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Chronic Testicular Pain and headaches
I am a 45 year old male, married for 23 years and never had a relationship outside of marriage.
For the last 7 years, I have battled pain emanating from my right testicle. The pain has now spread to both testicles. I have taken rounds of countless antibiotics and seen uroligists and neuroligists from Mayo Clinic, Barnes Jewish and local doctors for this problem.
I have heard diagnoses ranging from epididytitus to musculal skeletal problems and the pain continues to get worse. A year ago, I started developing exersion headaches that have worsened to a point where I can no longer perform any physical activity beyond normal office job functions. These headaches are now considered migraine in nature and the frequency and intensity are increasing. My Quality of life is at an all time low because of this.
I recently had a c-reactive protein test that tested high positive for inflammation in my system. I am certain these test results are due to my teste inflammation which may be considered orchitis at this point. In my research, I have found that headaches are common with the onset of orchitis.
I had a 3 day physical in Aug of '05 and I have no other ailments than the headaches and testicular pain.
Is there a test you can recommend which will definitely rule out or confirm the existance of chronic bacterial orchitis and also identify the bacteria present?
Can you recommend a urologist that has had success eliminating this disease so I can make contact? Preferrably,in the continental US.
Also, is there some way to determine from the bacteria test the type of treatment that will absolutely resolve this problem?
For the last 7 years, I have battled pain emanating from my right testicle. The pain has now spread to both testicles. I have taken rounds of countless antibiotics and seen uroligists and neuroligists from Mayo Clinic, Barnes Jewish and local doctors for this problem.
I have heard diagnoses ranging from epididytitus to musculal skeletal problems and the pain continues to get worse. A year ago, I started developing exersion headaches that have worsened to a point where I can no longer perform any physical activity beyond normal office job functions. These headaches are now considered migraine in nature and the frequency and intensity are increasing. My Quality of life is at an all time low because of this.
I recently had a c-reactive protein test that tested high positive for inflammation in my system. I am certain these test results are due to my teste inflammation which may be considered orchitis at this point. In my research, I have found that headaches are common with the onset of orchitis.
I had a 3 day physical in Aug of '05 and I have no other ailments than the headaches and testicular pain.
Is there a test you can recommend which will definitely rule out or confirm the existance of chronic bacterial orchitis and also identify the bacteria present?
Can you recommend a urologist that has had success eliminating this disease so I can make contact? Preferrably,in the continental US.
Also, is there some way to determine from the bacteria test the type of treatment that will absolutely resolve this problem?
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MEDICAL PROFESSIONAL
You have been to urologists at major academic medication centers. It is unlikely that I can offer up anything new over the internet.
To evaluate the scrotum, I would start with a scrotal ultrasound. A pelvic CT scan or MRI can be considered if more detailed imaging is required.
I would assume that cultures for bacteria and STDs - with urine and urethral tests - have already been done.
Evaluating the prostate with a prostatic massage, or imaging with a transrectal ultrasound, can be done - since prostatic inflammation or infection can lead to the symptoms you are describing. Any fluid that is expressed during a prostatic massage can be sent of for analysis and culture.
Finally, a cystoscopy can be done to visualize the lower GU tract. Any referred pain from a urethral stricture or polyp can lead to the symptoms you are describing.
These options can be discussed with your personal urologist.
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.
Kevin, M.D.
kevinmd_b
To evaluate the scrotum, I would start with a scrotal ultrasound. A pelvic CT scan or MRI can be considered if more detailed imaging is required.
I would assume that cultures for bacteria and STDs - with urine and urethral tests - have already been done.
Evaluating the prostate with a prostatic massage, or imaging with a transrectal ultrasound, can be done - since prostatic inflammation or infection can lead to the symptoms you are describing. Any fluid that is expressed during a prostatic massage can be sent of for analysis and culture.
Finally, a cystoscopy can be done to visualize the lower GU tract. Any referred pain from a urethral stricture or polyp can lead to the symptoms you are describing.
These options can be discussed with your personal urologist.
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.
Kevin, M.D.
kevinmd_b
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