Spermatoceles
Last reviewed: 23.04.2024
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[Causes of the spermatocele
Spermatoceles can develop from embryonic remains: hydatids without a leg located at the upper pole of the testicle, the remnants of the Müllerian duct: the hydatide with the leg, located on the head of the appendage - the rudiments of the volphic body. Cysts are often filled with a clear liquid.
Retinal seed cysts can also occur as a result of trauma or inflammation, when the tubules narrow or become obliterated. The contents of these cysts are normal and pathological spermatozoa. This species is extremely rare in childhood.
Symptoms of the spermatocele
Children usually do not complain, the diagnosis of spermatoceles is, as a rule, diagnosed during routine examination.
With spermatoceles, the testis and appendage are defined palpatorially outside the cystic cavity, but they are intimately associated with the cystic cavity.
The decisive method of diagnosis - ultrasound examination of the scrotum organs with measurement of the size of the cyst, testicles, the ratio of spermatoceles with gonad.
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Treatment of the spermatocele
Treatment spermatoceles only operative.
Indications for surgical treatment of cysts - the size of the spermatoceles is more than 5 mm, rapid growth of the cystic cavity.
With a spermatoceles, an operation is performed to excise the cyst, followed by suturing the defect of the epididymis.
Operation technique. Conduct a cross-section of the skin along the front surface of the scrotum above the formation. Cut the layers of the testicle layer by layer. After the parietal leaflet of the vaginal membrane is closed, the testicle and the cyst located at its upper pole are exposed and wounded into the wound.
Above the cyst, the visceral leaf of the vaginal sheath of the testicle is dissected and blunt, and it is excised to the base with a sharp path. Cyst is removed, her bed is sutured. The testicle is immersed in the scrotum, the testicles are ligated layer by layer. Impose a suspensions, giving the scrotum a raised position.