What are the causes of epididymal malformation?

Patient's question:

I have been married to my wife for several years and have been trying to get pregnant with a child. However, for some reason, it just hasn’t worked, and I also have a little cyst in my epididymis, but there are no other symptoms. They said infertility is caused by epididymal malformation. What could be the reason?

Doctor's answer:

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