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 isn't working. What should I do?Doctor's answer:
When epididymal malformation does not affect fertility, no treatment is required. Segmental epididymal self-locking can be treated through epididymal tubule vas deferens anastomosis. Epididymal head cysts can be treated with aspiration and anesthetic, but due to a high recurrence rate, this method is less safe and reliable compared to surgical approaches and is rarely used now. In cases of epididymal absence, treatment is not possible, and the main issue is addressing fertility problems. If the patient has normal testicular spermatogenesis, assisted reproductive technologies can be performed. In cases where epididymal malformation is associated with undescended testes, timely orchiopexy should be performed.