ISSN 2149-3235 | E-ISSN 2149-3057
Case Report
Response to duloxetine and gabapentin combination of a patient who has chronical orchialgia with bilateral tubular ectasia of rete testis and multiple epididymal cysts
1 Department of Urology, Ağrı State Hospital, Ağrı, Turkey  
2 Department of Physical Therapy and Rehabilitation, Ağrı State Hospital, Ağrı, Turkey  
3 Department of Urology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey  
4 Department of Radyology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey  
5 Department of Urology, Çankaya Hospital, Ankara, Turkey  
Turk J Urol 2018; 44: 274-277
DOI: 10.5152/tud.2017.17999
Key Words: Duloxetine plus gabapentin; epididymal cyst; rete testis; testicular pain; tubular ectasia
Abstract

 

Tubular ectasia of rete testis (TERT) is a rarely seen benign condition of testis which can cause chronic orchalgia. TERT appears as an anechoic lesion in ultrasonography. However magnetic resonance imaging is a more sophisticated diagnostic tool. TERT is commonly associated with epididymal cysts. Generally a conservative treatment approach is preferred. In some cases surgery is required. In our case, 54-year-old male patient had bilateral TERT associated with bilateral multiple epididymal cysts. He had chronic testicular pain which did not respond to first- line conservative treatments. After use of duloxetine (60 mg PO) plus gabapentine (400 mg PO) combination as a second-line conservative treatment, the patient dramatically responded to this treatment.The patients who have chronic testicular pain caused by bilateral TERT and multiple epididymal cysts may be treated with combination of duloxetine (60 mg PO) plus gabapentine (400 mg PO) combination.

 

Cite this article as: Ölçücü MT, Ölçücü N, Ölçücüoğlu E, Ata Ölçücüoğlu E, Özgök Y. Response to duloxetine and gabapentin combination of a patient who has chronical orchialgia with bilateral tubular ectasia of rete testis and multiple epididymal cysts. Turk J Urol 2018; 44(3): 274-7.

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