BILATERAL SPERMATOCELE DEVELOPED AFTER VASECTOMY; A Case Report

Abstract

A rare case of bilateral spermatocele developed 17 years after vasectomy was presented. A forty-seven year old man visited to our hospital with a chief complaint of swelling of bilateral intrascrotal contents. Sonographic findings demonstrated multilocular lesions of the bilateral intrascrotal contents. Operative procedure revealed bilateral cysts originating from the caput of the epididymis. Bilateral epididymectomy were performed. It was diagnosed as spermatocele because of demonstration of spermatozoa in the cystic fluid. We concluded that bilateral spermatocele has been induced by prolonged increased pressure of the intraepididymal duct following vasectomy 17 years ago.

Primary bilateral spermatocele

“…However, bilateral, large, multilocular spermatocele cases have rarely been reported in published work. To our knowledge, only two cases have been reported in Japan; one of these was deemed to have occurred 17 years after bilateral vasectomy 5 . In another report, there was no particular reason for the development of spermatocele 6 .…”

“…A spermatocele may occasionally become large enough to annoy the patient and be suspected of being a tumor 4 . Bilateral, huge and multilocular cases of spermatocele have rarely been reported in published work 5,6 . A unilateral spermatocele may be found in 4% of men referred for assisted conception 7 .…”