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Sperm granuloma
Causes of sperm granuloma
The most common causes of a sperm granuloma are:
- Vasectomy: After a vasectomy, sperm can leak from the vas deferens, which promotes the formation of a sperm granuloma.
- Injuries to the seminal pathways: Traumatic injuries or surgical procedures in the genital area can lead to a sperm granuloma.
- Inflammations: Chronic inflammations in the testes or epididymis can damage the seminal pathways and cause sperm to leak into the surrounding tissue.
- Sperm leakage: Sperm that cannot drain due to a blockage of the vas deferens or epididymis can pass through tissue barriers into the surrounding tissue and trigger an immune reaction.
Symptoms of sperm granuloma
- Pain or discomfort in the area of the testicles or epididymis
- Small, palpable lumps or hardening in the scrotum
- Sensitivity to touch
- Swelling or inflammation in the area of the testicle
Diagnosis of sperm granuloma
The diagnosis of a sperm granuloma is made through a physical examination in which the doctor palpates the scrotum. If a sperm granuloma is suspected, an ultrasound can be performed to more precisely determine the size and location of the granuloma and to rule out other possible causes of the symptoms.
Treatment options for sperm granuloma.
The treatment of a sperm granuloma depends on the severity of the symptoms:
- Painkillers: In most cases, taking non-steroidal anti-inflammatory drugs (NSAIDs) is sufficient for pain relief.
- Cold treatment: Local cold treatment can help reduce inflammation and relieve pain.
- Surgical removal: In severe or chronic cases where the sperm granuloma causes significant discomfort, surgical removal of the granuloma may be necessary.
- Medications: In cases of inflammation, anti-inflammatory medications may be prescribed to alleviate the symptoms.
Preventive measures for sperm granuloma.
To prevent a sperm granuloma after a vasectomy, it is important to follow postoperative instructions carefully and to have regular follow-up examinations. In the case of existing injuries or inflammations of the testicles and seminal ducts, early treatment should be sought to prevent the formation of a granuloma. Regular preventive examinations can help to detect problems early and treat them accordingly.
Common Patient Questions about Sperm Granuloma
A sperm granuloma is a benign inflammatory tissue reaction that occurs when sperm enter the surrounding tissue, for example, through injuries or after a vasectomy. The body recognizes the sperm as foreign bodies and forms inflammatory nodules to enclose and break them down.
A sperm granuloma can lead to swelling, pain, or a palpable lump in the testicular or vas deferens area. The symptoms vary and can range from mild discomfort to more intense pain, especially when touched or pressed.
In most cases, a sperm granuloma does not directly affect fertility unless it is an extensive reaction that leads to blockages in the vas deferens. In patients who have had a vasectomy, fertility is already impaired, so a sperm granuloma usually has no additional effects here.
The treatment of a sperm granuloma often includes anti-inflammatory medications to alleviate symptoms. In more severe cases or if the pain persists, surgical removal of the granuloma may be considered. In many cases, however, the granuloma resolves on its own without intervention.
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