Hydrocele/Spermatocele

3 middle age men smiling, drinking wine

Hydrocele and Spermatocele Treatment

At Urological Associates of Savannah, we understand that changes in your body—especially in sensitive areas—can be concerning. Conditions like hydroceles and spermatoceles are common, often harmless, and highly treatable. Our experienced team provides accurate diagnosis, clear guidance, and effective treatment options to help you feel confident in your health.

What Is a Hydrocele?

A hydrocele is a fluid-filled sac that forms around the testicle, leading to swelling in the scrotum. It is typically painless and may develop gradually over time. Hydroceles are common in newborns but can also occur in adult men, often as a result of injury, inflammation, or infection.

While many hydroceles are not dangerous, they can become uncomfortable or cause noticeable swelling that interferes with daily activities. If the size increases or symptoms develop, evaluation by a urologist is recommended.

What Is a Spermatocele?

A spermatocele is a cyst that forms in the epididymis—the small, coiled tube located behind the testicle that stores and transports sperm. These cysts are usually filled with fluid that may contain sperm.

Spermatoceles are typically benign and painless. Many men may not even realize they have one until it is discovered during a routine exam. However, larger spermatoceles can cause discomfort, a feeling of heaviness, or concern due to their size.

Common Symptoms

Both hydroceles and spermatoceles may present with similar signs, including:

  • Swelling in one or both sides of the scrotum
  • A feeling of heaviness or fullness
  • Mild discomfort or aching
  • A smooth, round mass that can be felt

In most cases, these conditions are not associated with severe pain. However, any new or unusual swelling should always be evaluated to rule out more serious concerns.

Diagnosis and Evaluation

At Urological Associates of Savannah, diagnosis begins with a thorough physical examination and discussion of your symptoms. In many cases, a scrotal ultrasound is used to confirm the diagnosis and distinguish between different types of masses.

Our goal is to provide clarity and peace of mind. We take the time to explain your condition and answer any questions so you can feel comfortable with your care plan.

Treatment Options

Not all hydroceles or spermatoceles require treatment. If the condition is small and not causing discomfort, your provider may recommend simple observation.

When treatment is necessary, options may include:

Monitoring: Regular check-ups to ensure the condition is not changing or causing complications.

Minimally Invasive Procedures: In select cases, fluid may be drained to relieve discomfort, though this is typically a temporary solution.

Surgical Treatment: For larger or symptomatic cases, a procedure called a hydrocelectomy or spermatocelectomy may be recommended. These outpatient surgeries are designed to remove the fluid or cyst while preserving surrounding structures.

Our team uses advanced techniques to ensure effective results with minimal downtime.

Why Choose Urological Associates of Savannah?

We are committed to providing compassionate, patient-centered care in a comfortable and discreet environment. Our board-certified providers have extensive experience diagnosing and treating a wide range of urologic conditions, including hydroceles and spermatoceles.

From your first visit through treatment and recovery, we prioritize clear communication, personalized care, and your overall well-being.

Schedule an Appointment

If you have noticed swelling, discomfort, or changes in your scrotal area, don’t wait to seek evaluation. Early diagnosis can provide reassurance and help prevent complications.

Contact Urological Associates of Savannah today to schedule an appointment and take the next step toward better urologic health.