The patient: the child is 2 years and 9 months old, was born with hypospadias, in June this year had surgery, the result of a month after the operation began to swell small eggs, urinary difficulties, the prostate ultrasound found to have congenital prostate cysts, the doctor recommended conservative treatment, (is the infusion of head full of anti-inflammatory drugs, inserted urinary catheter). The actual fact is that you can find a lot of people who are not able to get a lot of money. Now I’m on fluids again, and the child is in great pain, and the elderly at home are suffering. I am anxious to get your help. Is there any other treatment method that will not affect the fertility? Specialist: Some hypospadias (especially severe hypospadias) may be combined with prostatic capsule malformation, which is indeed a very difficult problem. The main problem is that, as your child’s doctor said, the vas deferens is likely to open in the prostatic capsule, and removing the prostatic capsule may damage the vas deferens, while removing only part of it may still cause recurrent testicular inflammation. It is quite difficult to choose. I don’t know how thick or thin your child’s urine line is. Is it strong? Thanks for trusting! Patient: Thank you very much for your reply. First, I would like to describe the situation as follows: First, the child was cured of orchitis in the left testicle when he was seven months old. Secondly, at the age of 2.5, he underwent surgery for hypospadias, which is second degree. The testicles were enlarged one month after the urethral hypospadias, and the results of the ultrasound examination of the prostate were as follows: The ultrasound showed a mixed echogenic mass in the prostate area with a range of about 1.5*1.3*2.7 CM and an internal part with a range of about 0.4*0.7*0.9 CM. The diagnosis was a prostate capsule. The doctor recommended conservative treatment. The doctor recommended conservative treatment. The top of the medication was used, but it always recurred. The first time the child had difficulty in urinating, but now there is no such phenomenon, and the urine line is thick and strong. Fourth, the child is currently swollen again and is being treated with fluids, and the left testicle is hard. Today, the testicular ultrasound results are as follows: Bilateral testes comparative probe: size about left: 1.7*1.2CM, right: 1.9*1.2CM, echogenicity is still uniform. The size of bilateral epididymis was about: left epididymis tail: 2.0*1.9CM, epididymis head: 1.4*0.9CM, the left epididymis tail, epididymis body and epididymis head were seen to be obviously swollen, and the epididymis tail was seen to be small patchy irregular echogenic area. The right epididymis: 1.2*1.3 CM. The head of the right epididymis was obviously enlarged, and a small amount of fluid was seen around the right testicle, and the bilateral epididymis was more prominent on the left side. The scrotal wall is obviously thickened, about 0.4 CM. no abnormality is seen in the bilateral retrofemoral area at present. cdfi: bilateral epididymis is rich in blood flow. I’m not sure if there is a good treatment for this. The actual fact is that you can’t go to the hospital, but you can’t go to the hospital because your child is being treated with fluids. The actual diagnosis of congenital prostate bursa should be established. The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. The treatment options are extremely difficult. In the present case, my personal opinion is also that conservative treatment, orchitis is really recurrent, may only cut off the vas deferens on the side of the orchitis, but this pre-surgical procedure is very complicated. From the opinion of the doctor mentioned in your first question, I think you should have been seen in a first-class specialist hospital. In this regard, you must choose the most authoritative hospital in the country now, and you should listen to their opinion. Sorry for not giving you new and good information! Thanks!