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Spermatocelectomy · Spermatocele Removal in Bangkok
Spermatocelectomy is a scrotal outpatient procedure to remove a spermatocele · a benign fluid-filled cyst arising from the epididymis. Most spermatoceles are small, asymptomatic, and don’t require treatment. Surgery is reserved for symptomatic cases (pain, growing size, cosmetic concern) where conservative management has failed.
Our solutions
Why patients choose Spermatocelectomy
What Our Patients Say
Male Surgery
The difference was night and day. I hadn’t felt a strong stream like that in years.
Wachirawit, 67
Male Surgery
I was nervous about surgery, but the relief was almost instant. Sleeping through the night feels incredible again.
Khom, 64
Book your consultation today.
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How to Prepare for Spermatocelectomy
Confirm symptoms warrant surgery
Asymptomatic spermatoceles don’t need treatment. Surgery is for pain, significant growth, or cosmetic concern that bothers you.Scrotal ultrasound
Confirms spermatocele location, size, and rules out other scrotal pathology (tumor, hydrocele, epididymitis).Fertility counseling
Spermatocelectomy can damage the epididymis and affect fertility on that side · if future fertility matters, we discuss this carefully and may recommend conservative management.Stop blood thinners
5-7 days before surgery only if cleared by your prescribing doctor.Pre-anesthesia assessment
Brief screening for TIVA or local + sedation.Plan transport home
You cannot drive yourself home after anesthesia.
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What Happens During Spermatocelectomy
Anesthesia
Local + sedation, TIVA, or general anesthesia depending on patient preference and cyst size.Scrotal incision
2-3 cm incision in the scrotum over the spermatocele.Spermatocele exposure
The testis and epididymis are gently delivered out of the incision · the spermatocele is identified.Cyst dissection
The spermatocele is carefully separated from the epididymis and removed intact.Closure
Layers closed with absorbable sutures · no external stitch removal needed.Recovery
Scrotal support, ice, and pain medication for 5-7 days. Light activity in 5-7 days, full activity in 2-3 weeks.
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About Spermatocelectomy
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Conservative First, Surgery Only When Needed
Most spermatoceles don’t need surgery. We confirm symptoms warrant intervention before recommending the procedure.
Fertility-Preserving Discussion
For men who want future fertility, we discuss the potential epididymal impact carefully before surgery · sometimes conservative management remains the right answer even with symptoms.
Specialist Scrotal Surgery
Scrotal surgery requires careful technique to avoid testicular ischemia, hematoma, and chronic pain · our urology team performs these procedures routinely.
Private, Discreet Recovery
Confidential care, WhatsApp recovery support, English-language follow-up.
Frequently asked questions
Should I remove an asymptomatic spermatocele?
No. Asymptomatic spermatoceles don’t require treatment. Surgery is for pain, significant growth, or cosmetic concern that bothers you. Watch-and-wait with periodic ultrasound is appropriate for asymptomatic cases.
Will surgery affect my fertility?
Spermatocelectomy can damage the epididymis on that side, potentially affecting sperm transport. For men who want future fertility, this matters · we discuss conservative management carefully if fertility is a concern. The other side remains unaffected.
What are the risks?
Most common: hematoma (scrotal swelling and bruising), wound infection, recurrence of the cyst. Less common: chronic scrotal pain, testicular ischemia (rare with careful technique).
How long is recovery?
Light activity in 5-7 days, return to work in 5-7 days for desk work, full activity in 2-3 weeks. Sexual activity after 2 weeks. Mild scrotal swelling and bruising for 1-2 weeks is normal.
How much does spermatocelectomy cost in Bangkok?
Cost depends on anesthesia choice, cyst size, and outpatient vs short-stay admission. Book a consultation for a personalized quote.
DEFINITIVE TREATMENT FOR SYMPTOMATIC SPERMATOCELE
DEFINITIVE TREATMENT FOR
SYMPTOMATIC SPERMATOCELE
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