Patient's question:
Nowadays, I'm constantly overthinking, and I've convinced myself that this illness is extremely frightening. This is because I don't understand the disease at all, and I'm always filled with anxiety, unable to eat or sleep. How should it be treated?Doctor's answer:
When orchidopexy does not interfere with fertility, no treatment is required. Segmental self-latching of the epididymis can be treated through epididymal tubule vas deferens anastomosis. Epididymal head cysts can be treated with aspiration under anesthesia and sclerotherapy, but due to a high recurrence rate, this method is less safe and reliable compared to surgical approaches and is rarely used now. In cases of epididymal agenesis, treatment is not possible, and the main focus is on addressing fertility issues. If the patient has normal spermatogenesis in the testes, assisted reproductive technologies can be performed. In cases where orchidopexy is performed for split cryptorchidism due to epididymal malformation, the testis should be fixed promptly.