A spermatocelectomy is a minor surgical procedure performed to remove a spermatocele—a benign, fluid-filled cyst that forms on the epididymis, the small, coiled tube behind the testicle that stores and transports sperm. While spermatoceles are typically harmless, they can cause testicular pain, swelling, or a dull ache in the testicle and lower back when they grow larger or press on surrounding nerves.
When conservative treatments no longer provide relief, a spermatocelectomy offers a long-term solution. This outpatient procedure is safe, effective, and performed by a urologist specializing in male reproductive health. It provides substantial pain relief and helps restore comfort and function for most patients.
Why Is a Spermatocelectomy Performed?
A spermatocelectomy is recommended when a spermatocele causes symptoms or affects normal testicular function.
Common indications include:
- Persistent or sharp testicular pain
- Noticeable swelling or pressure in the scrotum
- Nerve-related pain in the testicles that radiates to the groin or lower back
- Discomfort during activity or intimacy
- Fertility concerns due to obstruction or pressure on nearby structures
Many men describe spermatocele discomfort as a dull ache or heaviness that worsens with standing or physical activity. The surgery offers a high success rate and lasting symptom relief, with minimal risk of recurrence when the cyst is completely removed.
Spermatocelectomy Steps: What Happens During Surgery?
Before surgery, your urologist will review your medical history, discuss spermatocele treatment options, and provide instructions to ensure a safe outcome. You may be advised to fast, stop blood-thinning medications, and prepare the surgical area as directed.
During the Procedure
- Anesthesia: Local or general anesthesia ensures comfort during the procedure.
- Incision: A small incision is made in the scrotum to access the spermatocele.
- Removal: The cyst is carefully separated from the epididymis, preserving nearby structures and nerve integrity whenever possible.
- Closure: The incision is closed with absorbable sutures that do not require removal.
- Duration: The surgery usually takes 30–60 minutes and is performed on an outpatient basis.
This minimally invasive procedure provides excellent pain relief and has a short recovery time for most patients.
Recovery After Spermatocelectomy
What to Expect
Recovery is generally quick and uncomplicated.
- First 24–72 hours: Mild swelling, bruising, or a dull ache in the testicle is normal.
- After 1 week: Pain and tightness improve; normal movement becomes easier.
- After 1–2 weeks: Most patients can resume routine activities, work, and light exercise.
Closely following your post-operative instructions ensures proper healing and reduces the chance of complications or recurrence.
Post-Operative Care
Your urologist may recommend:
- Ice packs: To minimize swelling in the first 48 hours.
- Supportive underwear: Scrotal support helps reduce discomfort and protect the surgical site.
- Pain relief: Over-the-counter medications like acetaminophen or ibuprofen are usually sufficient.
- Wound care: Keep the incision clean and dry; avoid swimming or soaking until cleared.
Rest: Light walking is encouraged, but avoid strenuous lifting for one week.
Success Rate and Long-Term Outlook
A spermatocelectomy has a very high success rate in resolving spermatocele pain and scrotal swelling. Most patients experience lasting relief within weeks.
Recurrence is uncommon when the cyst is fully removed. Rarely, if both sides are operated on or the epididymal nerves are affected, fertility can be impacted—so a pre-surgical discussion with your urologist is essential.When to See a Urologist
You should see a urologist if you experience:
- Testicular or scrotal pain that radiates to the lower back
- Swelling, heaviness, or pressure in the testicle
- A new lump or mass near the testicle
- Concerns about fertility or ejaculation
- Nerve-related testicular pain that doesn’t improve with rest or medication
Although spermatoceles are benign, a proper evaluation helps rule out other causes of testicular pain, such as epididymal cysts, hydroceles, varicoceles, or testicular tumors. Your doctor may perform a scrotal ultrasound to confirm the diagnosis and recommend appropriate treatment.
Yes. Spermatocelectomy is a low-risk, outpatient surgery with excellent safety and success rates when performed by an experienced urologist.
Most patients can resume sexual activity within 2–4 weeks, depending on their recovery. Your doctor will confirm this during follow-up.
In most cases, no. However, if the surgery involves both testicles or a large cyst, there’s a small chance of epididymal nerve damage affecting sperm transport.
Complications are rare but can include infection, bleeding, or injury to the epididymis. Choosing a board-certified urologist significantly reduces these risks.
Yes. In some cases, both procedures can be performed simultaneously, allowing for family planning (vasectomy) and spermatocele removal in one surgery.
Yes. You’ll typically return for a post-op checkup 1–2 weeks after surgery so your doctor can assess healing and answer any questions.
Considering a Spermatocelectomy in Houston?
Our board-certified urologists in Houston specialize in spermatocele treatment and other male reproductive procedures. Each patient receives personalized care focused on precision, comfort, and long-term results.
If you’re searching for a testis pain doctor near me, our team provides expert diagnosis and surgical care with advanced techniques and same-day discharge options.
Schedule your consultation today to discuss your symptoms and treatment plan with a trusted Houston urologist.