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Dr Smitha Mathews  
Female
India

My Posts
scrotum
Sep 08, 2008 in the Urology Community
Hi, Pain in the scrotum at night is usually an indication of testicular torsion. However, the pain usually is very intense and does not subside by itself. Another cause of pain can be torsion of the testicular appendix and this will need to be evaluated on an ultrasound. You can try scrotal elevation when there is an attack of pain and if the pain...
Frequent urinating and tired
Sep 08, 2008 in the Urology Community
Hi Sam, If you have the reports of the CBC that was done for you could you please post them here? If you have not had a CBC done yet, please have it done. This is to determine changes in the blood values that will indicate the cause of the problem. The fact that your symptoms are persisting despite no sign of STD or infection in urine is a little ...
shriveled penis and varicocele
Sep 08, 2008 in the Urology Community
Hi, The state and size of the flaccid penis is determined by genetic factors mainly. As you do not experience any problem with erection or the state of the penis during erection, there is no cause for worry. If you have been having increased frequency of urination, it would be necessary to have a UTI ruled out. This is done by having a urinalysis don...
Concerned
Sep 08, 2008 in the Urology Community
Hi, Too frequent and rough handling of the scrotum can cause trauma that can predispose to infection. An ultrasound checks for abnormal lumps and swellings and ascertains the contents of those lumps to rule out any abnormal tissue. If there is anything that is not clearly determined on ultrasound, your doctor would have advised a biopsy of the suspiciou...
is this normal?
Sep 08, 2008 in the Urology Community
Hi, Your symptoms seem to point toward a prostatitis or benign prostatic hypertrophy. You will need to have a urinalysis done, preferably from a sample collected just after ejaculation. If positive, this should be followed by a culture sensitivity test to determine which antibiotic the organism is sensitive to. A doctor can check your prostate and feel...
Urethral Irritation
Sep 08, 2008 in the Urology Community
Hi, It is possible that you have nonspecific urethritis. This is a condition that affects men who are sexually active and is marked by the absence of any infection with gonorrhea or chlamydia. Symptoms of urethritis persist indefinitely unless they are treated with a course of broad spectrum antibiotics. Other causes of urethral irritation include re...
GYN or Urologist for UTI
Sep 08, 2008 in the Urology Community
Hi, You will need to consult a urologist. However, you should insist on a urinalysis first with your GP, followed by a culture sensitivity report. The urinalysis will detect the presence of the infective organism, and if it is positive only then do you need to have the culture done. This will identify the type of organism causing the infection and the a...
LONG Term Urinary Pain
Sep 08, 2008 in the Urology Community
Hi, Your symptoms seem to point toward a prostatitis. In prostatitis, the infective organisms may be located only within the prostate and/or kidney and come into the urethra during ejaculation. If they are not flushed away by urine, they would continue to be present in the urethra and try to grow there causing irritation and pain. As the pain is intense at...
STD symptoms but tests are negative
Sep 08, 2008 in the Urology Community
Hi, Your symptoms do seem to point toward prostatitis. In prostatitis, the infective organisms may be located only within the prostate and/or kidney and come into the urethra during ejaculation. If they are not flushed away by urine, they would continue to be present in the urethra and try to grow there causing irritation and pain. As the pain is intense a...
pain is gone
Sep 08, 2008 in the Urology Community
Hi, That is good. It appears that your body was able to counter whatever infection or inflammation was present without any medication. I am not sure whether there is a question in your post? :-) Ensure that you maintain hygiene and practise safe sex (condoms) with casual sexual acquaintances. Do keep us posted.