What is an epididymal cyst or spermatocele?
An epididymal cyst, also called a spermatocele when it contains sperm, is a benign fluid-filled sac that develops in the epididymis—the small, coiled tube behind the testicle. Many patients notice a painless, soft lump in the scrotum during showering or self-exam. While an epididymal cyst or spermatocele is usually harmless, any new scrotal mass should be evaluated by a urologist to rule out other causes and to discuss treatment options.
Symptoms, when to seek care, and diagnosis
Most epididymal cysts and spermatoceles cause few symptoms beyond a palpable lump or a feeling of heaviness. Seek care promptly if you experience pain, growth of the mass, changes in testicular size, or concerns about fertility. At Urology Specialists of Austin, your visit begins with a focused history and gentle exam. If needed, a noninvasive scrotal ultrasound confirms the diagnosis and differentiates an epididymal cyst from other conditions. Our on-site coordination makes testing fast and convenient.
Personalized treatment at Urology Specialists of Austin
Many patients do well with watchful waiting, especially when the epididymal cyst or spermatocele is small and painless. If symptoms interfere with daily life—discomfort, bothersome size, or cosmetic concerns—our fellowship-trained urologists discuss evidence-based options:
- Conservative management: Supportive underwear, anti-inflammatory measures, and periodic monitoring.
- Office-based pain control: Targeted strategies for intermittent discomfort.
- Surgical treatment (spermatocelectomy): A precise outpatient procedure to remove the cyst while protecting testicular structures. Our surgeons employ meticulous technique to minimize recurrence and support fertility goals.
Throughout your care, we emphasize clear communication, realistic expectations, and shared decision-making. You’ll know exactly what to expect before, during, and after treatment— including recovery timelines and follow-up.
Why choose Urology Specialists of Austin?
Patients choose our team for subspecialty expertise, advanced imaging access, and a compassionate, patient-first approach. We diagnose and treat the full spectrum of scrotal and testicular conditions, from epididymal cysts and spermatoceles to complex urologic concerns. Same- and next-day appointments are often available, and our care coordinators help streamline referrals, imaging, and insurance questions.
Schedule your visit in Austin, Dripping Springs, or Round Rock
If you’re concerned about an epididymal cyst, spermatocele, or any scrotal lump, we’re here to help. Call or book online to see our urologists in Austin, Dripping Springs, or Round Rock and get personalized answers fast.
