Excision of Epididymal Cyst – Spermatocelectomy

What is it 

• A spermatocele (spermatic cyst) is a common, noncancerous, fluid-filled sac that develops in the epididymis,
• The cyst usually contains milky or clear fluid that may contain sperm. 

Why is it done?

• Enlarged scrotum
• Could be uncomfortable
• The cyst can become so big that the enlarged scrotum buries the penis making usual functions difficult, ie urination and sexual function
• May contribute to infertility

How is it done?

• This procedure is done under general anesthetic.
• Supine position.
• A midline scrotal incision is done.
• The intact spermatocele/epididymal cyst with the testis is delivered through the skin incision.
• The epididymis cyst is carefully surgical resected off the spermatic cord or epididymis.
• A hemostatic running suture is placed around the raw edge of resection if required
• Hemostasis is actively chased.
• A drain is left overnight.
• An Indwelling catheter is left for 6-8 hours to prevent acute urinary retention.
• The scrotum is closed in 2 layers with dissolvable sutures.
• You would be required to bring 2 pairs of tight new undies for post-operative scrotal support; these will be placed post-operatively

Complications

Side–effects

• Any anesthetic has its risks, and the anesthetist will explain such risks.
• Bleeding is a possible complication, therefore, the scrotal drain/s overnight.
• Your catheter will be removed the next
• You will have scrotal swelling and bruising for the next 2-6 weeks
• Any sudden, increased swelling needs urgent attention!
• Any symptoms of fever and signs of infection require urgent attention!

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Wes Spermatocoelectomy

Copyright 2019 Dr Jo Schoeman