A spermatocele is a collection of sperm in the scrotum that forms a lump. These lumps are common and are more likely to form as a man gets older. They do not turn into cancer.
Doctors don't know what causes them. A blockage in the tube that carries sperm through the scrotum can cause sperm to collect. The blockage can be caused by an injury to the scrotum or an infection. But most of the time, the cause is not found.
You may not need any treatment. But if the lump is large or painful, you may have surgery to remove it. Or your doctor may remove the fluid from the lump. And in some cases, after removing the fluid, your doctor may put medicine into where the fluid was taken out. This helps to keep fluid from building up again.
Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.
How can you care for yourself at home?
Be safe with medicines. Take your medicines exactly as prescribed. Call your doctor if you have any problems with your medicine. You will get more details on the specific medicines your doctor prescribes.
Learn how to check your testicles so you can see if the lump changes. This can also help you find a spermatocele that comes back after treatment.
When should you call for help?
Call your doctor now or seek immediate medical care if:
You have bleeding or discharge from your penis.
Your urine is cloudy or smells bad.
You have pain in your pubic area.
Watch closely for changes in your health, and be sure to contact your doctor if:
Clinical Review Board All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.
Clinical Review Board All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.
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The Health Encyclopedia contains general health information. Not all treatments or services described are covered benefits for Kaiser Permanente members or offered as services by Kaiser Permanente. For a list of covered benefits, please refer to your Evidence of Coverage or Summary Plan Description. For recommended treatments, please consult with your health care provider.