A spermatocele usually causes no signs or symptoms and might remain stable in size. If it becomes large enough, however, you might feel:
- Pain or discomfort in the affected testicle
- A feeling of heaviness in the testicle with the spermatocele
- A mass, or fullness, behind and above the testicle
When to see a doctor
Because a spermatocele usually doesn't cause symptoms, you might discover it only during a testicular self-exam, or your doctor might find it during a routine physical exam.
It's a good idea to have your doctor evaluate any scrotal mass to rule out a serious condition, such as testicular cancer. Also, be sure to call your doctor if you experience pain or swelling in your scrotum. A number of conditions can cause testicular pain, and some require immediate treatment.
Dec. 16, 2014
- Eyre RC. Evaluation of nonacute scrotal pathology in adult men. http://www.uptodate.com/home. Accessed Nov. 24, 2014.
- Marx JA, et al. Rosen's Emergency Medicine: Concepts and Clinical Practice. 8th ed. Philadelphia, Pa.: Saunders Elsevier; 2014. http://www.clinicalkey.com. Accessed Nov. 24, 2014.
- Zhou M. Uropathology: High-Yield Pathology. Philadelphia, Pa.: Saunders Elsevier; 2012. http://www.clinicalkey.com. Accessed Nov. 24, 2014.
- Spermatoceles (spermatic cyst). American Urological Association Foundation. http://www.urologyhealth.org/urology/index.cfm?article=117. Accessed Nov. 24, 2014.
- Crawford P, et al. Evaluation of scrotal masses. American Family Physician. 2014;89:723.
- Wein AJ, et al. Campbell-Walsh Urology. 10th ed. Philadelphia, Pa.: Saunders Elsevier; 2012. http://www.clinicalkey.com. Accessed Nov. 24, 2014.
- Painless scrotal mass. The Merck Manual Professional Edition. http://www.merckmanuals.com/professional/genitourinary_disorders/symptoms_of_genitourinary_disorders/painless_scrotal_mass.html. Accessed Nov. 24, 2014.
- Lund L, et al. The long-term efficacy of hydrocele treatment with aspiration and sclerotherapy with polidocanol compared to placebo: A prospective, double-blind, randomized study. The Journal of Urology. 2014;191:1347.
- Do I have testicular cancer? American Cancer Society. http://www.cancer.org/cancer/testicularcancer/moreinformation/doihavetesticularcancer/do-i-have-testicular-cancer-self-exam. Accessed Nov. 24, 2014.
- Nippoldt TB (expert opinion). Mayo Clinic, Rochester, Minn., Nov. 27, 2014.
You Are ... The Campaign for Mayo Clinic
Mayo Clinic is a not-for-profit organization. Make a difference today.