Spermatocele

Spermatocele

This is a unilocular retention cyst derived from a portion of the sperm-conducting mechanism of the epididymis. A spermato - cele typically lies in the epididymal head above and behind the upper pole of the testis. It is usually softer and laxer than other cystic lesions in the scrotum but, like them, it transilluminates. The fluid contains spermatozoa and resembles barley water in celes can be ignored. Larger ones can be excised. Summary box 86.6 Cysts associated with the epididymis /uni25CF /uni25CF /uni25CF

Lie posterior to and separate from the testis and they transilluminate Diagnosis can be con /f_i rmed by ultrasound examination Can be treated conservatively unless they are large or uncomfortable