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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.
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.
This is due to the fact that the scrotum tends to swell after the surgery. [11] This swelling can cause discomfort or pain that does not easily go away. [11] Prescription medications are often given to help the patient recover from the surgery. [11] Regular medical checkups can help a doctor to look out for any type of hematocele. [11]
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Sperm granulomas can appear as a result of surgery (such as a vasectomy), trauma, or an infection (such as sexually transmitted diseases). [3] They can appear as early as four days after surgery and fully formed ones can appear as late as 208 days later. [4] Sperm granulomas are a common complication of different types of vasectomy.
Whether having varicocele surgery or embolization improves male fertility is controversial, as good clinical data is lacking. [9] There is tentative evidence that varicocelectomy may improve fertility in those with obvious findings and abnormal sperm; [ 4 ] however, this has a number needed to treat of 7 for varicocelectomy and 17 for embolization.