Doctor, I have had persistent left spermatic-cord/scrotal pain for around 7–8 months. The pain is mainly at the back of the testicle/above the testicle along the spermatic cord, sometimes spreading toward the groin. There is also a specific tender point where the scrotum meets the body. It is present most of the time and worsens after masturbation, prolonged sitting/travel, and sleeping on my stomach or side. Standing sometimes gives relief. I previously took Duloxetine 20 mg, Gabapentin + Methylcobalamin, and Pregabalin + Methylcobalamin for around 6 months month. They reduced the pain somewhat but did not completely resolve it. I want to know whether this is nerve-related spermatic-cord pain or another cause, and whether a diagnostic spermatic-cord/nerve block or other conservative treatment would be appropriate.
Hi, My wife took medicines like mirago S- Darif, Cystopen but nothing helped with her overactive bladder symptoms,she started on imipramine 50 on psychiatrist and have relief in symptoms 50 % can this dosage can be increased to have more relief and is this a psychiatric condition rather than OAB.
My father psa was 9.28 on 3 june , then on 17 june 12.56 then mri showed pirads4 nodule 18*11mm size in peripheral zone then trus biopsy on 24 june and then ihc showed chronic prostratis and low grade pin and on 6sept after 3 months his psa was 12 and free psa 0.9 .What should be done now?
Dear Doctor,
I need guidance for a persistent UTI and severe vaginal discharge/odor.
Symptoms: Burning urination, sharp urethral pain, hot urine feeling, frequent urination, lower abdominal pain, sticky white discharge, and strong odor on my underwear.
History: Prescribed multiple oral antibiotic courses (Cetil, Norflox TZ, Septran DS, Nitrobest) and vaginal suppositories (Candid V3/V6, Candel V6), but symptoms have not improved.
Urine Culture Results: E. coli isolated.
Resistant to: Nitrofurantoin, Cefixime, Levofloxacin, Fosfomycin, Amoxicillin-Clavulanic acid.
Sensitive to: Meropenem, Ceftriaxone, Gentamicin, Cefoperazone-Sulbactam, Amikacin.
Questions:
Since the infection is resistant to oral antibiotics, do I need immediate IV antibiotic therapy (e.g., IV Meropenem or Ceftriaxone)?
Is the panty odor/wetness due to a concurrent vaginal infection or the resistant UTI?
What is the correct combination of IV antibiotics and vaginal treatment to resolve bot
Prostate cancer issue, biopsy awaiting and will be shared within 7 days. Request you to help me with it. Currently doctor informed it is 99% cancer still we need biopsy for the proof.
