What exactly is the abnormality of the epididymis?

Patient's question:

Felt something was wrong with my epididymis and went to the hospital for a thorough examination. The doctor said it was an epididymal abnormality, but I've never heard of anyone around me getting this condition, so I guess I should consult more about this epididymal abnormality. What exactly is an epididymal abnormality?

Doctor's answer:

The etiology of congenital epididymal malformations is still unclear. Since patients with cryptorchidism often have epididymal malformations, their recurrence may be related to endocrine dysfunction during embryonic growth and development. Due to excessively high testosterone levels, mesonephric tubules and mesonephric ducts fail to develop or develop incompletely, leading to various types of epididymal malformations. The condition of the epididymis tends to recur, requiring long-term medication. Moreover, for male patients, it is essential to seek immediate medical attention at a professional and reputable hospital for diagnosis. Treatment should be considered based on the results of thorough examinations. Additionally, it is important to quit smoking and drinking and maintain good personal hygiene.

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