Testicular angina during hemodialysis: An unusual complication of ultrafiltration

Abstract

During hemodialysis, the development of hypotension or symptoms suggestive of ischemia is used as a surrogate marker for the establishment of dry weight. These symptoms manifest commonly as muscle cramps, chest pain or abdominal pain. Hemodialysis patients are also prone to vascular calcification which may be medial or intimal. We report the case of a 68-year-old male who developed testicular pain while attempting to establish dry weight. Computerized tomography scan of his abdomen showed extensive vascular calcification. The end result in this case was bilateral orchiectomy. Histopathology revealed hyperplastic arteriolosclerosis with intimal calcification contributing to ischemia.

Etiology of testicular pain 2019: Classification into ten logical subgroups

“…An epididymal cyst (spermatocele) contains nonviable semen and is a cause of chronic pain, adjacent to the perineum and is typically present in prepubertal boys, but not in adults. (48)(49)(50) Treatments "While chronic orchialgia may appear to be an insoluble puzzle, the condition can be managed in an algorithmic fashion". The objective is to quickly define whether treatment should be carried out by the urologist or by a pain management specialist.…”