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Case Reports
. 2022 Feb 17:42:102032.
doi: 10.1016/j.eucr.2022.102032. eCollection 2022 May.

Complete testicular-epididymal dissociation presenting as adult chronic orchialgia

David G Ortega  1 , Maria Lizana  1 , Kian Asanad  1 , Mary K Samplaski  1
Affiliations
Case Reports

Complete testicular-epididymal dissociation presenting as adult chronic orchialgia

David G Ortega et al. Urol Case Rep. .

Abstract

Complete testicular epididymal dissociations are exceedingly rare conditions where the epididymis and the vas deferens are completely dissociated from the testicle. We present the case of a 46-year-old male with a history of chronic, intermittent and severe left testicular pain who was found to have a complete testicular epididymal dissociation at the time of surgical exploration and bilateral orchidopexy. Microsurgical approximation of the tail of the epididymis to the tunica albuginea of the testis with reapproximating the muscularis of the spermatic cord to the epididymal appendage was performed with subsequent relief of symptoms.

Keywords: Epididymis; Fusion abnormality; Orchialgia; Testicular dissociation; Testicular epididymal fusion abnormality; Testicular torsion.

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Conflict of interest statement

This research did not receive any specific grant from funding agencies in the public, commercial or not-for-profit sectors.

Figures

Fig. 1
Fig. 1
Left epididymis and the vas deferens completely dissociated from the testicle, demonstrating a complete congenital testicular epididymal dissociation.
See this image and copyright information in PMC

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