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Urology  (Expert Forum)
 | 
Thought it was prostatitis, doctor suspects hernia
Answered by
Kevin Pho, MD - Internal Medicine
Kevin, M.D. Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.

Thought it was prostatitis, doctor suspects hernia

by Lerxt 12, Mar 10, 2007 12:00AM
I have intermittent light pain in pubic region and also pain during ejaculation. Tests for gon., chlam., and UTI were all negative.I went to a urologist and asked him if I should have my prostate fluid tested for bacteria and he said that he could test my urine but since my urine had already tested negative previously it was probably pointless. Urologist did rectal finger exam to check prostate and said it felt like I had a hernia. I have an appointment with a specialist next week.  Can you answer these three questions please? 1. If my urine tests negative, does that mean my prostate fluid is negative for bacteria also? 2.If this is not true, why did'nt he test prostate fluid? 3. Can a hernia be diagnosed from a rectal exam? Thanks for your time and knowledge.

by Kevin Pho, MD, Mar 11, 2007 12:00AM
To answer your questions:
1) No.  Testing the urine and prostatic fluid needs to be done separately to exclude the possibility of bacteria.

2) If the symptoms continue, I would suggest having the prostatic fluid checked.  I cannot comment as to why it wasn't.  

3) Hernias can be diagnosed clinically.  If there is question about the diagnosis, a CT scan can be considered to confirm the diagnosis.  A referral to a general surgeon should be considered if a hernia is present.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
kevinmd_
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