Karl R. Westenfelder, M.D., Garrick R. Simmons, M.D. Kevin M. Kronner, M.D., Christopher G. Wicher, M.D. 2875 Tina Ave STE 101 Missoula, MT 59808

(406) 728-3366 Fax (406) 728-0651

Adult and Pediatric Urology HYDROCELE AND SPERMATOCELE INFORMATION A Hydrocele occurs when fluid fills the membrane covering the front and sides of the testicle and epididymis in the scrotum. Signs and Symptoms

Swelling on one or both sides of the scrotum. Usually not painful, but may be uncomfortable due to size and/or location.

Causes Trauma to scrotum. Inflammation or infection of the epididymis. Unknown causes.

Treatment Surgery to correct the problem (hydrocelectomy) if the hydrocele is causing pain and

discomfort. __________________ A Spermatocele is a very common benign cystic accumulation of sperm often found in the head of the epididymis. Signs and Symptoms

Smooth, firm, well-circumscribed mass along the testis. May or may not be painful.

Causes Unknown. History of trauma, infection or inflammation.

Treatment Ultrasound imaging of scrotum is used to diagnose spermatocele. Observation of simple spermatoceles and use of oral analgesics for pain relief. Surgery to correct problem (spermatocelectomy)