Patient's question:
How to treat epididymal malformation well, now I'm constantly overthinking, imagining this disease as extremely frightening because I don't understand it at all. I feel anxious and can't eat or sleep. Here, I hope for your help, to provide detailed and professional assistance in clarifying this disease and how to treat it well?Doctor's answer:
When orchidopexy does not affect fertility, no treatment is required. Segmental self-latching of the epididymis can be treated through epididymal tubule vas deferens anastomosis. Under a surgical microscope magnified 10 to 20 times, two methods of epididymal vas deferens anastomosis are used. Epididymal head cysts can be treated with puncture aspiration anesthesia and sclerosing agents, but due to a high recurrence rate, this method is less commonly used compared to surgical approaches, which are safer and more reliable. In cases of epididymal agenesis, treatment is not possible, and the primary focus is on addressing fertility issues. If the patient has normal spermatogenesis, assisted reproductive technologies can be performed. In cases where orchidopexy is performed for split cryptorchidism due to epididymal malformation, timely orchiopexy should be carried out.