Spermatocelectomy and Partial Epididymectomy for a Large Multilocular Spermatocele and Epididymal Head Cyst
Linda J. Guan, MD; Joseph Y. Clark, MD
Penn State Health Milton S. Hershey Medical Center

Spermatocelectomy is a surgical procedure used to treat spermatoceles, which are cystic structures that arise from the epididymis that contain spermatozoa and proteinaceous fluid. In cases of symptomatic spermatoceles, such as in the setting of pain or discomfort, spermatocelectomy may be offered. The general approach to a spermatocelectomy is via a scrotal incision to deliver the testis. The spermatocele is then dissected from the epididymis and divided to complete the procedure. In cases of large and broad-based spermatoceles where complete dissection of the spermatocele off the epididymis is not possible, an epididymectomy can be carried out for complete removal. The tunica vaginalis, dartos fascia, and scrotal skin are reapproximated in separate layers. In this video, we present a patient electing to undergo spermatocelectomy secondary to pain and discomfort.