Occasionally they may be sensitive to pressure and therefore painful but it is an absolutely benign condition.
An active approach should only be taken if the spermatocele causes discomfort. If family planning is still in progress, the spermatocele can be surgically removed. The risk of recurrence of this disease is 10-30%. If family planning is not an issue epididymectomy ((Epididymis removal)) is recommended.
According to this quick check, you have no indications of typical urological diseases. If you have any issues that have not yet been examined, it may best to contact your family doctor.
Please contact your family doctor with the symptoms. In the event of skin changes, you will at best be referred to a dermatologist.
Please have yourself examined by a urologist. Our doctors will be happy to assist you.