Tubular ectasia of the rete testis: a diagnostic dilemma

Nair, Rajesh; Abbaraju, Jayasimha; Krishnamoorthy, Rajagopal; Anjum, F; Sriprasad, S.

doi:10.1308/147870808x303119

Cited by 23 publications

(24 citation statements)

References 11 publications

(18 reference statements)

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“…The rete testis is an anastomosis complex of seminiferous tubules located in the mediastinum testis [1]. The function of the rete testis is to carry sperm from the seminiferous tubules to the vasa efferentia.…”

Section: Discussionmentioning

confidence: 99%

Ultrasonography of tubular ectasia of the rete testis with associated scrotal findings

2012

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Tubular ectasia of the rete testis shows characteristic appearances on gray-scale and Doppler US evaluation, and no other modality is necessary for diagnosis. TERT is usually associated with epididymal pathologies such as epididymal cyst or spermatocele located on the same side. Testicular neoplasms, intratesticular varicocele, and cystic dysplasia of the testis should be considered in the differential diagnosis of TERT.

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Section: Discussionmentioning

confidence: 99%

Ultrasonography of tubular ectasia of the rete testis with associated scrotal findings

2012

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“…This is most often encountered as an isolated finding; however, it has been reported in association with ipsilateral renal agenesis, multicystic kidney disease, renal dysplasia, undescended testis, seminal vesicle cysts, Potter's syndrome, vesicoureteral reflux, and absence of the vas deferens. 4,5,6 The rete testis is a network of tubules carrying sperm from the seminiferous tubules to the efferent ductules, which then drain into the epididymis. Tubular ectasia is hypothesized to occur when the efferent ductules become partially or completely blocked causing spermatozoa-containing cysts to form.…”

Section: Discussionmentioning

confidence: 99%

“…Tubular ectasia is hypothesized to occur when the efferent ductules become partially or completely blocked causing spermatozoa-containing cysts to form. 5 For others, it results from failure of the mesonephric structures to fuse with the testis. The condition is benign, with no malignant potential.…”

Section: Discussionmentioning

confidence: 99%

Unusual combination of bilateral testicular microlithiasis and tubular ectasia of the rete testis with left intra‐ and extratesticular varicocele in a 17‐year‐old boy

Hansen

Sanchez

Ivančić

2011

J of Clinical Ultrasound

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We describe the rare combination of testicular microlithiasis, unilateral intra/extratesticular varicocele, and tubular ectasia of the rete testis in a 17-year-old boy who presented with testicular pain following a trauma. He had a prior history of undescended testis and orchiopexy in childhood. His workup included a normal abdominal ultrasound and a sperm analysis demonstrating a low sperm count with sperm dysmotility. A follow-up ultrasound was unchanged, and he has been managed conservatively. This combined set of findings has not been previously reported.

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“…Hyperuricemia is a deposit of uric acid crystals in the tubules of the epididymis that cause pain. Tubular ectasia of the rete testis (TERT) is a benign cystic condition of the testis that is mostly seen in men over 55 years of age (47). Ultrasound imaging reveals an intratesticular area containing an abundance of tight and anechoic (cystic) lesions.…”

mentioning

confidence: 99%

Etiology of testicular pain 2019: Classification into ten logical subgroups

Arcila

Delgado-Montoya

Gaviria-Gil

2020

rmu

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Background: Testicular pain encompasses a vast medical diagnostic field, with numerous organ and system convergence. Acute testicular pain is a medical emergency that requires accurate evaluation and immediate resolution, whereas chronic testicular pain is enigmatic and requires sound knowledge of the mechanisms of testicular pain and the differential diagnosis. Objective: To review the causes of testicular pain and propose a new etiologic classification consisting of 10 subgroups. Methods: A bibliographic search was carried out utilizing Google and the National Library of Medicine’s PubMed databases to identify original articles and review articles (hard copy or electronic) published on testicular pain, up to March 2020. The search included: MeSH terms: testicular disease (classification, complications, etiology, trauma, microbiology, pathology, pathophysiology, secondary, surgery, treatment) and vasectomy; Non-MeSH terms: acute and chronic orchialgia, scrotalgia, orchidynia, groin pain, epididymalgia, testalgia, chronic testicular pain, chronic scrotal pain syndrome, testicular pain syndrome, epididymal pain syndrome, and post-vasectomy pain syndrome. The initial search produced 625 articles, of which 143 were included in the present review. Results: To better understand testicular pain etiology, 100 possible diagnoses were divided into ten subgroups: infectious, neoplastic, traumatic, torsional, vascular, immunologic, neurologic, pharmacologic, obstructive, and miscellaneous causes. Likewise, treatment can be divided into two main groups, according to therapeutic options: pharmacologic and non-pharmacologic, with the latter subdivided into: noninvasive and the increasingly performed invasive (surgical) alternatives. Conclusions: Testicular pain should be understood as a complex pain syndrome of enigmatic origin. Treatment success depends on the correct identification, from hundreds of possibilities, of the cause of pain. Logical grouping of those possibilities could aid in making the accurate etiologic identification.

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Tubular ectasia of the rete testis: a diagnostic dilemma

Cited by 23 publications

References 11 publications

Ultrasonography of tubular ectasia of the rete testis with associated scrotal findings

Ultrasonography of tubular ectasia of the rete testis with associated scrotal findings

Unusual combination of bilateral testicular microlithiasis and tubular ectasia of the rete testis with left intra‐ and extratesticular varicocele in a 17‐year‐old boy

Etiology of testicular pain 2019: Classification into ten logical subgroups

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