Patient's question:
I carefully detected an epididymal abnormality during a health check-up. The examining doctor wrote that there was abnormal adhesion between the right epididymis and the testicle, with the tail of the epididymis fused with the testicle. I haven't felt any discomfort, and the doctor during the health check-up also said it's normal on one side, with nothing to worry about on the other side. How should I handle the epididymal abnormality?Doctor's answer:
Epididymal anomalies are relatively common in clinical diagnosis, typically referring to significant elongation of the epididymis or abnormal adhesion to the testis. Epididymal anomalies include structural abnormalities such as epididymal agenesis, segmental self-ligation, and epididymal cysts. Generally, there are no clinical diagnostic symptoms, and they are often discovered during male infertility investigations or orchiopexy surgery. They are frequently associated with vas deferens anomalies. If epididymal anomalies do not interfere with fertilization, no treatment is necessary. Patients with segmental epididymal self-ligation can be treated with epididymal-vas deferens anastomosis.