ABSTRACT

Spermatocele is cystic dilatation of epididymis. These cysts are usually located outside of the tunica vaginalis and show transillumination as hydrocele. They are detected during a scrotal ultrasound incidentally. Although the etiology of most spermatoceles is idiopathic, trauma, infection or inflammatory process may lead to the development of spermatocele. Our case is a 69-year-old male patient with localized prostate cancer. He was admitted to our hospital with scrotal pain 3 months after open radical retropubic prostatectomy. His scrotal examination revealed 2 soft-density masses measuring 3-4 cm in diameter in the left scrotum and one measuring 5-6 cm in the right scrotum. Scrotal color Doppler ultrasonography showed two cystic masses filled with liquids one measuring 5.5 cm in the right scrotum and one measuring 2.4 cm in the left scrotum. Bilateral scrotal exploration was done and two spermatoceles, one measuring 3.4 cm in the left scrotum and the other measuring 5.6 cm in the right scrotum, were removed.