Burning Scrotum

I went to the doctor about 2-weeks ago and I was having problem with burning when urinating. He had prescribe an antibotic (antibiotic) and I also noticed a small rash on my groin area which they prescribed Clotrimazole and the rash is almost gone.

I am experiencing a burning and discromfort in my scrotum, but I do not have any other symptoms.

What could this be?

[Kevin Pho, MD]

Infectious causes would be the most likely possibility.  This can include epididymitis or prostatitis.  Each of these disorders should be evaluated for.

Epididymitis should be evaluated for by a urinalysis and tests for STDs such as gonorrhea and chlamydia.  A scrotal ultrasound can also be considered to evaluate for this.

Prostatitis should be examined for via a digital rectal exam - possibly extruding prostatic fluid for analysis.  If negative, you may want to consider a transrectal ultrasound to evaluate whether an abscess is present.  

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Thanks,
Kevin, M.D.