What is a sperm granuloma?
Sperm granuloma is a benign, pea-sized lump that can develop when sperm leaks from the reproductive tract—most commonly after a vasectomy or trauma. While a sperm granuloma is not dangerous, it can cause localized tenderness or persistent discomfort that affects daily activities, sexual health, and peace of mind. At Urology Specialists of Austin, our fellowship-trained urologists provide prompt evaluation, clear answers, and personalized treatment to help you feel your best.
Common symptoms & when to seek care
Many patients notice a small, firm nodule near the epididymis or vas deferens with sensitivity to touch, aching after activity, or pain during ejaculation. If you have a new scrotal lump, swelling, redness, fever, or pain that’s not improving, schedule a visit. Early assessment helps distinguish a sperm granuloma from other conditions such as epididymitis, cysts, or testicular masses.
How we diagnose & treat sperm granuloma
Your visit begins with a detailed history and focused exam. When needed, we use high-resolution scrotal ultrasound to confirm a sperm granuloma and rule out other causes of pain. Most cases respond to conservative care—supportive underwear, activity modification, anti-inflammatory medication, and targeted pain-relief strategies. For persistent symptoms, our specialists may recommend minimally invasive options, including local anesthetic or steroid injection. In select cases, a brief outpatient procedure to remove the sperm granuloma or address a congested vas segment can provide lasting relief. We’ll explain benefits, risks, and recovery so you can make an informed choice.
Why choose our urology team
Our practice blends board-certified urologists, modern imaging, and evidence-based protocols with a friendly, respectful experience. Whether your symptoms started recently or years after vasectomy, we tailor care to your goals—pain control, return to activity, and confidence that your condition is benign. From same-week appointments to streamlined referrals, we keep your visit efficient and focused on answers.
Take the next step. If you suspect a sperm granuloma or have scrotal pain that’s limiting your life, we’re here to help.
Schedule an appointment at the location most convenient for you—Austin, Dripping Springs, or Round Rock—and get expert, compassionate care close to home.
