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Suggest Treatment For Epididymitis And Pelvic Floor Injury

Posted on Thu, 5 Mar 2015

Question: ve been suffering from pelvic pain-genital pain for 6 months now. It first started after a bad cough. Saw a urologist. He said it was prosititis gave me antibiotics didnt help what so ever. 3 months later Finally saw another urologist we came came to the conclusion that if was pelvic floor injury and tension because I have no infection what so ever. I had on and off nerve pain in penis. Two weeks ago went to the hospital because I had testicle pain they diagnosed me with epididymitis. Gave me antibiotics. Thats when the pain in the penis is more consent since then epididymitis got better after a few days so I stoped antibiotics. Epididymitis came any advice to help would be good. What can I take for pain.

By the way Im not sexully active Thanks

Answered by Dr. Deepak Kishore Kaltari (30 hours later)

Brief Answer:
Hot Seitz bath will be helpful

Detailed Answer:
Hi
Welcome to Healthcaremagic
Greetings of the day
Dear Sir

Pain in the perineum and genital is likely to be due to Pelvic muscle spasm . If the following criteria are fulfilled there is no cause for concern

1. No staining while passing urine

2. Urinary stream is good

3. No difficulty in passing Urine

4. Normal scan of KUB and testis (except for evidence of Epididyorchitis )

5. No previous history of trauma

I would suggest you the following

1. Hot Seitz bath : To a tub of lukewarm water add 2 spoons of antiseptic solution. Sit in it for 15 to 20 minutes each session twice a day. The warmthnes of water will relax the muscle and relieve pain

2. Antispasmodic like Cyclopam will help

3. Anti inflammatory drug like Ibuprofen will be helpful.

4. Scrotal support : Wearing the right size underwear will provide support for testis

5. Urine routine and microscopic examination

6. Ultrasound scan of abdomen and testis

Do get back to me if you need any further assistance, will be glad to assist you.

Take care

Best regards
Dr Deepak Kaltari
Consultant Surgeon

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Deepak Kishore Kaltari (8 hours later)

Thanks for the reply. Yeah no urinary symptoms. Testicle ultrasound was good except for epididymitis. That sounds good I think right I have to work on my pelvic floor. I also have a little red spot and pale patch on left side of penis. Its tender to touch and I have pain there. What do you think that country be? Thanks

Answered by Dr. Deepak Kishore Kaltari (10 minutes later)

Brief Answer:
Clinical photograph will be helpful

Detailed Answer:
Dear Sir

Do send me clinical photograph for further evaluation. Exact diagnosis will be possible on clinical examination.

Take Care

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Deepak Kishore Kaltari (3 hours later)

How do a send a photograph.the redness came down a little bit I think might be from friction

Answered by Dr. Deepak Kishore Kaltari (8 minutes later)

Brief Answer:
Mail to YYYY@YYYY

Detailed Answer:
Dear Sir

You can send the picture by

1. Uploading it in upload report available on the website

Or alternatively

2. Mail to YYYY@YYYY
subject line being " Attention Dr Deepak Kaltari "

Take care

Best regards
Dr Deepak

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Deepak Kishore Kaltari (19 hours later)

I think I sent the picture.

Answered by Dr. Deepak Kishore Kaltari (17 minutes later)

Brief Answer:
Lesion is due to fungal infection

Detailed Answer:
Dear Sir

Thanks for providing clinical picture. The lesion is due to Balanoposthitis secondary to fungal infection. I would suggest you the following

1. Wash the area thrice a day with soap and water.

2. Keep area clean and dry

3. Local application of combination of steroid and anti-fungal ointment which is available as over the counter drug , applied twice a day for 2 weeks will be helpful

Take Care

Best Regards
Dr Deepak

Above answer was peer-reviewed by : Dr. Vaishalee Punj