Thank you for your patience and we apologize for the inconvenience.
Our hold times may be longer than usual as our team is currently undergoing a transition and training to serve you better.
For faster service, we encourage you to use our patient portal to message your care team, request appointments, or access health information anytime.
Thank you for your patience and we apologize for the inconvenience.
Our hold times may be longer than usual as our team is currently undergoing a transition and training to serve you better.
For faster service, we encourage you to use our patient portal to message your care team, request appointments, or access health information anytime.
  • UPNT clinics will open at a delayed time at 10 AM on 11/11-23 Secondary to the ice storm. we will continue to update on the website as conditions may change.
  • UPNT clinics will open at a delayed time at 10 AM on 11/11-23 Secondary to the ice storm. we will continue to update on the website as conditions may change.
  • UPNT clinics will open at a delayed time at 10 AM on 11/11-23 Secondary to the ice storm. we will continue to update on the website as conditions may change.
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  • UPNT clinics will open at a delayed time at 10 AM on 11/11-23 Secondary to the ice storm. we will continue to update on the website as conditions may change.
  • UPNT clinics will open at a delayed time at 10 AM on 11/11-23 Secondary to the ice storm. we will continue to update on the website as conditions may change.
  • UPNT clinics will open at a delayed time at 10 AM on 11/11-23 Secondary to the ice storm. we will continue to update on the website as conditions may change.
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Spermatocele: What It Is, When to Treat It, and Surgical Options at UPNT

At Urology Partners of North Texas (UPNT), we specialize in diagnosing and treating scrotal conditions like spermatoceles—fluid-filled cysts that develop near the testicle. While spermatoceles are typically benign and painless, larger cysts can cause discomfort, swelling, or cosmetic concerns, requiring surgical removal.
Unlike hydroceles, spermatoceles do not resolve on their own or respond to drainage—surgical removal (spermatocelectomy) is the definitive treatment.
This guide will walk you through:
  • What a spermatocele is
  • Symptoms and causes
  • When treatment is needed
  • Surgical removal (spermatocelectomy) and recovery
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What Is a Spermatocele?

A spermatocele, also called a spermatic cyst, is a fluid-filled sac that forms in the epididymis—the small coiled tube above the testicle that stores and transports sperm.

Spermatocele Symptoms

  • Soft, painless lump in the scrotum
  • Swelling or fullness above the testicle
  • Discomfort or heaviness if the cyst grows larger
  • Occasionally, mild pain with movement or physical activity

What Causes a Spermatocele?

The exact cause is unknown, but spermatoceles may develop due to:

  • Blocked spermatic ducts – Fluid buildup caused by obstruction.
  • Prior scrotal trauma or injury – Scar tissue may contribute to cyst formation.
  • Hormonal changes – May play a role, though not well understood.

💡 Spermatoceles are NOT cancerous and do NOT affect fertility. However, surgical removal may carry a slight risk of fertility impact, so it’s important to discuss options with your UPNT specialist.

Do I Need Treatment for a Spermatocele?

Most small, painless spermatoceles do not require treatment. However, UPNT may recommend surgery if:

  • The spermatocele grows large enough to cause discomfort.
  • There is persistent pain or interference with daily activities.
  • The mass is bothering you cosmetically.
  • There is the risk of bleeding in the scrotum after the procedure

Unlike hydroceles, spermatoceles cannot be drained because the cyst walls will refill with fluid. The only effective treatment is surgical removal (spermatocelectomy).

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Spermatocelectomy: Surgical Removal of a Spermatocele

What Is a Spermatocelectomy?

A spermatocelectomy is a minor outpatient surgical procedure to remove the spermatocele while preserving the testicle and surrounding structures.

How the Procedure Works:

  • Performed under anesthesia in the surgery center or hospital
  • A small incision is made in the scrotum to access the spermatocele.
  • The cyst is carefully separated from the epididymis and removed.
  • The incision is closed with absorbable stitches.

The Patient Journey: What to Expect at UPNT

Step 1

Initial Evaluation

  • Your UPNT urologist will perform a physical exam and possibly order an ultrasound to confirm the diagnosis.
  • If the spermatocele is growing, painful, or bothersome, we will discuss spermatocelectomy as the best option.

Step 2

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The Surgery

  • Procedure Time: 30–45 minutes
  • Anesthesia: Local, spinal, or general—your UPNT doctor will discuss the best option for you.
  • Outpatient Surgery: You’ll go home the same day.

Step 3

Recovery & Aftercare

  • Rest for 24–48 hours – Avoid strenuous activities.
  • Mild swelling and bruising are normal – Apply ice packs to reduce discomfort.
  • Avoid heavy lifting, exercise, and sexual activity for about 2–4 weeks.
  • Pain is usually mild and managed with over-the-counter medications.
  • Call your UPNT doctor if you experience:
  • Increasing pain or swelling
  • Fever or chills (possible infection)
  • Difficulty urinating

FAQs About Spermatocele & Spermatocelectomy at UPNT

Do I need treatment if my spermatocele isn’t painful?

No, unless it grows larger or starts causing discomfort.

No. Draining does not work because the fluid will return. Surgery is the only permanent solution.

There’s a small risk if the epididymis is damaged during surgery. Discuss fertility concerns with your UPNT urologist before surgery.

Recurrence is rare but possible if new cysts form in the future.

Light activities in 2-3 days, full recovery in 2-4 weeks.

Why Choose UPNT for Spermatocele Treatment?

  • Top Urology Specialists – Our UPNT surgeons specialize in minimally invasive scrotal procedures.
  • Outpatient, Same-Day Surgery – Quick recovery with high success rates.
  • Personalized Treatment Plans – We tailor care based on your symptoms and lifestyle.
  • Comprehensive Scrotal Health Care – If other issues (e.g., hydrocele, varicocele) are present, we can treat them at the same time.

Schedule Your Spermatocele Consultation at UPNT

If you’re experiencing scrotal swelling, discomfort, or concerns about a spermatocele, our expert urologists at UPNT are here to help. We’ll guide you through diagnosis, treatment, and recovery options for the best outcome.

Dr. Weber Chuang will be retiring from medical practice effective September 26, 2025. To ensure that your medical care continues seamlessly, your ongoing care will be transitioned to another physician within our practice. You may schedule appointments directly by contacting our office at 866-367-8768 or via your patient portal. Your medical records will remain securely within the practice, so there is no additional step required on your part unless you wish to request a transfer elsewhere.
Dr. Weber Chuang will be retiring from medical practice effective September 26, 2025.
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