Hi, Thanks for posting in HCM. I understand your concern. Sperm granuloma is a lump of extravasated sperm that appears along the vas deferens or epididymis in vasectomized men. It occurs as a result of the pressure-induced changes following vasectomy. Most cases of sperm granuloma usually resolve without treatment. In case it is symptomatic indicating infection, an appropriate course of antibiotics and analgesic medications needs to be taken. Since some of the granulomas could be associated with testicular cancer, it would be advisable for you to undertake scrotal ultrasound scan and clinical evaluation to make sure about its status. Hope the information provided would be helpful. All the best.