What methods are available if epididymal malformation is detected?

Patient's question:

Married for three years and still haven't been pregnant, the family is quite anxious. After a thorough examination, it was found that I have a varicocele, and the vas deferens is controlled, leading to infertility. I would like to ask about the relevant technology and treatment methods for this disease?

Doctor's answer:

When orchidopexy does not affect fertility, no treatment is required. Segmental orchidopexy with self-locking can be treated through epididymal tubule vas deferens anastomosis. Epididymal head cysts can be treated with aspiration and anesthesia hardening agents. In cases of absent epididymis, treatment is not possible, and the main focus is on addressing fertility issues. If the patient has normal testicular spermatogenesis, assisted reproductive technologies can be considered. In cases where orchidopexy is performed for split cryptorchidism, timely orchiopexy should be carried out. Orchiditis can be relieved, but the treatment process is generally slow, and relapse is common after treatment. Therefore, during treatment, medication should be used symptomatically, and it is important to avoid prolonged sitting or riding and to pay attention to personal hygiene.

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