Member Comments are provided by individuals and reflect their personal opinions only. Under NO circumstances should you act on any advice or opinion posted in this forum. ALWAYS check with your personal physician before taking any action regarding your health! MedHelp International and our partners, sponsors and affiliates have no obligation to monitor any comments posted on this site, or the content and/or accuracy of such exchanges. MedHelp International does not endorse the views of any user.
Urology (Expert Forum)
Tesitcular Pain
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.
Tesitcular Pain
by MLH1, Nov 17, 2004 12:00AM
I am a 53 year old white male and have been diagnosed by my urologist with prostatitus and epididymitis. I took Levequin for 3 months starting May, 2004. I also take Verelan for atrial fibrillation.
I just received the following results from blood work:
PSA .93 PSA % Free 18% Testosterone: 458.
Physician’s comments: Testoerone is pretty low for your age. Will continue to monitor.
I experience mild testicular discomfort that radiates to my lower abdomen on an intermittent basis. I would just ignore it but I am always concerned that pain may be a warning signal of something more serious.
I am assuming that after a physical exam, normal PSA, that testicular cancer is not indicated. Correct???
Is there anything else that I can be doing to cure up the epididymitis and the prostatitus. My physician has a wait and see attitude, but nothing is improving on it's own.
P.S. As of December, 2003 you had a system where medical questions could be posted for 3 different specialtists. I assume this service has replaced that?
I just received the following results from blood work:
PSA .93 PSA % Free 18% Testosterone: 458.
Physician’s comments: Testoerone is pretty low for your age. Will continue to monitor.
I experience mild testicular discomfort that radiates to my lower abdomen on an intermittent basis. I would just ignore it but I am always concerned that pain may be a warning signal of something more serious.
I am assuming that after a physical exam, normal PSA, that testicular cancer is not indicated. Correct???
Is there anything else that I can be doing to cure up the epididymitis and the prostatitus. My physician has a wait and see attitude, but nothing is improving on it's own.
P.S. As of December, 2003 you had a system where medical questions could be posted for 3 different specialtists. I assume this service has replaced that?
Doctor's Answer
by Kevin Pho, MD, Nov 18, 2004 12:00AM
, Nov 18, 2004 12:00AM
The PSA tests for prostate cancer, not testicular cancer. If that is a concern, a testicular ultrasound can be considered to evaluate this.
Regarding the discomfort, chronic prostatitis can be considered. Examining the prostate and expressing any prostatic fluid for analysis and culture can be considered for further evaluation. A transrectal ultrasound can be considered to image for any prostatic abscess - which won't be affected by antibiotics.
You may want to consider another urologic evaluation for another opinion.
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
Regarding the discomfort, chronic prostatitis can be considered. Examining the prostate and expressing any prostatic fluid for analysis and culture can be considered for further evaluation. A transrectal ultrasound can be considered to image for any prostatic abscess - which won't be affected by antibiotics.
You may want to consider another urologic evaluation for another opinion.
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
