Patient's question:
The epididymis is significantly elongated and abnormally adhered to the testis. The structural abnormalities of the epididymal malformation include epididymal agenesis, segmental self-locking, and epididymal cysts. Infertility, careful examination reveals abnormal vas deferens. How should epididymal malformation be treated?Doctor's answer:
An epididymal head cyst can be treated with aspiration and injection of anesthetic and sclerosing agents. However, due to a high recurrence rate, this method is less safe and reliable compared to surgical approaches and is now used less frequently. In cases of absent epididymis, treatment is not possible, and the primary focus is on addressing fertility issues. For individuals with split cryptorchidism due to epididymal malformation, timely orchiopexy should be performed, and early treatment of epididymal malformation is crucial. The epididymis can be relieved, but the treatment period is generally long, and relapse is common after treatment. Therefore, medications must be used symptomatically during treatment. Additionally, it is recommended to maintain a healthy lifestyle and adopt a proper diet during the treatment period.