Spermatic cord cyst surgeries generally have low complication rates. Potential complications may include: Injury or rupture of the spermatic cord during surgery. Development of a hematoma (blood collection) in the surgical area or scrotum. Damage or rupture of the vascular structures responsible for the blood supply to the testicle. Reopening (recurrence) or insufficient ligation of the inguinal canals surgically closed. Recurrence of the cyst despite the surgery (recurrence). It is critically important that these operations are performed in fully equipped hospitals by experienced surgeons in the field to minimize the risk of complications and achieve the best results.