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[Bilateral spermatocele developed after vasectomy: a case report]
H Mizoguchi1, Y Fukunaga, Y Kasagi
1Department of Urology, Oita Medical University, Japan.
Nihon Hinyokika Gakkai Zasshi. the Japanese Journal of Urology
|October 1, 1994
Summary
A rare case of bilateral spermatocele, a fluid-filled sac, developed 17 years post-vasectomy. This condition resulted from prolonged pressure buildup in the epididymal ducts after the vasectomy procedure.
Area of Science:
- Urology
- Surgical Pathology
Background:
- Vasectomy is a common male sterilization procedure.
- Complications, though rare, can occur years after the procedure.
Observation:
- A 47-year-old male presented with bilateral intrascrotal swelling 17 years after vasectomy.
- Sonography revealed multilocular lesions within the scrotum.
Findings:
- Surgical exploration identified bilateral cysts originating from the epididymal head (caput epididymis).
- Cystic fluid analysis confirmed the presence of spermatozoa, leading to a diagnosis of bilateral spermatocele.
- Histopathological examination confirmed spermatocele.
Implications:
- This case suggests that prolonged increased pressure within the intraepididymal duct system following vasectomy can induce spermatocele formation, even after a significant latency period.
- Highlights the importance of considering delayed complications after vasectomy in urological diagnostics.
Keywords:
AsiaBiologyCase StudiesDeveloped CountriesEastern AsiaEpididymisExaminations And DiagnosesFamily PlanningGenitaliaGenitalia, MaleGerm CellsJapanMale SterilizationPhysical Examinations And DiagnosesPhysiologyResearch MethodologySpermatozoaSterilization, SexualStudiesSurgeryTestisTreatmentUrogenital SystemVasectomy--complications