Ultrasound follow-up of ethanolamine oleate sclerotherapy for spermatoceles
. Eur Urol 23(3): 361-365 (1993)
According to a descriptive study conducted by Kiddoo et al (2004), the overall complication rate following outpatient scrotal surgery was 19.2% and the most common complications witnessed after surgery for hydroceles and spermatoceles
were persistent scrotal swelling, inflammation and postoperative infection.
(b) Sagittal sonographic image of the right scrotum shows a hypoechoic avascular lesion in the right epididymal head likely representing a spermatocele
. (c) SPECT/CT localizes the area of radioiodine uptake to the right epididymal lesion.
(7) Majority of the swelling were cystic in consistency, fluctuant and translucent and transillumination was negative in cases of secondary hydrocele, spermatocele
, haematocele, pyocele and because of the opaque nature of their contents.
7% cases of spermatocele
and 11% cases of epididymal cysts were identified and confirmed on aspiration.
Tubular ectasia of the rete testis with spermatocele
In present study, we detected 04 cases of spermatocele
, which appeared on high frequency US scan as cystic structure with fluid level or fluid-debris level.
A randomized trial comparing 2 doses of polidocanol sclerotherapy for hydrocele or spermatocele
. J Urol.
Testes and epididymis were normal, except for a cyst or spermatocele
of 8 mm in diameter located on the right epididymis, with no signs suggesting a hydrocele.
(3) It may simulate inguinal hernia, testicular neoplasm, spermatic cord neoplasm, hydrocele, or spermatocele
. (4, 5)
A few other differentials can be hemangiomas, chronic epididymitis, spermatocele
and neuro ectodermic tumors on histopathology.
Physician discovery of incidental and inconsequential findings such as spermatoceles
and varicoceles can lead to unnecessary testing and follow-up.