How to treat right testicular head cyst?

For many male friends, right testicular head cyst is a very common disease. Many bad habits can cause this disease. Generally, the best treatment for this disease is surgery, which can completely cure it. However, many male friends are worried about whether surgery will affect their sexual function. Then I will introduce this issue in detail so that you don’t have to worry about it.

Surgical treatment

When epididymal malformation does not affect fertility, no treatment is required. Segmental epididymal atresia can be treated with epididymal vasoconstriction. Under a surgical microscope with a magnification of 10 to 20 times, two epididymal vasoconstriction anastomosis methods, Silber and Wagenknecht, are used. The main difference between the two is that the Silber method uses an end-to-end anastomosis of the dilated epididymal duct with the vas deferens, while the Wagenknecht method uses an end-to-side anastomosis of the dilated epididymal duct with the vas deferens.

The dilated epididymal duct is incised, and the fluid flowing out of the stump of the epididymal duct is collected to search for sperm. After confirming the presence of sperm, the epididymal duct is anastomosed with the vas deferens mucosa using 11-0 non-traumatic nylon suture, usually with 4 to 6 intermittent sutures. Then, the epididymal capsule is anastomosed with the vas deferens muscle layer using 9-0 non-traumatic nylon suture.

Epididymal cysts can be treated by puncture, fluid extraction, and injection of sclerosing agents, but due to the high recurrence rate, it is not as safe and reliable as surgery and is now rarely used. Patients with epididymal agenesis cannot be treated by themselves, and the main treatment is to solve fertility problems. If the patient's testicular spermatogenesis function is normal, assisted reproductive therapy can be performed. Patients with epididymal malformations and cryptorchidism should undergo testicular fixation in a timely manner.

Causes

In the sixth week of embryonic development, the mesonephric duct and paramesonephric duct are formed, which will evolve into the male and female reproductive tracts. When the embryonic gonads differentiate into testes and produce testosterone, the mesonephric duct gradually evolves into the male reproductive duct under the action of androgens. The head of the mesonephric duct becomes the epididymal appendage, and the testicular efferent duct derived from the mesonephric tubules and the epididymal duct formed by the growth and winding of the mesonephric duct below it together constitute the epididymal head, while the remaining epididymal duct forms the epididymal body and tail.

The above is about the surgical treatment of right testicular head cyst. I believe you will no longer have any concerns after reading it. If you encounter similar problems in the future, please pay attention to timely treatment. Do not delay treatment because of fear or shyness, otherwise it may affect your physical health and even cause infertility. I hope male friends will pay attention to it.