Spermatocele (seminal cyst) - cavernous formation of testis or epididymis, limited and fibrous sheath containing semen, spermatocytes and sperm erectial disfunction. Due to the small size and slow growth spermatoceles usually asymptomatic, in rare cases there is pressure and pain in the scrotum. The main methods of diagnosis spermatoceles are inspection and palpation of the scrotum urologist, ultrasound and transillumination. spermatoceles Treatment With Large cysts may include surgical excision, needle aspiration, sclerotherapy.

Spermatocele formed due to disruption of the normal outflow of secretions from the epididymis and its accumulation in the excretory duct to form a pathological cavity in the area of ​​head or tail of the epididymis and spermatic cord. Spermatocele determined feels like a rounded, smooth, plotnoelastichnoe, painless formation, located in the scrotum above the testicles. Content spermatoceles may be represented transparent or milky secret, which includes seminal fluid, seminal cells, sperm cells, the fat calf, epithelial cells and leukocytes isolated. Spermatocele may be congenital or acquired, its share in urology accounts for about 7% of the diseases of the scrotum.

Spermatocele is benign, often manifests itself in a period of active changes in the sex glands (6-14 years, 40-50 years).

Formation of congenital spermatoceles derived from embryonic sources Müllerian ducts (gidatid) and is associated with a partial cleft vaginal process of the peritoneum, in which the course of the epididymis and spermatic cord are noncommunicating cavity. Congenital spermatoceles typically has a small size (2-2.5 cm) and contains a light-yellow transparent liquid without impurities sperm.

In the case of acquired spermatoceles damage seed excretory ducts occurs because of trauma or inflammatory diseases of the scrotum (vesiculitis, orchitis, epididymitis, deferentita). Injured or inflammatory changed as a result of obstruction channels cease to function. Excretion of the seed is no secret, it overwhelms the duct wall and stretching it to form a cyst. Acquired spermatoceles can be single or multi-chamber, with a different content: a thick, milky white or transparent opalescent, with a dash of sperm and sperm cells.

Spermatoceles flows often asymptomatic and slowly growing in size, it does not cause disorders of sexual and reproductive function in men. When spermatoceles can randomly test the painless spherical formation at the top of the scrotum.

If we can reach large sizes spermatoceles patients complain of an increase in the size of the scrotum, discomfort, heaviness and pain when moving, walking, sitting, sexual intercourse. Possible complications include spermatoceles rupture and suppuration seminal cysts.

The prognosis after spermatotselektomii usually favorable: fades apparent cosmetic defect, restored spermatoceles impaired reproductive function.

Rarely after surgery in the scrotum may bleed, hydrocele, pronounced scar process, obstruction of the seminiferous tract and infertility (in case of damage of the vas deferens or testicular vessels that violate the maturation and transport sperm). In addition, after aspiration and sclerotherapy with spermatoceles not excluded relapse, so these methods are applied is limited in men of reproductive age.

If you suspect a relapse spermatoceles necessary to perform diagnostic ultrasound of the scrotum. Spermatocele with bilateral lesions of the epididymis and fairly rapid growth can compress normal working ducts and lead to infertility.

To prevent spermatoceles avoid injury and inflammation of the scrotal organs, regularly carry out self-examination and timely access to specialists when it detects the additional formations.