Pediatric epididymal cyst (spermatocele)

What is a pediatric epididymal cyst (spermatocele)?

A spermatocele (epididymal cyst) is a fluid-filled cyst that develops in the long, tightly coiled tube that is located above and behind each testicle (epididymis). The fluid in the cyst may contain dead sperm. A spermatocele feels like a smooth, firm lump in the scrotum on top of the testicle. Having an epididymal cyst does not affect fertility.

What are the signs and symptoms of a pediatric epididymal cyst (spermatocele)?

Signs and symptoms of an epididymal cyst include:

• Feeling of pressure at the base of the penis
• General enlargement of the scrotum
• Lump or mass above the testicle on one side of the scrotum
• Pain
• Redness
• Swelling

In many cases, the cyst causes no symptoms or pain.

What is the cause of a pediatric epididymal cyst (spermatocele)?

There is no confirmed cause.