Hi, I understand your concern. A spermatocele (also known as epididymal cyst ) is a painless, fluid-filled cyst in the epididymis, which lies above and behind each testicle. There is no specific medical line of treatment available for simple spermatocele. Oral analgesics may be prescribed for symptomatic relief. If an underlying infection is present causing epididymitis, a course of appropriate antibiotics may be indicated. Spermatocelectomy is the primary operative intervention for spermatocele. Sclerotherapy is an alternative to excision, but results appear to be less effective. All patients are scheduled to return by 2 weeks post-operatively to evaluate the wound and address any additional concerns, and reassessed again at 4-6 months. If the spermatocele has recurred or is bothersome, the patient is offered an additional course of sclerotherapy or surgical excision after obtaining reports from imaging studies. Kindly consult a surgeon or urologist in this regard for clinical evaluation and appropriate management. Hope the information provided would be helpful. Let me know if I can assist you further. Regards, Dr. Ashakiran S