Patient's question:
It feels very strange that they want us to have a thorough physical examination, and it was discovered that my husband has an orchidopexy, specifically an epididymal head cyst. The doctor said this condition is causing infertility. What should be paid attention to regarding orchidopexy?Doctor's answer:
In patients where the ureteric bud and mesonephric duct fail to develop or are underdeveloped, various types of epididymal malformations can occur. If the mesonephric duct completely fails to develop, it may lead to congenital absence of the epididymis and vas deferens. If growth arrest occurs at a specific location, it results in localized self-locking. When the epididymal duct twists and coils around an obstacle, it can cause significant shortening of the epididymis, leading to recurrent loop-shaped epididymal malformations. The epididymis can be healed, but the treatment process is generally slow, and relapse is common after treatment. Therefore, active cooperation with the doctor and appropriate medication are essential during the treatment.