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QUESTION: hello doctor:my age is 21 and my left testis is enlarged...but sometimes they are in correct position but still the left testis is little lower...than the right one...bt does not have any pain......i am been suffering from frequent urination from past 4 months...having a burning sensation in my penis....having a mild crystitis in bladder....itching in between testis and rectum area...did ivp scan it showed the bladder wall slightly increased....also done ascending urethrogram....it also seemed to be normal...the doctors told me that i have prostatitis...while doing the ultra sound scan the prostate appeared to be normal....culture report showed e- coli bacteria.....doctors prescribed me cipran 500[3 weeks],levoday 500[3 weeks] and urimax 0.2mg for [3 months]...will these be helpful for me....pls pls suggest its affecting my life a lot....thank u

ANSWER: Arjun:

Your symptoms are certainly consistent with a urinary tract infection and prostatitis.  Your treatment also has been reasonable, but in some cases longer treatment periods are needed.  Your physicians appear to be acting appropriately.

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QUESTION: thank u doctor and should i need to worry about my testis......and if you dont mind i may ask u some questions in near future....and what could i do to bring back my testis in normal......

Answer
Arjun:

It is not abnormal to have one testicle lower than the other.  There is nothing simple that you can do yourself about that.  If the testicle position is outside the scrotum and actually enters the groin area, then a surgery to fix it in place is possible.  You'll need to talk to a urologist to determine if this is recommended or necessary.

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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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