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Spermatocele is a fluid-filled cyst that develops in the epididymis. [3] The fluid is usually a clear or milky white color and may contain sperm . [ 4 ] Spermatoceles are typically filled with spermatozoa [ 5 ] and they can vary in size from several millimeters to many centimeters.
A spermatocelectomy is a surgical procedure performed to remove a spermatocele [1] by separating it from the epididymis. The patient is given an anesthetic in the groin and a small incision is made into the scrotum. The surgeon pulls the testicle and epididymis to the incision and separates the spermatocele by tying it off with a suture.
The exact cause of an epididymal cyst is unknown, but it is most likely a congenital anomaly associated with hormonal imbalances during embryonic life. [3] Previous research has shown a correlation between the development of epididymal cysts and maternal exposure to endocrine disrupting substances like diethylstilbestrol during male fetal development.
If the hematocele is relatively small and does not cause a lot of pain, conservative treatment such as foot elevation and bed rest may be sufficient. [11] In more severe cases, surgical intervention may become necessary. [11] Surgery may be performed to drain the accumulated blood from the scrotum. [11]
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Diagnosis may involve testing urine samples or an ultrasound. Treatment can include antibiotics, medications to address pain and swelling, or surgical removal of the epididymis. [18] Epididymal cysts is a mass that forms in the epididymis. [10] These cysts differ from spermatoceles as they contain clear fluid, rather than seminal fluid.
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