Patient's question:
I am the father of a one-and-a-half-year-old child. The child's penis is located between the two testicles, and it seems to have only a little phimosis. During urination, the penis may lift up, and it might not be able to stand up to poop. The testicles were deformed from birth.Doctor's answer:
A hydrocele of the head of the epididymis can be treated with aspiration and injection of anesthetic and sclerosing agents. However, due to a high recurrence rate, this method is less safe and reliable compared to surgical methods and is now used less frequently. In cases of epididymal absence, treatment is not possible, and the main focus is on addressing fertility issues. If the patient's testicular spermatogenesis function is normal, assisted reproductive technologies can be considered. For individuals with split cryptorchidism due to epididymal malformation, timely orchiopexy should be performed. For patients with epididymal conditions, timely treatment can reduce complications, whereas delayed treatment may affect overall health. Therefore, patients should take oral medications promptly and maintain regular sexual activity in daily life while avoiding prolonged sitting. Wishing you a speedy recovery.