Infertility has always been an old problem that troubles many friends. Every year, we hear words from parents and relatives urging us to have children, but it is very painful to not have children ourselves. Some families even break down due to this. And male infertility diseases are even more embarrassing, some of which are difficult to say and have become a "hidden danger" for male friends. Among many male infertility diseases, some are not caused by acquired factors, but are already congenital with certain deformities. Testicular epididymis separation is a congenital malformation in which the epididymis and testicles are not connected as in normal individuals, but rather separated. So can a testicular epididymis like this still have fertility? What is the treatment method for separation of testicles and epididymis?

1、 Etiology of separation of testicles and epididymis

The epididymis is closely attached to the upper and posterior edges of the testicles and can be divided into head, body, and tail. The head is composed of curled output tubules, and the end of the output tubules is connected to the epididymal duct. The epididymal tube is approximately 4-5 meters long, with a curly epididymal tube forming the body and tail. The end of the tube turns sharply and continues directly into the vas deferens. The epididymal duct not only stores sperm, but also secretes epididymal fluid, which contains some hormones, enzymes, and specific nutrients, helping sperm mature. The separation of the testes and epididymis is not an independent diagnosis. The separation of the epididymis and testes is different from Chengdu, such as partial separation and complete separation. Especially in children with cryptorchidism, the phenomenon of testicular and epididymal separation during surgery is very common. Partial separation is not a common problem, but complete separation is a significant problem that may affect future fertility.

2、 Can separation of testicles and epididymis lead to fertility

If the patient's bilateral testicles and epididymis are completely separated, it is impossible to achieve natural reproduction, and artificial assisted reproductive technology should be considered. The epididymis is the channel through which sperm is expelled, and the sperm produced by the testes are transmitted to the body through organs such as the epididymis, vas deferens, and seminal vesicles. If the testicles and epididymis are completely separated, sperm cannot be transported to the epididymis and naturally cannot be expelled. Separation of the testes and epididymis can affect fertility. The epididymis serves as a storage warehouse for sperm, with one end connected to the testicles and the other end connected to the vas deferens. If the epididymis separates, it is equivalent to interrupting the intermediate process, which may cause sperm to be unable to be expelled from the body. For example, if only one side of the epididymis is separated, the impact on the other side of the duct is not significant, but the amount of sperm produced will correspondingly decrease, which will also affect the patient's fertility.

3、 Treatment methods for separation of testicles and epididymis

Currently, surgical suturing of the epididymis on the testicles is impossible. At this point, the method of achieving fertility is to extract sperm from the testicles, such as testicular incision or testicular biopsy, while artificial assisted reproductive techniques, such as in vitro fertilization and artificial insemination, are performed by doctors. In clinical practice, the development of artificial assisted reproductive technology is relatively mature and has a high success rate. Even if the testicles and epididymis are completely separated, there is still a possibility of fertility. The separation of testicles and epididymis can be treated through surgery in a reputable hospital. There is no need to worry too much to maintain a happy mood, and you can also go to the hospital for regular check-ups. During the treatment period, it is necessary to pay attention to a combination of work and rest to avoid excessive fatigue, which can cause physical burden. You should also eat a reasonable diet, eat more nutritious food, and eat more high-quality protein.

Overall, the separation of the testes and epididymis is generally not closely related to acquired factors. Even orchitis cannot lead to complete separation between the testes and epididymis, which cannot be achieved by external forces. But if the testicles and epididymis are congenital and not connected, it will undoubtedly directly affect the male reproductive function, which also means that it is impossible for people to reproduce through natural means! But if testicular puncture is used for testicular sperm collection, this method can still give birth to a healthy baby through a test tube!