Hi, Thanks for posting in HCM. I have read your description and understand your concern. A spermatocele is a fluid-filled non-cancerous abnormal sac (cyst) that develops in the epididymis. It is usually painless and might occur due to a blockage in one of the tubes that transports sperm. Since it is causing symptoms in your case, it would be ideal to intervene, as left alone could land up in certain complications. You may take over-the-counter pain medications, such as acetaminophen or ibuprofen to overcome acute pain. Since the lesion is deep inside, topical application of medications does not help in anyway to overcome your problem. A procedure called a spermatocelectomy is performed by a Surgeon, generally on an outpatient basis, using a local or general anesthesia. Kindly consult Surgeon for clinical evaluation and management. Hope the information provided would be helpful. All the best.