The patient underwent hydrocelectomy and epididymectomy
as the examination of the frozen biopsy from the epididymis did not appear consistent with malignity.
Epididymectomy for PVPS and symptomatic epididymal cysts (Grade 3C)
Epididymectomy is another treatment for CSP that have been assessed in multiple small series in the literature.
A left scrotal approach was done in order to attempt an epididymectomy. A 70-millimeter regular and solid mass was observed in the epididymal caput.
A complete epididymectomy allows conserving the testis and avoids recurrence .
Nephrectomy/nephroureterectomy 12 Pyeloplasty 1 Ureteral reconstruction 8 Ureteroureterostomy 2 Psoas hitch 3 Boari flap 1 Ileal ureter 2 Augmentation cystoplasty 9 Ileocystoplasty 6 Sigmoid colocystoplasty 2 Ileocystoplasty + ileal ureter 1 Epididymectomy
3 Visual internal urethrotomy 2
was performed, thus removing the patient's right-sided sperm duct system.
* Epididymectomy is recommended only when pain is localized to the epididymis, as this is a testicle-sparing procedure.
One study determined that 90% of men who underwent unilateral epididymectomy for chronic orchialgia required an orchiectomy to resolve pain.
The patient opted for removal, and an inguinal exploration with possible left radical orchiectomy versus left epididymectomy
The advantages of microsurgical spermatic cord denervation include complete response rates ranging from 71% to 100% -- significantly better compared to current medical management and traditional surgical approaches of orchiectomy and epididymectomy
. The testis-sparing nature of the procedure reduces the physical and psychological morbidity associated with extirprative surgery.
In this study, 21 men underwent unnecessary orchidectomy or epididymectomy
;[sup.7] however, we managed our patient conservatively.