Stones Wreaking Havoc?

Hello.  Thanks for all of the great information you offer in this forum.  My husband is 43 years old and is sexually active.  About 1.5 months ago, he had some tingling and slight
burning sensation upon urination.  A couple of weeks later, he developed a fever of up to 104 degrees, violent shaking and the chills, and nausea/vomiting.  The following day, he felt much better, but still not quite up-to-par.  On the second morning after his sick episode, he discovered dark reddish brown gravel in his urine.  There were about 15 pieces, and some the size of a pencil tip or smaller.  He went to a general practitioner, and the doctor did a urinalysis which resulted in a diagnosis of UTI.  My husband took a round of Bactrum and another medicine that made his urine bright, and he did feel much better.  Two weeks later, he had pinkish/red colored semen in the evening.  The following morning, prior to going to the doctor, he checked his semen again, and it was still the same.  The doctor did a blood test (including a PSA test), urinalysis, and a rectal
examination.  He told my husband that his prostate was

[Kevin Pho, MD]

To answer your questions:
1) Tough to say whether they are related without examination.  I would agree with the scrotal ultrasound to evaluate the testicular lump.  If negative, I would further evaluate for prostatitis - a transrectal ultrasound can be considered to image this organ.  

2) Kidney stones are certainly possible.  However, there seems to be an infection present as well with the fever.  Although stones can lead to infection, you want to investigate the prostate and scrotum to evaluate for prostatitis and epididymitis respectively.  

3) It is possible, but unlikely, that the exam may have led to the pain.  I cannot recommend any treatment without examination - so you may want to bring this up with your personal physician.

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.
Medical Weblog:
kevinmd_b