How Is Prostatitis Diagnosed
The diagnosis of prostatitis can be made by a physician based on symptoms and a physical exam. The prostate is sometimes swollen and tender. A urine sample may also be collected to look for infection or inflammation. Sometimes a prostate massage is performed and the fluid expressed from the penis after a prostate massage is examined.
How Is Epididymitis Diagnosed
Your doctor will first complete a physical examination. Theyll look for swelling of the testicles, swelling of the lymph nodes in the groin area, and abnormal discharge from the penis. If theres discharge, your doctor will use a cotton swab to collect a sample and test for STIs.
Your doctor may also perform the following tests and procedures:
- rectal examination, which can show if an enlarged prostate caused your condition
- blood tests, such as a CBC , to determine whether theres an infection in your system
- urine sample, which can indicate if you have a urinary tract infection or an STI
Imaging tests may be done to rule out other conditions. These tests produce detailed images that allow your doctor to see structures in the body very clearly. Your doctor might order a testicular ultrasound to get images of the testicles and the surrounding tissues in the scrotum.
Treatment for epididymitis involves treating the underlying infection and easing symptoms.
Common treatments include:
- antibiotics, which are administered for 4 to 6 weeks in chronic epididymitis, and can include doxycycline and ciprofloxacin
- pain medication, which can be available over-the-counter or can require a prescription
- anti-inflammatory medication like piroxicam or ketorolac
- bed rest
- wearing an athletic cup for support
- avoiding lifting heavy objects
In cases of an STI, you and your partner should abstain from sexual intercourse until youve completed your course of antibiotics and are fully cured.
How We Diagnose Prostatitis:
Prostatitis may be a clinical diagnosis, meaning it is presumed to be the causative issue even when no definitive findings are found. Our urologists may order/perform the following to diagnose prostatitis:
- History & Physical Exam
- Digital Rectal Exam: Inserting a gloved, lubricated, finger into the rectum to feel the prostate. The prostate may feel boggy and is usually more tender than normal in men with prostatitis.
- Urinalysis & Culture: Urine will almost always be positive for infection in men with bacterial prostatitis. However, because not all prostatitis is caused by bacteria, the urine may be negative for infection.
- Blood cultures/labs
- Transrectal ultrasound: An ultrasound probe is inserted into the rectum to visualize the prostate.
- Cystoscopy: A look at the prostate and bladder with a small camera inserted through the urethra.
- Urodynamics: A study used to exam the function of the bladder and help determine if there is an outflow obstruction.
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What Is Painful Ejaculation
Ejaculation is the release of semen from the penis during the male orgasm. It is normally a pleasurable experience and shouldnt be uncomfortable.
Yet ejaculation can sometimes be painful, and its not an uncommon problem. A review article published in the journal, Translational Andrology and Urology, reported that up to 10% of men have had painful ejaculation at some point in their lives. Among those with prostate issues, that rate climbed to 30% to 75%.
The sensations of painful ejaculation vary. It may feel like pain or burning in the perineum , the urethra, or scrotum. The pain may begin during sex and become more severe when you climax, or it may be painful only when you ejaculate.
Painful ejaculation can be a symptom of an infection, inflammation, or blockage of the lower urinary tract . One of the most common causes is prostatitis, an inflammation of the prostate.
Ejaculation could also be painful because of psychological and emotional factors. Discuss painful ejaculation, and any other symptoms, such as discharge or pain, with your doctor.
Cause Of Urinary Problems As Men Age
Many men experience urinary symptoms as they age, which may be caused by inflammation of the prostate gland . In older men, symptoms may be due to a blockage in the tubes due to a benign enlargement of the prostate gland . The most common symptom is difficulty emptying your bladder. Urinary symptoms may become bothersome enough that they require treatment. Not all urinary symptoms are due to changes to the prostate. Also, some men have enlarged prostates and yet experience few, if any, symptoms.
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Prostate Inflammation As A Result Of ‘edging’ Technique
Im a 22-year-old male, otherwise very healthy and active. I have been suffering from what I believe to be as low grade inflammation of my prostate gland.
Before I go into any more detail I feel its important to highlight the following
About a year ago I began to experience sharp testicular pains and had a swollen epididymis which I was eventually prescribed anti biotics for. There appeared to be a couple of cysts, which no longer cause me any discomfort. The sharp pains still remained for another couple of months in total and the swollen epididymis subsided.
I began researching to try and find out what was causing my testicle pains and I concluded I had indulged in far too much masturbation and sex, but mainly masturbation in my adolescent years.
Looking back, I can say that for a period of 5 or 6 years I master bated at least 3 times a day, sometimes 4 or 5, and the most ever was 11 times.
I would masturbate before going to bed and as soon as I woke up at least once, regularly twice, totalling 4 times a day on average.
When the testicle pains started and I began to research, I realized my erections where no were near as hard as they used to be, my ejaculations were unsatisfactory and there were even times I failed to ejaculate upon orgasm
I decided I needed to have a massive break from masturbation or sex, which I found very difficult.
After coming back from the doctor, I had an instinct that If I ejaculated the pain might go away, so I did…
How Is Testicular Disease Treated
Testicular cancer is treated according to the type of cancer and how far it has spread. Cancer that has not spread from the testicle can be cured by orchiectomy, a surgery to remove the testicle. If it has spread outside the testicle testicular cancer treatments may include surgery to remove the abdominal lymph nodes, chemotherapy, radiation therapy, or a combination of two or more.
Testicular cancer is one of the most curable cancers. Even after it has spread, testicular cancer is usually curable. The best chances for cure are when the cancer is detected and treated early.
Epididymitis is usually treated successfully with antibiotics and anti-inflammatory drugs. Bed rest, pain medications, using an athletic supporter and ice packs on the scrotum may help more severe cases. The pain can resolve very slowly, sometimes taking weeks or months.
Testicular torsion is a true medical emergency. If caught in time, the affected testicle can be saved. Emergency surgery is usually required to “untwist” the testicle and to prevent it from happening again. During the surgery, the other side is usually fixed, as the condition tends to be bilateral.
Varicoceles usually don’t require treatment. But for men with varicoceles and impaired fertility, microsurgery to tie off the dilated veins of the varicocele is effective. Varicoceles can also be corrected without surgery by injecting a tiny coil into the abnormal veins.
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When Do I Need To See A Doctor
You should immediately call your doctor if you have testicular pain or swelling, especially if the pain gets worse or if you feel sick. If you have any symptoms of testicular torsion, make sure to seek immediate medical attention.
Last reviewed by a Cleveland Clinic medical professional on 07/28/2016.
Symptoms Of Advanced Testicular Cancer
Even if testicular cancer has spread to other parts of the body, many men might not have symptoms right away. But some men might have some of the following:
- Low back pain, from cancer spread to the lymph nodes in back of the belly.
- Shortness of breath, chest pain, or a cough may develop from cancer spread in the lungs.
- Belly pain, either from enlarged lymph nodes or because the cancer has spread to the liver.
- Headaches or confusion, from cancer spread in the brain.
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Other Symptoms When Your Testicles Hurt
When finding out the cause why your testicles hurt, doctors will usually want to know about associated symptoms with testicular pain.
Testicular pain is pain that is felt anywhere in the scrotum or testicles. According to Dr. Steven Doerr on eMedicineHealth, discomfort and swelling in the scrotum could indicate a serious condition like testicular torsion. Usually, an infection will cause your testicles to feel tender and you may notice redness on your scrotum.1
Other conditions like a urinary tract infection or kidney stones can also make your testicles hurt. These medical conditions will often result in a fever, nausea, and an itchy penis and burning sensation when you pee.
Testicular And Prostate Cancer
The NHS have targeted five symptoms relating to mens health that shouldnt be ignored, and along with moles, feeling depressed and impotence, these include symptoms of testicular and prostate cancer. We have outlined the key signs to look out for with these two cancers and what risk factors might be at play, as well as some useful links at the bottom.
Testicular cancer is one of the lesser common cancers but around 2,200 men in the UK are still diagnosed with it every year – incidence rates are increasing throughout the world and have more than doubled in the UK since the mid-1970s. The good news, however, is that survival rates for testicular cancer have actually risen year on year and the UK now boasts a 95% cure rate.
Testicular cancer usually affects younger men between the ages of 15 and 49, and so if you are within this age bracket and/or experiencing any of the following signs and symptoms, it is important to visit your GP as soon as possible.
The most common symptom is a lump or swelling in one of your testicles. Most of the time testicular lumps or swellings are not a sign of cancer, and in fact research has shown that less than 4% of testicular lumps are cancerous. Nonetheless they should not be ignored.
Other symptoms can include:
Remember it’s always important to be aware of what feels normal for you – get to know your body and make an appointment to visit your GP if you notice any changes.
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The Tension Headache Of The Groin
Prostatitis is a benign but painful condition that causes inflammation of the prostate or surrounding area. While half of all men will experience it, many dont know what it is.
When prostatitis happens to younger men, it can be alarming and a little scary.
We asked UNC Medical Center urologist Eric Wallen, MD, to explain prostatitis and what can be done to fix it.
Why Should I Care About Testicular Disease
Happily, significant testicular disease is uncommon and usually not serious. But if you have any testicular pain or a change in your testicles — such as a lump or a firmness — call your doctor. Even if you’re embarrassed, delaying an evaluation is not worth the risk.
As you might guess, testicular cancer is the most serious form of testicular disease. It’s also the most common cancer in men ages 18 to 35, accounting for 1% of cancer in men in the U.S. It is usually curable.
Risk factors for testicular cancer include:
- previous history of testicular cancer
- undescended testicle as a child
- a close relative with testicular cancer
More common than testicular cancer is epididymitis, which is inflammation of the epididymis, a tubular structure next to the testicle where sperm mature. About 600,000 men get it each year, most commonly between ages 19 and 35. Unprotected sex or having multiple sex partners increases the risk of infectious epididymitis.
As many as one out of every five men has varicocele, which refers to swollen and dilated veins above the testicles , a condition that is usually benign. Hydroceles, which come from increased fluid around the testicle, also pose little risk.
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Touching Your Prostate With Your Finger
Reasons Men Have Pain After Sex
Most of the time sex feels great, so it can be unsettling when you feel pain after intercourse. For some men, the pain can trigger performance anxiety and may diminish interest and pleasure during intercourse.
Causes for the pain vary depending on your sexual and general health, but one of the most common reasons include a condition called prostatitis, which affects up to 15 percent of the male U.S population.
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Why Choose A Uro Center Urologist In New York
The urologists at the Uro Center in New York are experts in their field, bringing academic and research based innovation to the clinical forefront. Our urology team specializes in areas of treatment such as: robotic surgery, reconstructive urology, mens health & infertility, kidney stones, urologic oncology, penile implant surgery, urethral stricture, BPH, Urinary incontinence treatment, Mesh complications, Enlarged prostate treatment, Urodynamics, vesicovaginal fistula and female incontinence in New York.
What Are The Symptoms
Symptoms of long-term prostatitis are often mild and start slowly over weeks or months. They may include:
- An urge to urinate often. But you may pass only small amounts of urine.
- A burning pain when you urinate.
- A problem starting the urine stream, urinating in waves rather than in a steady stream, urine flow that is weaker than normal, and dribbling after urinating.
- Waking up at night to urinate often.
- A feeling of not completely emptying your bladder.
- Pain in your lower back, in the area between the testicles and anus, in the lower belly or upper thighs, or above the pubic area. Pain may be worse during a bowel movement.
- Some pain during or after ejaculation.
- Pain in the tip of your penis.
Symptoms of acute prostatitis are the same, but they start suddenly and are severe. They may also include a fever and chills.
Some men may have no symptoms.
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Can Prostatitis Cause Dull Pain In The Testicles
Testicle is one of the genital organs, it is an important organ of the bodyit can be with many abnormal symptoms like swelling and pain in daily life. And for prostatitis, it is a common disease among males, the patients will experience many discomfort. Do the patients experience the dull pain in testicle?
Can prostatitis cause pain in testicles?How to eliminate the dull pain in the testicle caused by prostatitis?
Causes Of Chronic Testicular Pain
Sometimes, even after testicular pain with a known cause is treated properly, it does not go away, or it comes back, and becomes chronic.
Occasionally CTP will occur following a surgery. For example, a condition known as nerve entrapment can sometimes occur from scar tissue following a hernia repair, resulting in CTP.
Most conditions that cause testicular pain are easily diagnosed and can be treated effectively through medication, surgery and other therapies.
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Symptoms Of Urinary Problems
Urinary symptoms commonly experienced with prostate problems include:
- the need to urinate frequently during the night
- urinating more often during the day
- urinary urgency the urge to urinate can be so strong and sudden that you may not reach the toilet in time
- the urine stream is slow to start
- urine dribbling for some time after finishing urination
- a sensation that the bladder isn’t fully emptied after urination
- lack of force to the urine flow, which makes directing the stream difficult
- the sensation of needing to go again soon after urinating.
Although these symptoms often do not need treatment, see your doctor if they are causing you difficulty, as they can be successfully treated.
Heart Disease And High Blood Pressure
One in five men dies from heart disease before the age of 75. It claims more men’s lives than any other disease. Heart disease runs in families, so you have a greater chance of developing it if your family has a history of the disease. Other risk factors include:
- an unhealthy diet with too much fat, particularly saturated fat
- lack of exercise
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