What are the hazards of epididymal malformation?

Patient's question:

I don't have any bad habits. After getting the condition of epididymal malformation, I went to several hospitals for thorough examination and treatment, tried all methods, but still couldn't have children. I also don't know what to do. What are the hazards of epididymal malformation?

Doctor's answer:

When orchidopexy does not affect fertility, no treatment is required. Segmental orchidopexy can be treated with 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 than 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 spermatogenesis in the testes, assisted reproductive technologies can be performed. In cases where orchidopexy is performed for split cryptorchidism due to orchidodysgenesis, the testes should be fixed in a timely manner.

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