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|Ultrasound of a testicle (grey) and a spermatocele (black).|
|Classification and external resources|
Spermatocele (//) is a retention cyst of a tubule of the rete testis or the head of the epididymis distended with barely watery fluid that contains spermatozoa. Small spermatoceles are relatively common, occurring in an estimated 30 percent of all men. They vary in size from several millimeters to many centimeters. Spermatoceles are generally not painful. However, some men may experience discomfort from larger spermatoceles. They are not cancerous, nor do they cause an increased risk of testicular cancer. Additionally, unlike varicoceles, they do not reduce fertility.
Spermatoceles can originate as diverticulum from the tubules found in the head of the epididymis. Sperm formation gradually causes the diverticulum to increase in size, causing a spermatocele. They are due to continuity between the epididymis and tunica vaginalis.
Finding a painless, cystic mass at the head of the epididymis, that transilluminates and can be clearly differentiated from the testicle, is generally sufficient. If uncertainty exists, ultrasonography of the scrotum can confirm if it is spermatocele.
Small cysts are best left alone, as are larger cysts that are an asymptomatic condition. Only when the cysts are causing discomfort and are enlarging in size, or the patient wants spermatocele removed, should a spermatocelectomy be considered. Pain may persist even after removal.
- Entry "spermatocele" in Merriam-Webster Online Dictionary.
- OED 2nd edition, 1989.
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- "Spermatocele | Prime Health Channel". Prime Health Channel. 2013-01-13. Retrieved 2017-11-21.
- "Spermatocele: Testicular cysts usually need no treatment". Mayo Clinic. Retrieved 2017-11-21.