How is the treatment for epididymal malformation?

Patient's question:

After the health check-up this year, the doctor told me that I have epididymal malformation. I was startled. Usually, there are no pain or discomfort symptoms, and no obvious signs of deformity in appearance. Will it affect fertility? What should I pay attention to in daily life?

Doctor's answer:

Segmental epididymal self-locking can be treated through epididymal and vas deferens anastomosis. Under a surgical microscope magnified 10 to 20 times, two methods of epididymal and vas deferens anastomosis are used. The Silber method involves end-to-end anastomosis between the expanded epididymal duct and the vas deferens, while the Wagenknecht method involves end-side anastomosis between the expanded epididymal duct and the vas deferens. Epididymal conditions are prone to recurrence, requiring long-term oral medication. Additionally, male patients should seek immediate medical attention at professional and reputable hospitals, and treatment should be considered only after thorough examination results are obtained. Attention should be paid to controlling sexual activity.

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