Doctor, Thank you for your reply. I returned to the doctors before i read your response and was given a 30 day Rx of cipro but no other test were given that you suggested at that time. I return in Oct for a follow up visit and will try to be evaluated more as you suggested. Thank you for your time!
Hello Sir,
It seems as though you are for certain experiencing chronic infectious pathology. Chronic prostatitis could be the problem you are facing, also ascending infections of the urinary tract (urinary tract infections) could be complicated matters as well. A renal ultrasound would be recommended to ensure that the infection has not affected the kidneys, courses of antibiotics could be necessary as well. Also one must rule out any type of sexually transmitted diseases including chlamydia, gonorrhea and syphilis. If you have testicular pain with redness you should consult a urologist because a thorough workup including bladder ultrasounds, urine cytology, urinalysis and urine cultures along with anti-treponemal studies with STD studies should all be evaluated. Also some blood work should be performed (basic metabolic profile with complete blood count) in order to determine how severe the infection is, and if your kidneys have been damaged at all. IBS can make matters worse because of constant straining, although damage to the pelvic floor is unlikely.
Thanks!