Patient's question:
I don't have any bad habits, and I look quite healthy. I've been married to my wife for several years and have been trying to get pregnant, but for some reason, it just hasn't worked. Also, I have some cysts in my epididymis, but there are no other symptoms. The doctor said that infertility is caused by epididymal malformation. How should epididymal malformation be treated and prevented?Doctor's answer:
When orchidopexy does not affect fertility, no treatment is required. Segmental orchidopexy with self-locking can be treated through epididymal tubule vas deferens anastomosis. Epididymal head cysts can be treated with aspiration and anesthetic hardening agents, but due to a high recurrence rate, this method is less safe and reliable compared to surgical methods and is rarely used now. In cases of orchidopexy absence, treatment is not possible, and the main focus is on addressing fertility issues. Orchidopexy can be relieved, but the treatment cycle is generally long, and relapse is prone to occur after treatment. Therefore, medication must be used symptomatically during treatment.