What should be done if you have epididymal malformation?

Patient's question:

How is the treatment for epididymal malformation? Now I'm constantly overthinking, and I've made this disease seem incredibly frightening to myself because I don't understand it at all. I feel anxious and can't eat or sleep.

Doctor's answer:

A varicocele in the head of the epididymis 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 epididymal absence, treatment is not possible for the epididymis itself, and the primary focus is on addressing fertility issues. If the patient has normal testicular sperm production, assisted reproductive technologies can be considered. In cases where an epididymal malformation is associated with cryptorchidism, the testis should be fixed promptly. Patients should receive timely symptomatic treatment and pay close attention to self-care in daily life to avoid spicy foods.

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