Patient's question:
I just found out that my husband has epididymal malformation, specifically an epididymal head cyst. The doctor said this condition is causing his infertility. I find it strange, so he asked us to undergo a thorough physical examination. What methods are there for treating epididymal malformation?Doctor's answer:
Due to the frequent occurrence of epididymal malformations in patients with cryptorchidism, its recurrence may be related to endocrine dysfunction during embryonic growth and development. Due to excessively high testosterone levels, the mesonephric tubules and mesonephric ducts fail to develop or develop incompletely, leading to various types of epididymal malformations. If the mesonephric duct fails to develop at all, it can result in congenital absence of the epididymis and vas deferens. If development terminates at a certain location, it can form a self-locking structure at that site. When the epididymal duct twists and coils around an obstacle, it can cause the epididymis to become significantly shortened and recurrently form a loop-shaped epididymal malformation.