adulthood;
  • surgery on the testicles.

Clinical picture

Symptoms of spermatoceles may not occur for a long time.This is due to the fact that benign neoplasms have small dimensions. This stage of pathology does not require treatment, because the cyst does not grow and does not regress.

Important! To determine the visual disease can only be when the cavity with the liquid is large.Spermatoceles can be detected by palpation of the scrotum yourself or by a doctor as a urologist.

When the cyst begins to expand, the following symptoms appear:

  • Cyst-epididymis-right-testicle painful sensations;
  • discomfort;
  • clear form of compaction without adhesion to surrounding tissues;
  • severity even with small physical exertion, sitting, walking and sexual intercourse;
  • seal in the bag;
  • slight increase in temperature;
  • general malaise;
  • if spermatoceles are accompanied by inflammation, swelling and redness of the scrotum are possible, touching the neoplasm causes severe pain.

When the pathology progresses, the symptoms intensify.The pain becomes so strong that it is impossible to endure it.

Unfortunately, due to the absence of symptoms, it is only possible to diagnose pathology in the early stages during a preventive examination.

Diagnosis of pathology

Cpermatotsele Ultrasound and diaphanoscopy are the main diagnostic measures for the spermatocele .Due to its efficiency and low cost, diafanoscopy is particularly popular.In this method, the pathological neoplasm is revealed by means of the scrotal translucence by a special device.

What kind of education contains a bag, determined by ultrasound.This study also helps to determine the exact location of the cyst, which is very important for surgical intervention.

In advanced cases, an MRI or CT scan is required.

Treatment of spermatoceles, operation

If the spermatoceles do not grow, do not cause pain and discomfort, does not treat pathology.Doctors choose expectant tactics, since sometimes an insignificant cyst size completely resolves itself.

Treatment of large lesions is performed by a surgical method, in which excision of the cyst is performed. Analgesics and anti-inflammatory drugs are prescribed as an analgesic and for the elimination of discomfort.

Spermathecelectomy is the most common operation.Microsurgical manipulation is performed under local anesthesia and optical magnification.A cut is made and the cyst is removed without affecting the testis tissue with the epididymis.After the operation, the morphological analysis of the contents of the cyst is carried out.

After excision, the patient should wear a supporting suspension for at least two days.To eliminate swelling and to avoid the appearance of bruising, cold compresses are used.

Spermathecelectomy is the only guaranteed method of getting rid of pathology.However, some patients are contraindicated in surgical treatment.In such cases, the patient is prescribed treatment with palliative methods:

  • puncture of the cavity with a special needle( needle aspiration);
  • removal of part of the contents of the cyst, followed by its replacement with a medical solution( sclerotherapy).

Treatment with folk remedies is only permissible if the cyst does not increase in size and does not cause discomfort.

Popular folk remedies for the treatment of spermatoceles :

  • infusion of nettle and decoction from the root of horse sorrel for ingestion;
  • Jasmine Ointment( for a glass of olive oil, 50 g of jasmine flowers).Rub into the affected organ;
  • a pack of peas and beers, lotions made of melted potatoes and peaches on white wine.

Important! Before using any folk remedies, be sure to consult a doctor.

Possible complications

The most common complication of spermatoceles is inflammation of the cyst with its suppuration .This can occur due to hypothermia, or the entry of bacterial or viral agents into the scrotum.

A ruptured cyst of the spermatic cord is a dangerous complication of pathology.This may result in a trauma cyst.

Another complication of spermatoceles is male infertility.The cyst grows on the way of the vas deferens, which prevents a normal outflow of sperm.

Prevention of spermatoceles

Prevention of congenital pathology is to eliminate the negative effects on the fetus during pregnancy .It is necessary to exclude the use of alcohol, quit smoking and eat right.

To prevent the development of the acquired form of spermatoceles, beware of genital tract injuries and hypothermia.

Periodically examine the urologist who will be able to detect the pathology at an early stage.

Radevich Igor Tadeushevich, a sexually pathological andrologist of the 1st category

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