Spermatocele: Difference between revisions
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Spermatocele is a | {{Infobox medical condition | ||
| name = Spermatocele | |||
| image = [[File:Spermatocele.JPG|left|thumb|Spermatocele]] | |||
| caption = Ultrasound image of a spermatocele | |||
| field = [[Urology]] | |||
| synonyms = [[Epididymal cyst]] | |||
| symptoms = Painless cystic mass in the [[scrotum]] | |||
| complications = Rarely, discomfort or pain | |||
| onset = Usually in [[adulthood]] | |||
| duration = Often [[chronic (medicine)|chronic]] | |||
| causes = Blockage of [[sperm]] in the [[epididymis]] | |||
| risks = [[Trauma]], [[infection]], [[vasectomy]] | |||
| diagnosis = [[Physical examination]], [[ultrasound]] | |||
| differential = [[Hydrocele]], [[varicocele]], [[testicular cancer]] | |||
| prevention = None | |||
| treatment = Usually none, [[surgery]] if symptomatic | |||
| medication = [[Analgesics]] for pain | |||
| prognosis = Excellent | |||
| frequency = Common | |||
}} | |||
Spermatocele is a harmless [[cyst]] containing fluid and [[sperm]] that occurs in the tube through which [[sperm]] travel from the [[testicles]] | |||
== Introduction == | == Introduction == | ||
Spermatoceles are benign [[cyst]]ic dilations of the [[epididymis|epididymal]] duct (three or more times the diameter of the normal duct), which may be lined by hypertrophic or normal [[epithelium]]. | Spermatoceles are benign [[cyst]]ic dilations of the [[epididymis|epididymal]] duct (three or more times the diameter of the normal duct), which may be lined by hypertrophic or normal [[epithelium]]. | ||
== Pathophysiology == | == Pathophysiology == | ||
Spermatoceles are most commonly seen in the initial segment or the caput region of the mouse epididymis and are filled with varying amounts of [[sperm]]. Focal areas of mineralization are present within this spermatocele. | Spermatoceles are most commonly seen in the initial segment or the caput region of the mouse epididymis and are filled with varying amounts of [[sperm]]. Focal areas of mineralization are present within this spermatocele. | ||
Spermatoceles generally occur as background, incidental lesions but have been reported in association with exposure to some chemicals. They are distinguished from sperm granuloma by the absence of an inflammatory response. | Spermatoceles generally occur as background, incidental lesions but have been reported in association with exposure to some chemicals. They are distinguished from sperm granuloma by the absence of an inflammatory response. | ||
Spermatoceles are [[benign]] in nature and are non-cancerous. | |||
Spermatoceles are [[benign]] in nature and are non-cancerous. | |||
== Causes == | == Causes == | ||
While the exact cause is unknown, certain risk factors include [[trauma]] or [[surgery]]. | While the exact cause is unknown, certain risk factors include [[trauma]] or [[surgery]]. | ||
== Symptoms == | == Symptoms == | ||
Most patients with spermatocele may notice a painless swelling of the [[testicles]] or be [[asymptomatic]]. Most patients have no[[fertility]] issues with it. | Most patients with spermatocele may notice a painless swelling of the [[testicles]] or be [[asymptomatic]]. Most patients have no[[fertility]] issues with it. | ||
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== Diagnosis == | == Diagnosis == | ||
Physical examination and some tests such as [[ultrasound]] of the [[testicles]] | Physical examination and some tests such as [[ultrasound]] of the [[testicles]] | ||
== Tests == | == Tests == | ||
[[Ultrasound]] of the [[testicles]] | [[Ultrasound]] of the [[testicles]] | ||
== Treatment == | == Treatment == | ||
Asymptomatic patients, especially for smaller spermatoceles, do not need to be treated. Those that are symptomatic or have larger lesions may benefit from surgical removal through a procedure called [[spermatocelectomy]]. | Asymptomatic patients, especially for smaller spermatoceles, do not need to be treated. Those that are symptomatic or have larger lesions may benefit from surgical removal through a procedure called [[spermatocelectomy]]. | ||
== Complications == | == Complications == | ||
Complications are rare. | Complications are rare. | ||
== ICD codes == | == ICD codes == | ||
* ICD 10: [[N43.4]] - {{ICD10|N|43|4}} | * ICD 10: [[N43.4]] - {{ICD10|N|43|4}} | ||
* ICD 9: [[6081]] - {{ICD9|608.1}} | * ICD 9: [[6081]] - {{ICD9|608.1}} | ||
==See also== | ==See also== | ||
*[[hydrocele]] | *[[hydrocele]] | ||
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*[[tumor]] | *[[tumor]] | ||
*[[varicocele]] | *[[varicocele]] | ||
{{stub}} | {{stub}} | ||
{{Male diseases of the pelvis and genitals}} | {{Male diseases of the pelvis and genitals}} | ||
[[Category:Epididymis disorders]] | [[Category:Epididymis disorders]] | ||
Revision as of 18:20, 8 April 2025
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD's weight loss doctor NYC
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| Spermatocele | |
|---|---|
 | |
| Synonyms | Epididymal cyst |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Painless cystic mass in the scrotum |
| Complications | Rarely, discomfort or pain |
| Onset | Usually in adulthood |
| Duration | Often chronic |
| Types | N/A |
| Causes | Blockage of sperm in the epididymis |
| Risks | Trauma, infection, vasectomy |
| Diagnosis | Physical examination, ultrasound |
| Differential diagnosis | Hydrocele, varicocele, testicular cancer |
| Prevention | None |
| Treatment | Usually none, surgery if symptomatic |
| Medication | Analgesics for pain |
| Prognosis | Excellent |
| Frequency | Common |
| Deaths | N/A |
Spermatocele is a harmless cyst containing fluid and sperm that occurs in the tube through which sperm travel from the testicles
Introduction
Spermatoceles are benign cystic dilations of the epididymal duct (three or more times the diameter of the normal duct), which may be lined by hypertrophic or normal epithelium.
Pathophysiology
Spermatoceles are most commonly seen in the initial segment or the caput region of the mouse epididymis and are filled with varying amounts of sperm. Focal areas of mineralization are present within this spermatocele. Spermatoceles generally occur as background, incidental lesions but have been reported in association with exposure to some chemicals. They are distinguished from sperm granuloma by the absence of an inflammatory response. Spermatoceles are benign in nature and are non-cancerous.
Causes
While the exact cause is unknown, certain risk factors include trauma or surgery.
Symptoms
Most patients with spermatocele may notice a painless swelling of the testicles or be asymptomatic. Most patients have nofertility issues with it.
Diagnosis
Physical examination and some tests such as ultrasound of the testicles
Tests
Ultrasound of the testicles
Treatment
Asymptomatic patients, especially for smaller spermatoceles, do not need to be treated. Those that are symptomatic or have larger lesions may benefit from surgical removal through a procedure called spermatocelectomy.
Complications
Complications are rare.
ICD codes
See also
 | This medical article is a stub. You can help WikiMD by expanding the page. |
| Male diseases of the pelvis and genitals | ||||||
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