Diagnosis
To diagnose a sperm granuloma, a physical examination is always required in addition to the medical history. The doctor, preferably a urologist, can palpate the granuloma as a palpable resistance in the scrotum. The suspicion becomes stronger if it is a painful resistance.
The doctor may also perform an ultrasound examination to examine the structure and surrounding tissue more closely. To ensure the diagnosis and to exclude a testicular tumor, a tissue sample should always be taken. By detecting epithelial cells under the microscope, the diagnosis is confirmed.
Treatment
Sperm granulomas are benign neoplasms and therefore not dangerous. As a rule, they do not require any therapy, unless the patient finds them very painful and unpleasant. In most cases, a spontaneous regression of the granuloma occurs after a short time.
To accelerate the healing process, warm compresses or warm baths can help. Painkillers such as ibuprofen or Voltaren can help against the pain. If the patient does wish to be treated in the end, the granuloma can be cut out during an operation. A tissue sample can be taken directly and a malignant tumor can be excluded. The operation is usually performed under local anesthesia and can be done on an outpatient basis.
Duration and prognosis
The prognosis of a sperm granuloma is usually very good and in most cases does not lead to any complications. The probability of malignant degeneration is very low. In rare cases, chronic pain in the testicles and recurrence may occur, so that repeated treatment is necessary. However, a surgical procedure usually carries more side effects and risks than leaving the granuloma in place.
