Spermatocele – Leczenie

Spermatocele (torbiel nasiennika) to zazwyczaj niezłośliwa, wypełniona płynem torbiel, która rozwija się w najądrzu, tuż nad jądrem. W większości przypadków spermatocele nie wymaga leczenia, ponieważ zazwyczaj nie powoduje bólu ani powikłań i pozostaje stabilna pod względem wielkości¹²³. Jednakże, jeśli spermatocele powiększa się, powoduje ból lub dyskomfort, lekarz może zalecić różne opcje terapeutyczne.

Leczenie zachowawcze

Dla większości pacjentów ze spermatocele zalecana jest obserwacja i monitorowanie zmian, zwłaszcza gdy torbiel jest mała i bezobjawowa³⁴. W przypadku wystąpienia bólu lub dyskomfortu, pierwszą linią leczenia są zazwyczaj leki przeciwbólowe dostępne bez recepty:

Paracetamol (Tylenol i inne)¹⁵
Ibuprofen (Advil, Motrin IB i inne)¹⁵
Niesteroidowe leki przeciwzapalne (NLPZ)⁶

Jeśli u pacjenta występuje zapalenie najądrza, które może być przyczyną dyskomfortu, mogą być wskazane antybiotyki³. Leczenie zachowawcze jest odpowiednie dla większości pacjentów, ponieważ spermatocele zazwyczaj nie znikają samoistnie, ale często pozostają stabilne i nie powodują poważnych problemów⁷².

Leczenie chirurgiczne

Spermatocelectomia jest standardową procedurą chirurgiczną stosowaną w leczeniu objawowego spermatocele i polega na chirurgicznym usunięciu torbieli z przylegającej tkanki najądrza¹³⁸. Zabieg ten wykonuje się w trybie ambulatoryjnym, przy zastosowaniu znieczulenia miejscowego lub ogólnego. Chirurg wykonuje nacięcie w mosznie i oddziela spermatocele od najądrza²¹.

Po zabiegu pacjent może wymagać noszenia wypełnionej gazą opaski uciskowej, aby zabezpieczyć miejsce nacięcia. Lekarz może również zalecić:⁹

Stosowanie okładów z lodu przez dwa lub trzy dni, aby zmniejszyć obrzęk
Przyjmowanie doustnych leków przeciwbólowych przez dzień lub dwa
Zgłoszenie się na wizytę kontrolną po 1-3 tygodniach od zabiegu

Skuteczność spermatocelectomii jest wysoka – w jednym z badań 94% pacjentów, którzy przeszli usunięcie bolesnego spermatocele, zostało uwolnionych od bólu¹⁰. Jednak pomimo wysokiej skuteczności, zabieg ten wiąże się z pewnymi ryzykami.

Potencjalne powikłania spermatocelectomii

Spermatocelectomia, choć jest bezpieczną i rutynową procedurą, może prowadzić do następujących powikłań:¹¹¹²¹³

Uszkodzenie najądrza – udokumentowane u 17,12% pacjentów poddawanych spermatocelectomii w jednym z badań³
Uszkodzenie nasieniowodu (vas deferens)
Krwiak i krwawienie
Zakażenie rany
Ropień moszny
Nawrót spermatocele – występuje w około 10-25% przypadków¹³

Szczególnie istotne jest ryzyko wpływu na płodność. Uszkodzenie najądrza może prowadzić do niedrożności najądrza, co z kolei może prowadzić do subfertylności lub niepłodności¹³. Z tego powodu interwencja chirurgiczna powinna być unikana u mężczyzn, którzy nadal planują posiadanie dzieci¹¹⁹.

Alternatywne metody leczenia

Istnieją również mniej inwazyjne metody leczenia spermatocele, choć są one rzadziej stosowane ze względu na ryzyko powikłań i mniejszą skuteczność w porównaniu z chirurgicznym usunięciem.

Aspiracja

Aspiracja to procedura, podczas której specjalna igła jest wprowadzana do spermatocele, a płyn jest usuwany (aspirowany)¹⁷. Technika ta może zapewnić tymczasową ulgę od objawów, takich jak dyskomfort, ból i obrzęk¹⁴. Jednak sama aspiracja nie jest zwykle zalecana, ponieważ wiąże się z wysokim wskaźnikiem nawrotów (spermatocele powraca po pewnym czasie po zabiegu)¹⁵. Dodatkowe ryzyko obejmuje infekcję, krwiak i wyciek drażniących plemników w mosznie¹².

Skleroterapia

Skleroterapia jest wykonywana po aspiracji płynu, a następnie wstrzyknięciu drażniącego środka chemicznego do worka spermatocele¹. Środek drażniący powoduje bliznowacenie worka spermatocele, co zajmuje przestrzeń, którą zajmował płyn, i zmniejsza ryzyko nawrotu spermatocele¹¹⁶.

Stosowane środki sklerotyzujące obejmują:⁴

Polidokanol
99,5% alkohol
5% oleinian etanoloaminy
Fenol
Tetracyklina
Doksycyklina (200-400 mg)¹⁰

W przypadku stosowania polidokanolu, wskaźniki powodzenia wynosiły 34-59% po pojedynczym podaniu. Przy powtarzanych zabiegach, aż do 89% przypadków uznano ostatecznie za skuteczne¹⁰. Brockman i wsp. przeprowadzili badanie aspiracji i skleroterapii z zastosowaniem doksycykliny u 11 pacjentów ze spermatocele i doszli do wniosku, że procedura ta jest bezpieczną i skuteczną alternatywą dla pacjentów, którzy chcą uniknąć operacji¹⁰.

Początkowy wskaźnik powodzenia pojedynczej procedury aspiracji i skleroterapii spermatocele wynosi ponad 75%, co oznacza, że 3 na 4 pacjentów jest wolnych od objawów już po jednym zabiegu. Przy wielu zabiegach wskaźnik powodzenia wzrasta do prawie 95%¹⁷.

Ograniczenia skleroterapii

Skleroterapia, choć jest alternatywą dla wycięcia chirurgicznego, wydaje się być mniej skuteczna³. Jest ona zwykle zarezerwowana dla mężczyzn, którzy nie planują ojcostwa w przyszłości, ze względu na ryzyko, że wynikające z niej chemiczne zapalenie najądrza i uszkodzenie najądrza mogą upośledzić płodność³¹².

Możliwe powikłania skleroterapii obejmują:⁹¹⁵

Uszkodzenie najądrza
Chemiczne zapalenie najądrza
Nawrót spermatocele
Wpływ na płodność

Zalecenia dla pacjentów planujących ojcostwo

Ze względu na potencjalne ryzyko wpływu na płodność, operacja i skleroterapia są generalnie unikane u mężczyzn, którzy pragną mieć dzieci¹⁵. Z tego powodu te procedury mogą być opóźnione do czasu zakończenia planu posiadania dzieci¹¹⁹.

Jeśli spermatocele powoduje tak duży dyskomfort, że pacjent nie chce czekać, należy omówić z lekarzem ryzyko i korzyści związane z bankowaniem spermy¹¹⁹. Osoby zainteresowane powinny porozmawiać z lekarzem, który może wyjaśnić dostępne opcje leczenia, w tym wpływ terapii na zdolność posiadania biologicznych dzieci¹⁸.

Wskazania do leczenia

Nie wszystkie spermatocele wymagają leczenia. Interwencja jest zwykle wskazana w następujących przypadkach:⁴¹⁹

Spermatocele powoduje dyskomfort lub ból
Spermatocele powiększa się
Pacjent odczuwa znaczący dyskomfort psychospołeczny z powodu spermatocele
Rzadko – gdy spermatocele zmniejsza dopływ krwi do prącia

W przypadku spermatocele, które nie powoduje objawów, preferowane podejście to obserwacja i regularne badania kontrolne w celu monitorowania stanu pacjenta²⁰.

Podsumowanie leczenia spermatocele

Spermatocele to zazwyczaj łagodny stan, który w większości przypadków nie wymaga leczenia. Jeśli jednak powoduje ból lub dyskomfort, dostępne są różne opcje terapeutyczne, od leków przeciwbólowych po interwencje chirurgiczne¹².

Spermatocelectomia pozostaje najlepszym leczeniem chirurgicznym objawowego spermatocele, z wysokim wskaźnikiem powodzenia¹⁰. Alternatywne techniki, takie jak aspiracja i skleroterapia, mogą być rozważane w wybranych przypadkach, ale wiążą się z wyższym ryzykiem nawrotu i potencjalnym wpływem na płodność³⁴.

Kluczowe jest, aby pacjenci omówili z lekarzem potencjalne ryzyko i korzyści każdej opcji leczenia, zwłaszcza jeśli planują posiadanie dzieci w przyszłości¹¹⁸. Regularne badania kontrolne i odpowiednie monitorowanie są niezbędne, aby zapewnić skuteczne zarządzanie tym stanem.

Kolejne rozdziały

Zapraszamy do dalszego czytania naszego leksykonu.

Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

Materiały źródłowe

#1 Spermatocele – Diagnosis & treatment – Mayo Clinic
https://www.mayoclinic.org/diseases-conditions/spermatocele/diagnosis-treatment/drc-20377833
Although your spermatocele probably won’t go away on its own, most spermatoceles don’t need treatment. They generally don’t cause pain or complications. If yours is painful, your doctor might recommend over-the-counter pain medications, such as acetaminophen (Tylenol, others) or ibuprofen (Advil, Motrin IB, others). […] A procedure called a spermatocelectomy generally is performed on an outpatient basis, using a local or general anesthetic. The surgeon makes an incision in the scrotum and separates the spermatocele from the epididymis. […] Other treatments include aspiration and sclerotherapy, though these are rarely used. During aspiration, a special needle is inserted into the spermatocele and fluid is removed (aspirated). […] If the spermatocele recurs, your doctor might recommend aspirating the fluid again and then injecting an irritating chemical into the sac (sclerotherapy). The irritating agent causes the spermatocele sac to scar, which takes up the space the fluid occupied and lowers the risk of the spermatocele coming back.
#2 Spermatocele: Causes, Symptoms, Diagnosis & Treatment
https://my.clevelandclinic.org/health/diseases/17492-spermatocele
Spermatoceles wont likely go away without treatment. […] Most spermatoceles remain small in size and cause few or no symptoms. You dont need treatment if a spermatocele doesnt cause pain or discomfort. […] If you have long-term pain or discomfort, a provider may recommend surgery to get rid of a spermatocele. […] A healthcare provider who specializes in conditions that affect your urinary system and reproductive system (urologist) performs surgery to remove a spermatocele (spermatocelectomy). […] A spermatocelectomy is an outpatient procedure. That means you can go home after surgery instead of staying in the hospital for a day or more. […] During a spermatocelectomy, your surgeon makes a cut (incision) in your scrotum or groin area. Theyll access and remove the spermatocele from this incision.
#3 Spermatocele Treatment & Management: Medical Therapy, Surgical Therapy, Preoperative Details
https://emedicine.medscape.com/article/443432-treatment
No specific medical therapy is indicated for treatment of a simple spermatocele. Oral analgesics may be prescribed for symptomatic relief. If an underlying epididymitis is responsible for discomfort, antibiotics may be indicated. Observation is usually used for simple, small asymptomatic spermatoceles. […] Spermatocelectomy via a transscrotal approach is the primary operative intervention for spermatocele, and it may be offered to any reasonable surgical candidate. Systemic anticoagulation and desire to father children are relative contraindications. Epididymal injury, which may lead to infertility, was documented in 17.12% of patients undergoing spermatocelectomy in one study. […] Sclerotherapy is an alternative to excision, but results appear to be less effective. Sclerotherapy is usually reserved for men who have no desire for future paternity, because of the risk that ensuing chemical epididymitis and resultant epididymal damage may impair fertility.
#4 Spermatocele: Practice Essentials, History of the Procedure, Problem
https://emedicine.medscape.com/article/443432-overview
Spermatoceles are typically asymptomatic and do not require treatment. Intervention may be considered for uncomfortable, painful, or progressively enlarging spermatoceles. […] Treatment for spermatoceles is with sclerotherapy or surgical excision. In the former, aspiration of the fluid from the spermatocele is followed by injection of a sclerosing agent (eg, polidocanol, 99.5% alcohol, 5% ethanolamine oleate, phenol, tetracycline) to reduce recurrences. […] Surgery consists of spermatocelectomy; microsurgical spermatocelectomy may reduce the risk of epididymal injury, testicular atrophy, and recurrence. […] Surgical intervention is not indicated for the incidental asymptomatic spermatocele. However, if discomfort, pain, or progressive enlargement is bothersome to the patient, discussion regarding excision may ensue. Spermatocelectomy may be offered to symptomatic patients who are reasonable surgical candidates.
#5 Spermatoceles Treatment – Comprehensive Urology
https://comprehensive-urology.com/mens-health/spermatocele/
Spermatoceles can be treated with two main options: medications and surgical procedures. […] If your spermatocele is causing pain, your doctor might recommend over-the-counter pain medications, such as acetaminophen (Tylenol, others) or ibuprofen (Advil, Motrin IB, others). These medications can help alleviate the discomfort associated with the cyst. […] If your spermatocele is large or causing significant discomfort, you could benefit from surgery. The procedure called spermatocelectomy happens on an outpatient basis. Under anesthetic, they make an incision in your scrotum and detach the spermatocele from your epididymis. […] You can go home the same day and you might need to wear an athletic support filled with gauze afterward. This applies pressure to the wound and protects it. Using ice packs for 2-3 days helps reduce swelling. Moreover, you must return to Comprehensive Urology for a follow-up exam 1-2 weeks after surgery.
#6 Spermatocele – Wikipedia
https://en.wikipedia.org/wiki/Spermatocele
Small cysts as well as asymptomatic larger cysts are better left alone and carefully observed. However, treatment can be considered if the cysts are causing discomfort/pain, enlarging in size, or per patient request. There are a few different treatment options, ranging in levels of invasiveness. […] Certain drugs such as oral analgesics or anti-inflammatory medications can be taken by mouth to decrease spermatocele-related symptoms such as pain and/or swelling. At the moment, there is no medication that can inhibit the production of a spermatocele or cure it. Common medications recommended by doctors are acetaminophen (Tylenol) that can treat pain. To treat the inflammation and pain, non-steroidal anti-inflammatory drugs (NSAIDs) are recommended such as ibuprofen (Motrin, Advil), naproxen (Aleve), and others. Antibiotics may also be prescribed in cases where risk of infection and discomfort is indicated.
#7 Spermatocele: Treatment, Symptoms, and More
https://www.healthline.com/health/mens-health/spermatocele
Spermatoceles arent cancerous and are usually pain-free. Most people wont need treatment. Instead, your doctor will monitor the cyst during regular doctor appointments. […] Spermatoceles may require medical attention if they grow too large or begin to cause pain. […] Medical therapy is limited to oral medications to fight pain and reduce swelling. No drug has been developed to cure or prevent spermatoceles. […] There are two minimally invasive therapies available, but these are rarely used. […] Aspiration. Your doctor will use a needle to puncture the spermatocele and then drain the fluid. […] Sclerotherapy. Your doctor will inject an irritating agent into the cyst. This promotes healing and discourages the fluid from accumulating again. […] These therapy options have been shown to work, but they arent usually recommended. Thats because theres a risk that the epididymis may be harmed, leading to fertility problems. Another common problem is that the spermatoceles can come back.
#8 Spermatocele: Treatment, Symptoms, and More
https://www.healthline.com/health/mens-health/spermatocele
Surgical therapy known as spermatocelectomy is the most common treatment for a symptomatic spermatocele. The aim is to remove the cyst from the epididymis while, at the same time, preserve the genital system. This surgery is done as an outpatient procedure. […] If you do experience pain or discomfort, spermatocelectomy should provide relief, though there is risk for complications that may affect fertility. […] Discuss the risks and benefits of treatment options with your doctor, and let them know about any concerns you have, including the effect treatment will have on fertility.
#9 Spermatocele // Middlesex Health
https://middlesexhealth.org/learning-center/diseases-and-conditions/spermatocele
Spermatocele Treatment, therapy […] Although your spermatocele probably won’t go away on its own, most spermatoceles don’t need treatment. They generally don’t cause pain or complications. If yours is painful, your doctor might recommend over-the-counter pain medications, such as acetaminophen (Tylenol, others) or ibuprofen (Advil, Motrin IB, others). […] A procedure called a spermatocelectomy generally is performed on an outpatient basis, using a local or general anesthetic. The surgeon makes an incision in the scrotum and separates the spermatocele from the epididymis. […] After surgery, you might need to wear a gauze-filled athletic supporter to apply pressure to and protect the site of the incision. Your doctor might also tell you to: Apply ice packs for two or three days to keep swelling down, Take oral pain medications for a day or two, Return for a follow-up exam between one and three weeks after surgery. […] Possible complications from surgical removal that might affect fertility include damage to the epididymis or to the tube that transports sperm (vas deferens). It’s also possible that a spermatocele might come back, even after surgery. […] Other treatments include aspiration and sclerotherapy, though these are rarely used. During aspiration, a special needle is inserted into the spermatocele and fluid is removed (aspirated). […] If the spermatocele recurs, your doctor might recommend aspirating the fluid again and then injecting an irritating chemical into the sac (sclerotherapy). The irritating agent causes the spermatocele sac to scar, which takes up the space the fluid occupied and lowers the risk of the spermatocele coming back. […] Damage to the epididymis is a possible complication of sclerotherapy. It’s also possible that your spermatocele might come back. […] Surgery can potentially cause damage to the epididymis or the vas deferens, and sclerotherapy might damage the epididymis, which can affect fertility. Because of this concern, these procedures might be delayed until you’re done having children. If the spermatocele is causing so much discomfort that you don’t want to wait, talk with your doctor about the risks and benefits of sperm banking.
#10 Spermatocele Treatment & Management: Medical Therapy, Surgical Therapy, Preoperative Details
https://emedicine.medscape.com/article/443432-treatment
With polidocanol instillation, success rates of 34-59% were noted after a single instillation. With repeated treatments, up to 89% were ultimately considered successful. […] Brockman et al reported on aspiration and sclerotherapy with doxycycline (200-400 mg) in 11 patients with spermatoceles, and concluded that the procedure is a safe and effective treatment alternative for patients who wish to avoid surgery. […] The expected outcome and prognosis of spermatocelectomy are excellent. In one study of patients who underwent excision of an uncomfortable spermatocele, 94% were rendered pain-free. Spermatocelectomy remains the best surgical treatment for symptomatic spermatoceles. […] Conversely, although sclerotherapy may carry a decreased incidence of wound complications and potentially lower associated costs, its efficacy is generally considered inferior.
#11 Spermatocele – Diagnosis & treatment – Mayo Clinic
https://www.mayoclinic.org/diseases-conditions/spermatocele/diagnosis-treatment/drc-20377833
Surgery can potentially cause damage to the epididymis or the vas deferens, and sclerotherapy might damage the epididymis, which can affect fertility. Because of this concern, these procedures might be delayed until you’re done having children. If the spermatocele is causing so much discomfort that you don’t want to wait, talk with your doctor about the risks and benefits of sperm banking.
#12 Spermatocele: Practice Essentials, History of the Procedure, Problem
https://emedicine.medscape.com/article/443432-overview
Needle aspiration of a spermatocele may lead to infection, spillage of irritating sperm within the scrotum, and reaccumulation of the spermatocele. Sclerotherapy is usually not performed in reproductive-aged men because of the risk of chemical epididymitis and resultant epididymal damage, which may contribute to future infertility. […] Complications of spermatocelectomy include hematoma and, less commonly, wound infection, scrotal abscess, or recurrence. A partial or total epididymectomy may be preferable to spermatocelectomy if the spermatocele has too many adhesions and dissection is complex.
#13 Spermatocele | Brandywine Urology Consultants
https://www.brandywineuc.com/urological-condition/spermatocele/
Surgical therapy: Spermatocelectomy is the standard treatment of symptomatic spermatoceles and involves surgical removal of the spermatocele from the adjoining epididymal tissue. The overall goal of surgical therapy is removal of the spermatocele with preservation of the continuity of the male reproductive tract. […] Potential complications of spermatocelectomy are not common but include fever, infection, bleeding (scrotal hematoma), recurrence and persistent pain. Recurrence of a spermatocele occurs in approximately 10-25% of cases. Furthermore, inadvertent epididymal obstruction may result, which can lead to subfertility or infertility. Therefore, intervention should be avoided in men who still desire children.
#14 How To Shrink A Spermatocele? | Credihealth
https://www.credihealth.com/blog/how-to-shrink-a-spermatocele
A doctor can prescribe pain medication to help alleviate discomfort or pain associated with a spermatocele. […] A doctor can prescribe anti-inflammatory medication to reduce inflammation associated with a spermatocele. […] Aspiration is when the cyst is drained using a needle and syringe under local anesthetic. […] The aspiration procedure can help reduce the cyst’s size and alleviate symptoms such as discomfort, pain, and swelling. […] Sclerotherapy is considered a safe and effective procedure for shrinking spermatoceles. […] Spermatocelectomy is a surgical procedure in which the cyst is removed. […] This procedure is usually recommended if the cyst is causing severe pain or discomfort or interfering with urination. […] There are a few risks associated with shrinking a spermatocele. […] Consult a doctor for the best treatment option and potential risks. Some treatments may have complications and may not be suitable for everyone. […] The cyst may return after treatment, and additional treatments may be needed.
#15 Can You Get Rid of a Spermatocele Naturally? Spermatocelectomy
https://www.medicinenet.com/can_you_get_rid_of_a_spermatocele_naturally/article.htm
Another, although less effective, alternative surgery is sclerotherapy. […] Aspiration alone is generally not preferred because it has a high recurrence rate (the spermatocele comes back in some time after the procedure). […] Having a spermatocele per se does not affect a mans fertility. However, treatment of a spermatocele (aspiration, surgery or sclerotherapy), may cause infertility. Surgery or sclerotherapy is generally avoided in men who wish to have children because there is a risk of epididymal injury that can cause infertility. Sclerotherapy may cause chemical epididymitis and resultant epididymal damage as side effects that may impair fertility.
#16 Risks and Advantages of Sclerotherapy Treatment Over Surgery
https://www.cavascular.com/spermatocele-surgery-risks-sclerotherapy/
Sclerotherapy offers several potential advantages over surgery. Firstly, it is a less invasive procedure that requires no incisions, reducing the risks associated with open surgery. The recovery time is one day if any, and the procedure is performed in our office. Additionally, sclerotherapy minimizes the risk of complications such as infection and bleeding, commonly associated with surgical interventions. […] One of the primary advantages of spermatocele sclerotherapy is the reduced postoperative pain compared to surgical excision. Surgery often involves incisions and tissue manipulation, leading to more significant discomfort during the recovery period. Sclerotherapy, being less invasive and suture free, results in fast recovery and minimal post-procedural pain. […] The impact of spermatocele treatment on fertility is a crucial consideration. Surgical excision, while effective in removing the cyst, might pose a risk to the delicate structures of the epididymis, potentially affecting sperm flow. Sclerotherapy, by contrast, aims to collapse the cyst without direct manipulation of surrounding tissues, theoretically minimizing the impact on sperm flow and fertility.
#17 Spermatocele Aspiration & Sclerotherapy Treatment – Top Doctor
https://www.cavascular.com/spermatocele-treatment-aspiration-sclerotherapy/
Sclerotherapy is important as it closes the cavity, preventing the fluid from returning. […] The initial success rate of a single spermatocele aspiration and sclerotherapy procedure is more than 75%, meaning 3 out of 4 patients are symptom-free just after one treatment. With multiple treatments, the success rate improves to nearly 95%.
#18 Spermatocele: Causes, Symptoms, Diagnosis & Treatment
https://my.clevelandclinic.org/health/diseases/17492-spermatocele
In general, a spermatocelectomy is a safe, routine procedure that should improve your spermatocele symptoms. […] Spermatoceles usually dont go away on their own without treatment. […] Larger spermatoceles may be painful or uncomfortable. In these cases, a spermatocelectomy may provide relief. […] If youre concerned, talk to a healthcare provider. They can explain your treatment options, including how therapies may affect your ability to have biological children.
#19 Spermatocele: Causes, Symptoms & Treatment Options – Pristyn Care
https://www.pristyncare.com/blog/spermatocele-causes-symptoms-treatment-options/
Not every Spermatocele requires treatment. However, if they cause significant discomfort, the following options are available: […] Surgery: In cases where the Spermatocele is large or symptomatic, surgical removal may be performed through a small incision in the scrotum. This is often the last resort when other treatment options have failed. […] Pain Management: Over-the-counter pain relievers can help manage the discomfort. […] Aspiration: This procedure involves using a needle to drain fluid from the cyst, providing temporary relief from pressure-related symptoms. […] Sclerotherapy: This treatment involves draining the cyst and injecting a sclerosing agent to reduce recurrence risk. However, it carries a risk of potentially damaging surrounding structures.
#20 Hydrocele and SpermatoceleÂ Treatment in the Central Coast of CA
https://www.urologyslo.com/services/hydrocele-and-spermatocele/
Hydrocele and spermatocele are common conditions affecting the male reproductive system. While they are usually not harmful, they can cause discomfort and affect your quality of life. […] A spermatocele is a cyst-like structure that forms in the epididymis, a small tube behind the testicle. It contains fluid and sperm and can cause a painless lump or swelling in the scrotum. Spermatoceles are benign (non cancerous) and do not affect fertility. […] With a hydrocele or spermatocele, it is important to first treat the underlying cause, as this will often lead to the resolution of the swelling. […] For small, painless hydroceles or spermatoceles that do not cause discomfort or affect your daily life, your doctor may recommend observation without immediate treatment. […] This procedure involves using a needle and syringe to remove the fluid from the hydrocele or spermatocele. This is a minor procedure performed in the clinic. Aspiration provides temporary relief from swelling but has a high recurrence rate.