ISSN 2149-3235 | E-ISSN 2149-3057
1 Clinic of Urology, Ağrı State Hospital, Ağrı, Turkey  
2 Clinic of Physical Therapy and Rehabilitation, Ağrı State Hospital, Ağrı, Turkey  
3 Clinic of Urology, Yüksek İhtisas Training and Research Hospital, Ankara, Turkey  
4 Clinic of Radyology, Yüksek İhtisas Training and Research Hospital, Ankara, Turkey  
5 Clinic of Urology, Çankaya Hospital, Ankara, Turkey  
Turk J Urol ; : -

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 MRI 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, 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 can be treated with combination of duloxetine (60 mg PO) plus gabapentine (400 mg PO) combination.

Key Words
Authors
All
Survey
AVES | Copyright © 2018 Turkish Association of Urology | Latest Update: 08.10.2018