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Urology  (Expert Forum)
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I have a sporadic problem which may be an STD or not?
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.

I have a sporadic problem which may be an STD or not?

by malc, Jul 21, 2003 12:00AM

Hi
My age is 49 and since I was around the age of 15 i have had a
ocasionaly high temperatures and a repetive sore which is at the base of my penis - just under the tip but on the shaft - but not on the forskin- on 2 occaisions my testicals have enlarged to triple there natural size - once when i was 15 and when i was 47
but normally the whole thing just disappears for years and then comes back
I just regulary feels like i have the flu especially when under heave work loads
I have succefully fathered two daughters and have not troubled my ex wife  with any infections
Please can you shed some light on a personal irration

by Kevin Pho, MD, Jul 22, 2003 12:00AM
Hello - thanks for asking your question.

Without examining the lesion, it will be impossible to say what you have.  

One possibility may be herpes.  This can result in recurring genital ulcers that come and go.  Other possibilities would include syphillis or chancroid.  

Regarding the scrotal swelling, there are several possibilities - including infection, cysts, varicoceles or a mass.  I cannot say for sure without examining you.  

Options for further evaluation would include a scrotal ultrasound to evaluate for any anatomical diseases (i.e. varicocele, masses, or epididymitis), or blood tests/herpes culture for the diagnosis of genital herpes or syphillis.  

I would suggest a visit with your personal physician for further evaluation.  

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.
Member Comments (2)

by John C, Jul 22, 2003 12:00AM
To: Urology - General
0

by John C, Jul 22, 2003 12:00AM
To: Urology - General
0
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