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What is a Hypospermia?
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What is Azoospermia?
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Have you been diagnosed with azoospermia? It is one of the types of infertility in men. One of the reasons that cause Azoospermia is epididymis obstruction. The epididymis is one of the important parts in a male reproductive system that attaches directly to testis. It consists of a central portion, body, upper enlarged part called the head, and lower part, the tail which is continuous with the vas deferens. It is a narrow duct, which is around 20ft in length, coiled up inside the scrotum.
The main function of this duct is to transport the sperm to the ejaculatory ducts. When a man suffers from epididymis obstruction, it means that there is some kind of cyst or blockage that obstructs the sperms from swimming to the ducts. Sometimes the ejaculatory ducts also can have blockages. Let's take a look at the causes, symptoms, and treatments available to treat this condition.
If there are any blocks in the epididymis or the ejaculatory ducts, it can be surgically treated. The following are some of the recommended surgeries:
If you have had a vasectomy before and recently decided that you want to have a baby, you can undergo a vasectomy reversal surgery.
This surgery can be done if the blockage is caused due to infection or unexplained reasons. The blockage is first removed and then connected the epididymis to the vas deferens.
This is a surgical procedure which removes the blockage and connects both the sides of the vas deferens.
Blockage in the ejaculatory ducts is typically rare. TURED is the surgical procedure recommended for those with this condition.
Apart from surgical procedures, some doctors may recommend sperm retrieval technique for In Vitro Fertilization (IVF) as well. Sperm retrieval techniques like Microsurgical epididymal sperm aspiration (MESA), percutaneous epididymal sperm aspiration(PESA) are used to retrieve sperms. The sperm cell is first retrieved from the male, fertilised with the egg in a dish, and transferred to the female's womb.
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AskMayoExpert. Scrotal mass. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2017.
Spermatoceles (spermatic cyst). American Urological Association Foundation. http://www.urologyhealth.org/urology/index.cfm?article=117. Accessed Dec. 29, 2017.
Shah VS, et al. Routine pathology evaluation of hydrocele and spermatocele specimens is associated with significant costs and no identifiable benefit. Journal of Urology. 2014;192:1179.
Eyre RC. Evaluation of nonacute scrotal pathology in adult men. https://www.uptodate.com/contents/search. Accessed Dec. 23, 2017.
About DES. Centers for Disease Control and Prevention. https://www.cdc.gov/des/consumers/about/history.html. Accessed Dec. 23, 2017.
Walls RM, et al., eds. Selected urologic disorders. In: Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, Pa.: Elsevier; 2018. https://www.clinicalkey.com. Accessed Dec. 23, 2017.
Do I have testicular cancer? American Cancer Society. https://www.cancer.org/cancer/testicular-cancer/do-i-have-testicular-cancer.html. Accessed Dec. 29, 2017.

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A spermatocele, also known as a spermatic cyst, is a typically painless, noncancerous (benign), fluid-filled sac that grows near the top of a testicle.
A spermatocele (SPUR-muh-toe-seel) is an abnormal sac (cyst) that develops in the epididymis — the small, coiled tube located on the upper testicle that collects and transports sperm. Noncancerous and generally painless, a spermatocele usually is filled with milky or clear fluid that might contain sperm.
The exact cause of spermatoceles isn't clear, but they might be due to a blockage in one of the tubes that transport sperm.
Spermatoceles, sometimes called spermatic cysts, are common. They typically don't reduce fertility or require treatment. If a spermatocele grows large enough to cause discomfort, your doctor might suggest surgery.
A spermatocele usually causes no signs or symptoms and might remain stable in size. If it becomes large enough, however, you might feel:
Because a spermatocele usually doesn't cause symptoms, you might discover it only during a testicular self-exam, or your doctor might find it during a routine physical exam.
It's a good idea to have your doctor evaluate any scrotal mass to rule out a serious condition, such as testicular cancer. Also, call your doctor if you experience pain or swelling in your scrotum. A number of conditions can cause testicular pain, and some require immediate treatment.
The cause of spermatoceles is unknown. Spermatoceles might result from a blockage in one of the multiple tubes within the epididymis that transport and store sperm from the testicle.
There aren't many known risk factors for developing a spermatocele. Men whose mothers were given the drug diethylstilbestrol (DES) during pregnancy to prevent miscarriage and other pregnancy complications appear to have a higher risk of spermatoceles. Use of this drug was stopped in 1971 due to concerns about an increased risk of rare vaginal cancer in women.
The male reproductive system makes, stores and moves sperm. Testicles produce sperm. Fluid from the seminal vesicles and prostate gland combine with sperm to make semen. The penis ejaculates semen during sexual intercourse.
A spermatocele is unlikely to cause complications.
However, if your spermatocele is painful or has grown so large that it's causing you discomfort, you might need to have surgery to remove the spermatocele. Surgical removal might damage the epididymis or the vas deferens, a tube that transports sperm from the epididymis to the penis. Damage to either can reduce fertility. Another possible complication that can occur after surgery is that the spermatocele might come back, though this is uncommon.
Although there's no way to prevent a spermatocele, it's important for you to conduct scrotal self-exams at least monthly to detect changes, such as masses, in your scrotum. Any new mass in your scrotum should be evaluated promptly.
Your doctor can instruct you in how to conduct a testicular self-examination, which can improve your chances of finding a mass.
A good time to examine your testicles is during or after a warm bath or shower. The heat from the water relaxes your scrotum, making it easier for you to detect anything unusual. Then follow these steps:
By regularly performing this exam, you'll become more familiar with your testicles and aware of any changes that might be of concern. If you find a lump, call your doctor as soon as possible.
Regular self-examination is an important health habit. But it can't substitute for a doctor's examination. Your doctor normally checks your testicles whenever you have a physical exam.
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Epididymitis. Centers for Disease Control and Infection. https://www.cdc.gov/std/tg2015/epididymitis.htm. Accessed Aug. 21, 2017.
Epididymitis. Merck Manual Professional Version. https://www.merckmanuals.com/professional/genitourinary-disorders/penile-and-scrotal-disorders/epididymitis. Accessed Aug. 21, 2017.
Eyre RC. Evaluation of acute scrotal pain in adults. https://www.uptodate.com/contents/search. Accessed Aug. 21, 2017.
Eyre RC. Evaluation of nonacute scrotal conditions in adults. https://www.uptodate.com/contents/search. Accessed Aug. 21, 2017.
Rupp T, et al. Epididymitis. In: StatPearls (Internet). Treasure Island, Fla.: StatPearls Publishing; 2017. https://www.ncbi.nlm.nih.gov/books/NBK430814/. Accessed Aug. 21, 2017.

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Epididymitis (ep-ih-did-uh-MY-tis) is an inflammation of the coiled tube (epididymis) at the back of the testicle that stores and carries sperm. Males of any age can get epididymitis.
Epididymitis is most often caused by a bacterial infection, including sexually transmitted infections (STIs), such as gonorrhea or chlamydia. Sometimes, a testicle also becomes inflamed — a condition called epididymo-orchitis.
Epididymitis is an inflammation of the small, coiled tube at the back of the testicle (epididymis).
Signs and symptoms of epididymitis might include:
Epididymitis that lasts longer than six weeks or that recurs is considered chronic. Symptoms of chronic epididymitis might come on gradually. Sometimes the cause of chronic epididymitis isn't identified.
Never ignore scrotal pain or swelling, which can be caused by a number of conditions. Some of them require immediate treatment to avoid permanent damage.
If scrotal pain is severe, seek emergency treatment. See a doctor if you have discharge from your penis or pain when you urinate.
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The male reproductive system makes, stores and moves sperm. Testicles produce sperm. Fluid from the seminal vesicles and prostate gland combine with sperm to make semen. The penis ejaculates semen during sexual intercourse.
Certain sexual behaviors that can lead to STIs put you at risk of sexually transmitted epididymitis, including having:
Risk factors for nonsexually transmitted epididymitis include:
Complications of epididymitis include:
To help protect against STIs that can cause epididymitis practice safer sex.
If you have recurrent urninary tract infections or other risk factors for epididymitis, your doctor might discuss with you other ways of preventing a recurrence.
Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission.
Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press .
Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below.

A single copy of these materials may be reprinted for noncommercial personal use only. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research.

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