Patient's question:
I have been married to my wife for several years. I don't have any bad habits, and I look quite healthy. I have been trying hard to get pregnant, but for some reason, it just isn't working. How should I treat epididymal malformation?Doctor's answer:
When orchidopexy does not affect fertility, no treatment is required. Segmental orchidopexy can be treated by epididymal tubule vas deferens anastomosis. Epididymal head cysts can be treated with aspiration under anesthesia and sclerotherapy, 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 absent epididymis, treatment is not possible, and the main issue is to address fertility problems. If the patient has normal testicular spermatogenesis, assisted reproductive technologies can be performed. In cases where orchidopexy is performed for split cryptorchidism due to orchidopexy malformation, timely orchiopexy should be carried out.