Spermatocele (Epididymal Cyst)

DC 7529Genitourinary38 CFR 4.115b, DC 7529

A benign fluid-filled cyst that forms on the epididymis near the testicle. The VA rates spermatocele based on whether it causes pain, affects urinary function, or requires treatment.

How the VA rates this condition

The VA rates this condition based on how much it affects your ability to work and carry out daily activities. The examiner will focus on the functional limitations your condition causes, not just the diagnosis itself.

Diagnostic code

DC 7529

Rating range

0% – 10%

Rating levels

Rating criteria are defined in 38 CFR 4.115b, DC 7529. This guide presents a plain-language summary and is not a substitute for the full regulatory text. Always consult a VSO or VA-accredited attorney for case-specific advice.

Rating Levels

Your spermatocele causes pain or discomfort and requires monitoring, medication, or surgical removal with residual symptoms.

What the VA looks for

Spermatocele causing documented pain
Scrotal ultrasound confirming epididymal cyst
Surgical removal with post-operative residuals
Pain medication required
Impact on physical activities documented

Common Pitfalls

⚠Not getting scrotal ultrasound imaging — the VA needs objective evidence of the cyst, not just a physical exam finding.
⚠Not documenting pain and its impact on daily life — if the cyst causes discomfort with exercise, sitting, or work activities, have your doctor record the details.
⚠Not connecting the spermatocele to in-service testicular trauma, infection, or surgery — a nexus to service is required.

Related DBQ Forms

DBQ Male Reproductive System

View evidence checklist →See secondary conditions →

Condition Rating Guides

Understand what the VA looks for at each rating level — loading conditions…