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  • Spermatocelectomy

    Definition

    Spermatocelectomy is a procedure to remove a large or painful spermatocele in men. A spermatocele is a fluid-filled cyst. It is found near the testicles.
    Male Anatomy: Penis, Testicle, Scrotum, Epididymis
    si2188 testicle
    Copyright © Nucleus Medical Media, Inc.

    Reasons for Procedure

    Spermatocelectomy is done to treat a spermatocele if it is painful or large.

    Possible Complications

    Complications are rare, but no procedure is completely free of risk. If you are planning to have spermatocelectomy, your doctor will review a list of possible complications, which may include:
    • Swelling
    • Spermatocele occurring again
    • Damage to the epididymis (risk of infertility )
    • Nerve injury or damage to surrounding tissue or structures
    • Bleeding
    • Reaction to the anesthesia (eg, light-headedness, low blood pressure, wheezing)
    • Infection
    Smoking may increase the risk of complications.
    Be sure to discuss these risks with your doctor before the procedure.

    What to Expect

    Prior to Procedure

    Your doctor may do the following before your procedure:
    • Perform a physical exam
    • Order blood, urine, and imaging tests
    • Discuss with you the type of anesthesia that will be used and the potential risks
    Talk to your doctor about your medicines. You may be asked to stop taking some medicines up to one week before the procedure. These medicines may include:
    • Aspirin or other anti-inflammatory drugs
    • Blood thinners, like warfarin (Coumadin)
    • Clopidogrel (Plavix)
    Other things to keep in mind before the procedure:
    • Arrange for a ride home from the hospital.
    • If instructed by your doctor, do not eat for eight hours before the procedure.

    Anesthesia

    The procedure is done under local or general anesthesia. You will be asleep or sedated. You will not feel any pain.

    Description of Procedure

    You will be given medicines and fluids by IV. Once you are asleep or sedated, a small incision will be made in your scrotum. The spermatocele will be located and removed from the epididymis. Absorbable sutures will be used to close the area.

    How Long Will It Take?

    Less than one hour

    How Much Will It Hurt?

    You will not feel any pain during the procedure. Ask your doctor about medicine to help with pain after the procedure.

    Post-procedure Care

    At the Care Center
    After the procedure, the staff may provide the following care:
    • Pain medicines and IV fluids
    • Ice pack
    • Scrotum support, like a jock strap
    At Home
    You will be able to leave the hospital when you have recovered from the anesthesia and can walk.
    When you return home, do the following to help ensure a smooth recovery:
    • Take pain medicine as directed.
    • Apply ice packs to the area to reduce swelling and pain.
    • Use rolled towels to elevate the area when you are in bed. Your doctor may also recommend that you wear snug-fitting underwear or a jock strap for a few days.
    • Avoid difficult activity for 2-3 weeks.
    • Keep bandages on for two days.
    • Do not drive or have sex until your doctor says it is safe to do so.
    • After two days, keep the incision site clean:
      • Clean the incision site with lukewarm water and mild soap.
      • Use a soft wash cloth to gently wipe the incision area.
    • Ask your doctor about when it is safe to shower, bathe, or soak in water.
    • Be sure to follow your doctor’s instructions.
    • See your doctor for follow-up.

    Call Your Doctor

    After arriving home, contact your doctor if any of the following occurs:
    • Increasing pain, redness, or swelling at incision site
    • Drainage, bleeding, or odor from incision site
    • Signs of infection, including fever and chills
    In case of an emergency, call for medical help right away.

    RESOURCES

    The American Academy of Family Physicians http://familydoctor.org/

    Foundation of the American Urological Association http://www.urologyhealth.org/

    CANADIAN RESOURCES

    Canadian Urological Association http://www.cua.org/

    Health Canada http://www.hc-sc.gc.ca/

    References

    Spermatocele. Foundation of the American Urological Association website. Available at: http://www.urologyhealth.org/urology/index.cfm?article=117 . Accessed September 11, 2012.

    Spermatocele. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php . Updated April 2, 2012. Accessed September 11, 2012.

    Sandlow J, Winfield H, Goldstein M. Surgery of the scrotum and seminal vesicles. In: Wein: Campbell-Walsh Urology . 9th ed. Philadelphia, PA: Saunders Elsevier. 2007; chap 34.

    6/6/2011 DynaMed's Systematic Literature Surveillance DynaMed's Systematic Literature Surveillance : Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.

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