However, if your spermatocele is painful or has grown so large that it's causing you discomfort, you may need to have surgery to remove the spermatocele. Surgical removal may damage the epididymis or the vas deferens, a tube that transports sperm from the epididymis. Damage to either can reduce fertility. Another possible complication that can occur after surgery is that the spermatocele may come back.
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