All about spermatocele: Sperm accumulation
- On 16/09/2025
Spermatocele: Definition, Causes, Symptoms and Treatments
A spermatocele is a cystic growth that develops in the epididymis, a spiral tube located behind each testicle responsible for collecting and transporting sperm. It is a relatively common condition, affecting nearly 30% of men. For many people, a spermocele does not cause pain, discomfort, or complications.
Features :
Contains clear fluid or sometimes fluid mixed with sperm.
Appears as a small, soft, painless lump above or behind the testicle.
Usually does not cause significant pain or discomfort.
Does not affect fertility in most cases.
What are the causes?
It is known that spermatocele is an obstruction of the sperm transport ducts, however, the exact origins of this phenomenon remain unknown. This indicates that there are no preventive measures to take against spermocele, and it is also unnecessary to focus on the possibility of its occurrence. Other possible causes include:
Blockage of the epididymal ducts that carry sperm.
Minor trauma or previous infections (sometimes unnoticed).
Often, the exact cause is not clearly identified.
What are the symptoms of a spermatocele?
Spermatoceles are usually painless and can therefore easily go undetected. They are also not visible during visual examination, given that they are lodged in the scrotum, but they can be palpated
A spermocele appears as a smooth, compact lump near the top or back of the testicle. The lump is located in the scrotum, not the testicles. Don't worry, this is not an indicator of testicular cancer.
- Soft, smooth, well-defined testicular mass.
- Generally painless.
- Sometimes a feeling of heaviness or discomfort if the spermatocele is large.
How can I effectively control my testicles?
It is always a good idea to check the health of your testicles, as testicular cancer is the most common type of cancer in men between the ages of 20 and 40.
It's recommended to perform a self-exam once a month so you don't miss any changes. If you feel a firm lump near the testicle, it could be a spermocele.
Your doctor can usually use a physical exam to diagnose a spermatocele. They may also perform transillumination, shining a light into the scrotum to clearly examine the system to ensure it is indeed a spermocele.
How to get rid of a spermocele?
For most people, a spermocele doesn't cause pain, discomfort, or complications, and therefore there's no need to get rid of it. Your doctor will simply monitor it regularly and ask you to do the same. If a spermocele becomes too large and potentially painful, treatment may be necessary. Since there's still much to be done in spermocele treatment and research, your options are limited:
Medical therapy. You can take oral medications such as aspirin to help reduce pain and swelling, but there is no specific medication for spermocele.
Minimally invasive therapy. There are two options your doctor can use to shrink or remove a spermocele:
Aspiration. The doctor uses a needle to aspirate the spermatocele and drain the fluid.
Sclerotherapy. The doctor injects an irritant into the cyst. This promotes healing and prevents fluid from building up again.
Today, both of these options can work, but they are not generally performed. This is because there is a risk of damaging the fallopian tube—the epididymis—which would lead to more serious fertility complications. It is also quite common for spermatoceles to recur after this procedure, so it is not a guaranteed solution.
The last option is surgical therapy. This is a spermatocelectomy, which is only necessary in symptomatic cases of spermocele. A spermatocelectomy involves removing the cyst while leaving the genitals intact and can be performed in less than an hour.
However, in some cases, the epididymis is partially or completely removed during a spermatocele, which can lead to infertility
Epididymal cyst, Spermatocele, Herbal treatment
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Presentation of the natural treatment for testicular cysts
Powder in a transparent sachet.
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Active ingredients
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Bitter taste
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Possible complications:
Enlargement: The cyst can grow and cause discomfort or a feeling of scrotal heaviness.
Pain or discomfort: Especially if the spermatocele becomes large.
Compression: Rarely, it can compress nearby structures and cause discomfort during ejaculation or sexual intercourse.
Infertility (rare): If very large or bilateral, it can disrupt the passage of sperm, but this is exceptional.
Recurrence after treatment: After puncture or surgery, it can recur.
Infection (rare): A spermatocele can become infected, causing pain and inflammation.