Surgical options for spermatic cord syringomyelia mainly include syringomyelia reversal, syringomyelia resection and Lord’s procedure.
1. Sphincter reversal: suitable for patients with no obvious thickening of the syringomyelia. The wall layer of the sheath is removed, then the edges are flipped and sutured.
2. Sphincterotomy: It is mainly to remove all the sheath membrane by surgery, which is more suitable for patients with obvious thickening of the sheath membrane, the operation of this surgery is simple, and it is not easy to recur after the surgery.
3. Lord’s surgery: that is, for the sheath folding surgery, more suitable for patients with mild disease, symptoms are not obvious, the sheath membrane is thin. The wall sheath is cut and folded around the testis and epididymis.
In addition to surgical treatment, syringomyelia should also be combined with medication, such as oral cefixime in case of infection; oral tramadol for pain relief in case of pain, which should be carried out under the guidance of specialized physicians.