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:

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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

What Causes a Spermatocele?

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

💡 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:

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

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:

The Patient Journey: What to Expect at UPNT

Step 1: Initial Evaluation

Step 2: The Surgery

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.

FAQs About Spermatocele & Spermatocelectomy at UPNT

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

No, unless it grows larger or starts causing discomfort.

2. Can a spermatocele be drained like a hydrocele

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

3. Will spermatocelectomy affect fertility?

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

4. Can a spermatocele come back after surgery?

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

5. How soon can I return to normal activities?

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

Still have questions?

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.