Special Surgical Procedures II
LESSON 3: Procedures in Genitourinary Surgery
Section v: operations on the scrotum, penis, and urethra
3-34
3-34. SPERMATOCELECTOMY
a. General. This operation involves the removal of a spermatocele, which usually appears as a lobulated cystic mass within the scrotum attached to the upper pole of the epididymis. This condition is usually caused by an obstruction of the tubular system that conveys the sperm. An epididymovasostomy may be attempted after excision of the mass to maintain the system.
b. Operative Procedure.
(1) The mass is approached through a scrotal incision as for hydrocelectomy or varicocelectomy.
(2) The structures of the testis and spermatic cord are identified, and the cyst is dissected free. Bleeding is controlled with clamps and ligatures in routine fashion.
(3) The wound is closed and dressed as for hydrocelectomy refer to paragraph 3-31c(3).
