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Urology/Testicular discomfort

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Question
Hello Dr. Leslie,

Can you please tell me if epididymitis/orchitis can cause tenderness on the side of the testicle, rather than the back? I was diagnosed by my family physician and given 4 weeks of doxycycline (which didn't work) followed by 4 weeks of Cipro. I'm on day 10 of the Cipro and have noticed the sensitivity somewhat but noticeably lessening, sporadic in intensity, and becoming increasingly localized. I also have noticed some tingling and itching. In addition, I am suffering from symptoms of prostatitis; which I was diagnosed with by a urologist and have experienced on and off for many years. I realize that if the current tenderness and sensitivity do not subside at the end of my 4 weeks on Cipro that I should see a urologist for further investigation. However, I would appreciate your opinion based on this information because I suffer from GAD and medical anxiety on almost a phobic level. That circumstance brings on what I consider to be a self-perpetuating prostatitis. So I am wondering if this could in fact be epididymitis responding to the antibiotic, and how the prostatitis might relate. Thank you so much.

Answer
Lawrence:

The fact that there may be discomfort on the side rather than in the back of the testicle has virtually no clinical significance with regards to your epididymitis.  Prostatitis and epididymitis can be related and your urologist will explain how when you see him.

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Stephen W. Leslie, MD

Expertise

Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience

Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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