What Is Spermatocele?
A spermatocele is a sperm-filled cyst that develops in the tightly coiled tube above the testicles that collects and transports sperm. It feels like a smooth, firm lump on top of the testicle.
In most cases, spermatoceles do not cause any symptoms. Treatment may be necessary if you are experiencing pain or extreme swelling.
Risk Factors
Spermatoceles are common and approximately a third of men have them. The likelihood of developing them increases with age.
The majority of spermatoceles are likely a result of injury or inflammation within the scrotum (the sac surrounding the testicles). A spermatocele may also be caused by a blockage in the tubes that carry sperm from the testicles to the penis.
Signs & Symptoms
In most men, spermatoceles don’t cause any symptoms. When symptoms appear, the most common include:
- Heaviness in the scrotum
- A smooth, firm lump on top of the testicle
- A feeling of pressure at the base of the penis
- Mild pain in the scrotum
If you notice any changes in your testicles make sure to monitor them regularly and visit a doctor immediately if there is no improvement.
Diagnosis
Spermatoceles can be found through self-examination while checking for testicular cancer. It will feel like a smooth, firm lump on top of the testicle in the scrotum.
A doctor can also identify them in a physical exam and may choose to do an ultrasound to make sure there are no further complications.
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Treatment
In most cases spermatoceles treatment is not necessary. However, spermatoceles are treated when men are in constant pain, if the scrotum is extremely swollen, or there is a risk to the penis or testicles.
If the spermatocele gets bigger or is causing discomfort a doctor may choose to remove it through a procedure called a spermatocelectomy.
Last updated: Feb 2, 2024
Disclaimer: This resource is intended for informational and educational purposes only. It is not intended to provide diagnosis or be a substitute for professional medical advice from a healthcare practitioner. You should not use the information provided for diagnosing or treating a medical or health condition. If you have or suspect you have a medical or health problem, promptly consult your healthcare practitioner.