View source for Spermatocele

[[File:Gray1144.png|thumb|Scrotal anatomy]]
[[File:Figure 28 01 02.jpg|thumb|Scrotal anatomy]]
[[File:Figure 28 01 03.jpg|thumb|Testicular anatomy]]
==Background==
*Spermatoceles are fairly common, appearing in about 30% of adult men. They are usually found during self examination or while men are undergoing imaging studies for other conditions.
*arise from an accumulation of sperm, usually in the head of the epididymis. 
*cause is not known

==Clinical Features==
*small, pea-sized bulge or lump in the scrotum. 
*Sometimes this lump may be tender or painful and on occasions the scrotum is enlarged.

==Differential Diagnosis==
{{Testicular DDX}}

==Evaluation==
*ultrasound - nearly 100% accurate in diagnosis of spermatocele
==Management==
*Usually does not require treatment
*Surgical management my urology can be discussed if spermatocele is causing pain or increases in size

==Disposition==
*discharge home with urology follow up if needed

==References==
#Cleveland Clinic Glickman Urological and Kidney Institute. Hydrocele and Spermatocele. Retrieved from http://my.clevelandclinic.org/services/urology-kidney/diseases-conditions/hydrocele-spermatocele
#Children's Hospital of Philadelphia. Epididymal Cyst and Spermatocele. Retrieved from http://www.chop.edu/conditions-diseases/epididymal-cyst-and-spermatocele#.Vpe8cDbsehQ

[[Category:Urology]]