Welcome back to our "Series of Swollen Scrotums"! In part two, we're diving into spermatoceles – also known as spermatic cysts. Spermatoceles are fluid-filled sacs that form on the epididymis, a coiled tube located behind each testicle where sperm matures and is stored. These cysts are usually painless, smooth, and feel like small, soft lumps above the testicle.
What Causes a Spermatocele?
The exact cause of spermatoceles isn’t always clear, but they might develop from a blockage in one of the small tubes that carry sperm. They are generally noncancerous and don’t interfere with fertility or hormone production. While they’re often discovered by chance, routine self-exams can help you catch any changes early.
Should You Be Worried?
In most cases, spermatoceles don’t need treatment unless they become large or uncomfortable. They usually don’t lead to other health issues and remain stable in size. However, if you experience pain, noticeable changes, or any unusual symptoms, it’s worth discussing with a urologist to rule out other conditions.
Treatment Options for Spermatoceles
If a spermatocele becomes bothersome, there are a few options:
Monitoring: If the spermatocele is small and symptom-free, doctors often recommend simple monitoring.
Aspiration and Sclerotherapy: In some cases, the cyst can be drained or injected with a substance to shrink it.
Surgical Removal: If it’s causing discomfort, a minor procedure called spermatocelectomy can remove the cyst. This outpatient surgery typically has a quick recovery time.
That's it for spermatoceles! Be sure to stay tuned for part three, where we’ll talk about epididymoorchitis – a more inflammatory cause of scrotal swelling!
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