Patient's question:
Married for three years and still haven't been able to conceive, the family is quite anxious. After a thorough examination, it was found that I have a varicocele, and the vas deferens is under control, leading to infertility. I would like to ask about the relevant technology and treatment methods for this condition?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, anesthesia, and sclerosing agents. In cases of absence of the 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. The epididymis can be relieved, but the treatment process is generally slow, and relapse is common after treatment. Therefore, during treatment, medication should be used according to symptoms, and it is important to avoid prolonged sitting or riding and to pay attention to personal hygiene.