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Urology (Expert Forum)
pain in testies
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.
pain in testies
by inpainnnn, Jan 19, 2004 12:00AM
Iam a 50 year old white male.I have had some discomfort in both tecticles for some 10 years now.I have been to the urologolist and they say it is a low grade infection and usually prescribe trimetropin.This usually makes the symthoms go away.I just got back from a 500 mile trip and it really hit fast and hard.Severe pain in both testicles and lower back pain.Riding in an automobile for long periods always has seemed to irritate this condition.The first time this ever happened was ten years ago and it happened after a trip.Same as this time except this time is a lot more intense and the antibiotics are not working nearly as fast as in the past.Wondering what this could be?
Doctor's Answer
by Kevin Pho, MD, Jan 23, 2004 12:00AM
, Jan 23, 2004 12:00AM
Prostate infections are the first thing that comes to mind. These infections can present with testicular pain and back pain. They can be very difficult to treat. I would suggest a digital rectal exam to evaluate the prostate and obtaining prostatic secretions to send off for culture and analysis. Tests for gonorrhea and chlamydia should be done as well as a urinalysis. There are some cases of prostatitis that require 4-12 weeks of antibiotics. If the trimethoprim isn't working, another antibiotic should be considered.
If the diagnosis is still unclear, imaging studies can be obtained. This would include a transrectal ultrasound to evaluate the prostate and a scrotal ultrasound to evaluate for any scrotal infections.
If the symptoms persist, you may want to consider a second urological 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.
Thanks,
Kevin, M.D.
If the diagnosis is still unclear, imaging studies can be obtained. This would include a transrectal ultrasound to evaluate the prostate and a scrotal ultrasound to evaluate for any scrotal infections.
If the symptoms persist, you may want to consider a second urological 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.
Thanks,
Kevin, M.D.
Member Comments
by Nick280, Jan 30, 2004 12:00AM
To: Misc. (Urology)
0
by manibiya, Jul 18, 2008 12:46AM
A related discussion, Pain in Testies was started.
by arshad65, Mar 12, 2009 05:37PM
A related discussion, pain in right testicle was started.
