Spermatocelectomy

Anesthesia Implications

Position: Supine, Lithotomy, arms at side on armboards
Time: 30-60 min (short)
Blood Loss: Very Low (5-10 ml)
Post-op Pain: Minimal (1-3)
Maintenance Paralytic: No

Approach – GLMA is typically recommended. No paralysis needed.

Vagal Response – Monitor for bradycardia intraoperatively due to potential vaso-vagal reflex when pulling on and around the testicle. If this occurs: notify surgeon and treat accordingly (robinul 0.2mg, ephedrine 5-10mg, or atropine if needed).

Positioning – Typically supine or lithotomy. This will be surgeon preference.

A spermatocele is a fluid filled cyst that develops in the epididymis. The exact cause is unknown. Surgical removal is recommended when the cyst becomes large and painful.

During a spermatocelectomy an incision is made in the scrotum and the testicle with its attached spermatocele is lifted out. The spermatocele is then removed from the epididymis. The testicle is replaced and the scrotum is sutured.