Patient's question:
I have been married to my wife for five years. Previously, because I was quite busy with work, I never really thought about having children. Our sexual life was also natural, and we never intentionally took any measures for breastfeeding. However, after five years, we still haven't become pregnant. Our family members found it strange and insisted that we get a thorough medical check-up. It was discovered that my husband has epididymal malformation, specifically an epididymal head cyst. The doctor said this condition is the cause of infertility. What are the effective treatments for epididymal malformation?Doctor's answer:
1. If epididymal malformation does not affect fertility, no treatment is required.2. For patients with segmental epididymal self-locking, epididymal tubule vas deferens anastomosis surgery can be performed for treatment.
3. Patients with absent epididymis cannot be treated directly; the main focus is on addressing fertility issues. If the patient has normal testicular spermatogenesis, assisted reproductive technologies can be considered. For patients with split cryptorchidism due to epididymal malformation, orchidopexy should be performed promptly. The epididymis can recover, but the treatment period is usually long, and recurrence is common after treatment. Therefore, active cooperation with the doctor and appropriate medication are essential during treatment.