What are the causes of epididymal malformation?

Patient's question:

I don't have any bad habits, and I look quite healthy. I've been married to my wife for several years and have been trying to get pregnant. Also, I have some cysts in my epididymis, but there are no other symptoms. The doctor said that infertility is caused by a malformation of the epididymis.

Doctor's answer:

1. The mesonephric duct fails to develop at all, with the absence of the vas deferens, seminal vesicle, and ejaculatory duct.
2. The mesonephric duct is underdeveloped, with the absence of the corpus and cauda epididymis, accompanied by the absence of the vas deferens.
3. The mesonephric duct does not develop into the epididymal duct but directly differentiates into the vas deferens, seminal vesicle, and ejaculatory duct. The efferent ductules of the testis connect to the vas deferens. For patients with epididymal conditions, timely treatment can reduce the incidence. Wishing you good health.

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