|
Questions posted in the
The Urology Forum have been answered by urologists from Henry Ford Health System and by Dr. Kevin Pho.
Question Title: Pain in ScrotumForum: The Urology Forum
| ||||
Dear Dr. In August, my husband started having pain in his scrotum. He went to the Urologist, who examined him and told him he had a prostrate infection. He followed up in October, but the pain was still there. Now the pain is worse than before, sometimes so bad that he has to sit or he thinks he will pass out. The Dr. re-examined him and now wants him to have an IVP. Dr. says there's no evidence that it is the prostrate, no swelling, infection or tumor. He thinks now it might be kidney stones. Could that be? Would the pain be in his scrotum, or should we consider that it might be something else? Please advise, Thanks, Worried Wife
Dear Sue, I don’t have the benefit of examining your husband, but if your husband has taken multiple antibiotics and continues to have pain, then there is probably not an infection(prostatitis or epididymitis). A stone on the other hand could present with pain that radiates into the scrotum, secondary to the nerve supply to that area. A stone usually presents with acute flank pain , nausea, and vomiting, but a good radiologic study would give you your answer. I think it is very reasonable to get an IVP to examine the anatomic make-up of his urinary tract. Also, if the discomfort is clearly in the scrotum, an ultrasound of the scrotum could be helpful. I will provide a list of possible lesions of the testicles and scrotum, most of which can be seen on ultrasound. In his case the list would consist of: 1)Infection (epididymitis);Inflammation 2)Spermatocele 3)varicocele 4)hydrocele 5)tesicular cancer 6)Torsion of the testicle 7)Inguinal hernia All of the above possibilities can be ruled out with a good physical exam, and an ultrasound. Speak to your doctor and get their opinion. This information is provided for general medical educational purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653-6568). Sincerely,
|
| |||