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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Discomfort On Bladder Area, Pain In Testicles, Swelling On Spermatic Cord. Labs Show Pus Cells In Urine And Semen. Treatment?

Hi Doctor, For the past few months I have a discomfort/pain on the rights side bladder area where spermatic cords enter into scrotum . I feel something moving down towards testicles and sometime my right side spermatic cord swells and it pain. I also feel pain on bladder area when there is an urge to urinate and after urinating. I feel pain at the base of my right testicle where the epididymis starts when i got aroused and also feel pain at the base of my penis. I recently had scrotum ultrasound + urine test and semen test. All tests are ok but pus cells are found in urine and semen tests. Pus cells in urine : 4-5 /hfp Pus cells in semen: 6-8 /hfp
Sat, 17 Aug 2013
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General & Family Physician 's  Response
hi dear and welcome to health care magic....
dear you have chronic epididymo orchitis,with mild UTI...you need a good antibiotic which cover gram negative bacteria....for UTI a three days coarse is enough...while epididymo orchitis need 10 to 14 days coarse... i recommend tab enoxabid 400mg B. D for 10 days.....
wish you good health...
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General & Family Physician Dr. Ramesh M.Vachharajani's  Response
Hi,
It seems that you are having Epididimo-orchitis giving rise to this problem.
Consult sexologist and get examined.
With one antibiotic and anti-inflammatory medicine courses you will be alright.
Take plenty of water.
Ok and take care.
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Discomfort On Bladder Area, Pain In Testicles, Swelling On Spermatic Cord. Labs Show Pus Cells In Urine And Semen. Treatment?

hi dear and welcome to health care magic.... dear you have chronic epididymo orchitis,with mild UTI...you need a good antibiotic which cover gram negative bacteria....for UTI a three days coarse is enough...while epididymo orchitis need 10 to 14 days coarse... i recommend tab enoxabid 400mg B. D for 10 days..... wish you good health...