AI Summary & Key Takeaways
AI InsightAfter use of duloxetine (60 mg PO) plus gabapentine (400 mgPO) 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 betreated with combination of duloxetine (60 mg PO) plus gabapentine (400 mg PO) combination
📌 3 Key Takeaways
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 moresophisticated diagnostic tool. TERT is commonly associated with epididymal cysts. Generally a conservativetreatment approach is preferred. In some cases surgery is required. In our case, 54-year-old male patient hadbilateral TERT associated with bilateral multiple epididymal cysts. He had chronic testicular pain which didnot respond to first- line conservative treatments. After use of duloxetine (60 mg PO) plus gabapentine (400 mgPO) 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 betreated with combination of duloxetine (60 mg PO) plus gabapentine (400 mg PO) combination
Özet
Rete testisin tübüler ektazsisi (RTTE) nadir görülen benign bir durumdur. Ultrasonografide (USG) anekoik lezyonlar olarak görülür. Manyetik rezonans görüntüleme (MRG) daha iyi tanı koymak için kullanılabilir. RTTE yaygın olarak epididimal kistlerle birlitelik gösterir. Tedavide genellikle konservatif yaklaşımlar uygulanır. Cerrahi nadiren gerekebilir. Bizim vakamızda hastanın bilateral multiple epididim kistleri ilişkili RTTE'si vardı. Birinci basamak konservatif tedavilere cevap vermeyen kronik orkialjisi mevcuttu. Duloksetin 60 mg ve gabapentin 400 mg kombinasyonu kullanımı sonrası hasta dramatik olarak bu tedaviye cevap verdi. Bilateral RTTE ve multipil epididim kistleri olan kronik orkialjili hastalar duloksetin 60 mg ve gabapentin 400 mg kombinasyonu ile tedavi edilebilir.