Patient's question:
I got married at the beginning of last year, and it's been over a year now, but my wife hasn't been pregnant yet. Because I married late, my family is very anxious and keeps urging me, so this year my wife and I went for pre-pregnancy tests and found that I have epididymal malformation. What treatment is needed for epididymal malformation?Doctor's answer:
Epididymal head cysts can be treated with aspiration and injection of anesthetic and sclerosing agents. However, due to a high recurrence rate, this method is less safe and reliable compared to surgical approaches and is now used less frequently. In cases of absent epididymis, treatment is not possible for the epididymis itself, and the primary focus is on addressing fertility issues. If the patient's testicular sperm production function is normal, assisted reproductive technologies can be performed. In cases of split cryptorchidism due to epididymal malformation, timely orchiopexy should be performed. Epididymal malformation is relatively common in clinical diagnosis and typically refers to a significantly elongated epididymis or abnormal adhesion to the testis. To date, there is still no definitive definition or established classification method.