Epididymal cysts and spermatoceles are common in men and treatable.

Epididymal cysts and spermatoceles, are fluid-filled cysts that can form in a man’s scrotum. Epididymal cysts form in the epididymis, while spermatoceles form in the tubules that transport sperm (spermatoceles form behind and adjacent to the testicles). Both forms of cysts are relatively common and are usually discovered during testicular self-exams. They can range from being very small to quite large. Oftentimes they’re not painful, but can become uncomfortable if they increase in size. Aside from their locations, the best way to determine if the growth is an epididymal cyst or spermatocele is to examine their fluid through aspiration.

When a man finds a lump in his testicles, this can cause alarm. Fortunately, both epididymal cysts and spermatoceles are benign, and do not lead to testicular cancer. However, they should still be evaluated and treated by a urologist.

Evaluation and treatment

When visiting a urologist, the patient will be asked about their personal and family history. They will also have a physical exam including an investigation of the site. Scrotal ultrasound imaging my be recommended to aid in making a proper diagnosis. Because most of these cysts are asymptomatic, surgical treatment is usually deferred. If the epididymal cyst/spermatocele is causing pain, discomfort or is large, surgical treatment may be considered. A spermatocelectomy is an outpatient procedure performed to remove the spermatocele through a tiny scrotal incision.

Whenever a lump or abnormal mass is found in the scrotum, it’s imperative that a quick and proper diagnosis is made. It is never recommended to watch the lump over time, or dismiss it. It is also recommended that a self-examination of the testicles are performed on a regular basis, starting in the teenage years. If you discover a questionable lump, contact Urology Austin to schedule an appointment.