It is a paratesticular sperm containing 𝗰𝘆𝘀𝘁𝗶𝗰 structure attached to the superior aspect of the epididymis. Spermatoceles are commonly asymptomatic,& conservative management is appropriate for the majority of patients. Discomfort because of large size is the primary indication for intervention.
-𝗧𝗲𝗰𝗵𝗻𝗶𝗾𝘂𝗲 (𝗘𝘅𝗰𝗶𝘀𝗶𝗼𝗻 𝗼𝗳 𝗰𝘆𝘀𝘁):
•Although surgical loupes are sufficient, the author prefers use of an operating microscope, which allows one to clearly identify structures adjacent to the spermatocele, aids in dissection of the spermatocele off of the epididymis (and away from the testicular blood supply), and allows isolation of the spermatocele neck for ligation and excision.
𝗖𝗼𝗻𝘀𝗲𝗻𝘁 & 𝗖𝗼𝘂𝗻𝘀𝗲𝗹𝗹𝗶𝗻𝗴 𝗼𝗳 𝗽𝘁:
The patient should be counseled regarding the following procedural risks: potential for epididymal obstruction and subsequent infertility, epididymal injury,
scrotal edema, scrotal hematoma, spermatocele recurrence, chronic pain, testicular atrophy due to vascular injury & infection