Spermatocele: Difference between revisions

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==Clinical Features==
==Clinical Features==
* small, pea-sized bulge or lump in the scrotum. Sometimes this lump may be tender or painful and on occasions the scrotum is enlarged.
* small, pea-sized bulge or lump in the scrotum.  
*Sometimes this lump may be tender or painful and on occasions the scrotum is enlarged.


==Differential Diagnosis==
==Differential Diagnosis==

Revision as of 14:51, 21 January 2016

Background

  • Spermatoceles are fairly common, appearing in about 30% of adult men. They are usually found during self examination or while men are undergoing imaging studies for other conditions.
  • arise from an accumulation of sperm, usually in the head of the epididymis.
  • cause is not known

Clinical Features

  • small, pea-sized bulge or lump in the scrotum.
  • Sometimes this lump may be tender or painful and on occasions the scrotum is enlarged.

Differential Diagnosis

Testicular Diagnoses

Diagnosis

  • ultrasound - nearly 100% accurate in diagnosis of spermatocele

Management

  • usually does not require treatment. Surgical management my urology can be discussed if spermatocele is causing pain or increases in size.

Disposition

  • discharge home with urology follow up if needed

References