The location and history of any scrotal masses are crucial in determining whether or not the mass is benign or malignant. Lab tests such as a complete blood count (CBC test) or urine test can also be conducted to check for any possible infection or signs of inflammation.Spermatoceles come in varying sizes and shapes. Some spermatoceles are very small and can only be detected through an ultrasound. More commonly seen are spermatoceles that are a pea-sized lump. They tend to form above or behind a testicle and have a shape and size that looks like a pea. Larger growths have been reported to look similar to a third testicle and can be very discomforting. For those who are affected with large spermatoceles, some have reported feeling pain, heaviness, and fullness in the affected testicle. When to see a doctor
If a person is experiencing pain and/or swelling in the scrotum or if a person notices a physical difference such as a mass during a testicular self-exam then they must seek medical attention quickly to help rule out any other causes and begin treatment. Special Populations
Spermatoceles in Children
Epididymal cysts may arise in children due to numerous different reasons. They may even originate from a disturbance in endocrine factors during the development of the embryo.
Fertility may be compromised with these surgical procedures, so people may consider postponing surgery until after having children. If the pain is intolerable and the person would like to get the spermatocele removed immediately, the person should talk to his doctor about the possibility of freezing or donating sperm in case infertility occurs. Male Reproductive System
Spermatoceles are important to not be ignored as it can affect the male reproductive system. The testes are organs inside the scrotum that create sperm as well as sex hormones and testosterone. The sperm in the testes move to the epididymis which is a long, coiled tube behind the testes. The primary function is to store and mature sperm so it can fertilize the egg. However, if the epididymis becomes injured, then there is a chance that the sperm will not mature and a man will not be able to reproduce with a woman. Therefore, serious thought must be considered when undergoing spermatocelectomy. Prevention and Screening
There is no way to prevent a spermatocele from forming, but there are routines that can be established to help identify any changes in a persons scrotum such as masses, abnormalities, or discomfort. Performing a monthly testicular self-exam can improve the persons chances of identifying spermatoceles or any abnormalities quickly. It is best to perform a testicular self-exam after a warm shower to help the scrotum relax. To properly exam the scrotum, look for any swelling on the skin and examine each testicle by rolling the testicle between the thumbs and the fingers.