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Urology (Expert Forum)
whats wrong
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.
whats wrong
by bsb1, Mar 29, 2004 12:00AM
Hey I was hoping you can help me...I am 21 yrs old in last yr of college...Last tuesday late night...technically wednesday i guess....i was having trouble falling asleep b/c I kept having the urge to pee and not much would come out...I went to my primary care doctor the next morning and she took a urinalysis and it was negative for bacteria or whit cells..she wanted to do an std test...which every doctor jumps to when dealing with someone my age...but i had a test at the end of december which came back neg for chlamydia and gonorhea and herpes and since then i have had sex with the same girl a few times always with protectin..Last time I ahd sex was about 2 months ago...anyway I have pain in my groin area...testicles hurt and i still ahve the urge to urinate alot with same result of not much coming out..I had a urniary infection twice my freshman year...i know what these feel like and it feels the same as it did last time but the test was negative...I got sick a lot my freshman year due to the fact of being homesick and being under stress...sicne then I havent had one and I dont get sick that much...I have this pain in my testicles, so I am thinking maybe prostate infection due to the fact that my urine culture was negative..I have no clue what is going on and I need help
Thanks, Bri
Thanks, Bri
Doctor's Answer
by Kevin Pho, MD, Mar 31, 2004 12:00AM
, Mar 31, 2004 12:00AM
I would agree with a repeat test for STDs - including gonorrhea and chlamydia. This can be done via urethral swab or urine test. This would be a more common cause for your symptoms and can cause epididymitis or prostatitis.
The possibility of epididymitis can be evaluated via scrotal ultrasound. Prostatitis should be evaluated via a digital rectal exam. Prostatic fluid can be expressed, and sent for analysis and culture.
If the symptoms continue, I would suggest a referral to a urologist 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.
The possibility of epididymitis can be evaluated via scrotal ultrasound. Prostatitis should be evaluated via a digital rectal exam. Prostatic fluid can be expressed, and sent for analysis and culture.
If the symptoms continue, I would suggest a referral to a urologist 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 bsb1, Mar 30, 2004 12:00AM
To: Misc.
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by bsb1, Mar 31, 2004 12:00AM
To: Misc.
0
