Surgical treatment of spermatocele

A loyalty program is available for surgical interventions in the hospital, which makes treatment even more affordable.

Spermatocele, or epididymal cyst - is a benign neoplasm that has a hollow structure and is filled with serous fluid mixed with sperm. As a rule, the cyst develops asymptomatically for several months or years. As its size increases, discomfort, pain, erectile dysfunction and reproductive function may occur. In such cases, surgical treatment is required.

At «Oxford Medical», spermatocele removal is performed by top-class genital surgeons with over 20 years of experience. They use modern minimally invasive techniques that allow minimizing damage to healthy tissues and preserving the male reproductive function.

Thanks to the high qualification of surgeons and the availability of expert-class equipment, every man can be sure of receiving quality medical care. To make the stay in the hospital as comfortable as possible for patients, single and double hotel-type wards are equipped. The duration of hospitalization is from several hours to 1 day.

The causes of spermatocele formation are most often associated with impaired fluid outflow from the epididymal ducts and changes in its tissues after inflammation, trauma, or interventions. Epididymal cyst in men may develop under the influence of the following factors:

• previous inflammatory diseases of the scrotal organs and the epididymis (epididymitis, orchiepididymitis);

• scrotal injuries, including after physical exertion or household trauma;

• consequences of surgical interventions in the scrotal area or the inguinal canal;

• congenital anatomical features of the epididymal ducts and their narrowing;

• scar changes after inflammation or trauma that impair duct patency;

• age-related changes that may affect tissue elasticity and duct patency.

It is possible to definitively determine the likely cause and assess the risks of complications after a doctor’s examination and an ultrasound of the scrotal organs.

In the early stages of the disease, the symptoms of spermatocele are usually mild. However, it can be detected by a man during self-palpation of the scrotum.

You should make an appointment with a urologist or andrologist if you have the following signs of the disease:

• scrotal swelling, asymmetry;

• increase in the size of the testicle;

• palpation of a seal, neoplasm;

• feeling of heaviness in the scrotum;

• aching pain in the groin;

• difficulties with ejaculation;

• discomfort during sexual intercourse

These symptoms can be caused not only by spermatocele, but also by other diseases of the genitourinary system. Only a urologist or andrologist can make an accurate diagnosis after conducting tests, ultrasound and other examinations.

Before the operation, the patient is prescribed an ultrasound of the scrotum, as well as laboratory tests of blood and urine. In the case of general anesthesia, an electrocardiogram (ECG) and fluorography are additionally performed (the results are valid for a year).

A few days before the operation, it is recommended to stop taking medications that affect blood clotting, as well as to refrain from drinking alcoholic beverages.

At the preliminary consultation, the surgeon gives detailed recommendations on preparing for the operation.

Surgical removal of spermatocele is a safer and more effective method than aspiration and sclerotherapy. It guarantees complete removal of the tumor, no risk of recurrence and infertility.

Main stages of the operation:

1. First, the patient is given anesthesia (local or general anesthesia).

2. Then the surgeon makes an incision up to 5 cm long in the center or side of the scrotum to provide access to the spermatocele.

3. Next, the epididymal cyst is removed.

4. Sutures are applied to close the wound and a sterile bandage is applied.

Spermatocoelectomy is performed mainly under local anesthesia, which allows the patient to undergo simpler preparation for the operation and leave the clinic a few hours after its completion. However, if there are indications or the patient wishes, general anesthesia may be used. In this case, it is recommended that the patient remain in the hospital until the next morning.

Spermatocele is a benign cystic lesion and often does not cause significant symptoms for a long time. If the cyst of the epididymis grows, the following may occur:

• Chronic discomfort and pain. As the lesion enlarges, a feeling of heaviness in the scrotum, a dull pulling pain in the groin, and discomfort while walking or during physical activity may appear.
• Change in scrotal shape. A larger lesion can cause asymmetry and a palpable lump on examination.
• Discomfort during sexual activity. With larger sizes, unpleasant sensations may occur due to mechanical pressure and tenderness.
• Potential impact on fertility. Large or bilateral cysts may compress epididymal ducts, making sperm transport more difficult and reducing fertility in some patients.
• Inflammatory complications. If inflammation develops, pain and swelling may increase and overall well-being may worsen.

If pain occurs, the lesion increases in size, or other complaints appear, it is advisable to see a doctor.

The price of surgery for an epididymal cyst may vary depending on the complexity of the case, the type of anesthesia, the scope of examinations, and the length of stay in the hospital. You can review the prices for medical services in Kyiv here. The doctor will provide more detailed information about the available options, the treatment plan, and the cost after an examination and an assessment of the test results.

At “Oxford Medical,” surgical treatment of spermatocele is performed in a high-tech surgical department equipped with expert-class technology. This enables accurate diagnostics, thorough preoperative preparation, and safe surgical procedures. “Oxford Medical” offers patients private clinic services in Kyiv that cover the full cycle of medical care—from the initial consultation to follow-up and outcome monitoring.

To book a consultation at a convenient time, please use the online booking form on the website or contact the call center using the listed phone numbers.