A Case Report on Congenital Hydrocele with Testicular Epididymal Disjunction
Abstract:
Cause of Male infertility is diagnosed at a later
age unless a genito-urethral condition with detailed evaluation is required.
Congenital developmental disorders remain hidden till it is surgically
identified. In managing congenital conditions we could pick up developmental
anomalies incidentally and end up charging diagnosis and management plan. A descriptive
study of a boy of age 4 years reported with congenital hydrocele for which
Herniotomy with eversion of the sac was done, upon which testicular epididymal
disjunction was identified. The outcome of surgical correction and conservative
management may vary with; diagnosing time, the extent of the pathology, and response
to treatment. Considering Type IV epididymal disjunction present in, with
inconclusive histological evidence of epididymal atresia, in the presence of
normal karyotyping conservation long-term follow-up was chosen rather than the exploration
of the disjunction given the risk of obstructive azoospermia. Wait and watch
policy is better for type V epididymal disjunction rather than an aggressive
surgical approach. Given androgenic development and the potential possibility
of efficacious function in an individual of normal karyotyping.
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