Epididymis cyst: what is the difference with a Spermatocele and how the removal takes place

At Poliambulatori San Gaetano in Thiene and Schio, Vicenza, this surgery can be performed privately without waiting time.

What are epididymal cysts?

When we talk about cysts of the epididymis, we refers to small, benign, extratesticular formations that are very common in adult men; they usually require no treatment. Epididymal cysts usually develop in adult men; in children they are rarer and occur at puberty.

What are the main symptoms?

Patients usually report a palpable nodule at the level of the testis.  Smaller cysts may remain undetected and asymptomatic, however, if they increase in size they are usually removed.

What are the possible diagnostic investigations?

To confirm the diagnosis, a scrotal ultrasound is performed. If necessary, some of the fluid is removed and then a cytological examination is performed.

Difference between epididymis and spermatocele

The difference is the presence of spermatozoa in the spermatocele, which are missing in the epididymis cyst. In this case, aspiration of the cystic fluid is unnecessary and therefore not recommended.

When is Spermatocele Excision surgery recommended?

In most cases, no treatment is necessary. Patients should seek medical attention if the cyst becomes painful or tends to increase in volume. In others in which the cyst is large and symptomatic, they can be surgically removed.

How is the surgery performed?

The testis is exteriorized through a scrotal incision and the vaginal tunic is opened. The spermatocele is isolated from the epididymis, and the connection point between the spermatocele and epididymis is ligated to prevent fluid leakage. The vaginal tunic is then sutured and a dressing is performed on the wound. The epididymis cyst is removed with the same technique as the spermatocele and with the same surgical indications.

This surgery can be performed under local anesthesia, and the sutures are resorbable.

Can there be any complications?

Yes, the main complications are:

  • Torsion of the cyst (extremely rare);
  • Hematoma;
  • Hydrocele;
  • Inflammation of the scrotal sac.

What is the postoperative progress?

In the postoperative period, “flat” wound dressings are recommended, i.e., simply applying disinfectant to the wound and covering it with sterile gauze or a band-aid.

In the first 24-48 hours ice packs over the surgical site are recommended as the cold reduces the risk of bleeding.

An outpatient Urology clinic is available at Poliambulatori San Gaetano. All Epididymis Cyst Excision or Spermatocele removal surgeries are performed on an outpatient basis and can be booked every week with reduced waiting times.


Poliambulatori San Gaetano is located in Thiene and Schio (Vicenza).

The dedicated English-language answering service is available by calling or texting +393296253353 for information or reservation.