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Urology (Expert Forum)
Chronic Epididymitis
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
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.
Chronic Epididymitis
by Mountaineer Man, Sep 24, 2007 11:37AM
I am a healthy 60 yr. old male with a hx of chronic epididymitis, present on an irregular basis for 20+yrs. No etiology except possibly trauma as a child. Negative UA, normal ultrasound. No risk factors, am in a long term monogamous marriage. Besides the usual ice, nsaids, and support [ I wear jockey shorts] what can be done for the periods of pain. When I sit the discomfort is worse,and since I'm a DDS I sit a lot! Nsaids do not relieve pain significantly. I trust my urologist, but this occurs one or two times a year,and I'd appreciate some help.
Doctor's Answer
by Kevin Pho, MD, Sep 25, 2007 07:17AM
, Sep 25, 2007 07:17AM
Looking at the prostate can be considered, as this can be a source of infection. A prostatic massage as well as analysis of any prostatic fluid can be considered. Imaging the prostate with a transrectal ultrasound can be done as well.
Imaging the testicles for any masses or cysts should also be discussed.
Otherwise, I agree with the conservative treatment course. Obtaining another opinion, preferably from a major academic medical center, can be considered as well.
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.
kevinmd_
Imaging the testicles for any masses or cysts should also be discussed.
Otherwise, I agree with the conservative treatment course. Obtaining another opinion, preferably from a major academic medical center, can be considered as well.
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.
kevinmd_
