What causes epididymal malformation?

Patient's question:

Left testicle has a sense of fullness and pain. There is a frequent need to urinate shortly after drinking water. 5 days ago, I went to the urology department of the hospital to see a doctor. At the same time, blood tests and a detailed examination of the reproductive organs were conducted. During the examination, it was found that there is a malformation of the epididymis. What could cause the malformation of the epididymis?

Doctor's answer:

Epididymal anomalies include structures such as epididymal agenesis, segmental self-ligation, and epididymal cysts. Generally, there are no clinical diagnostic symptoms, and they are often discovered during investigations and treatments for male infertility or cryptorchidism surgery. They are frequently associated with vas deferens anomalies. Epididymal anomalies do not affect fertility and do not require treatment unless they do. Segmental epididymal self-ligation can be treated through epididymal-vas deferens anastomosis surgery. Under a surgical microscope magnified 10 to 20 times, two methods of epididymal-vas deferens anastomosis are used. The condition of the epididymis tends to recur, requiring long-term medication for maintenance.

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