A member asked:

I had uti several times. i experience pain in my testicles after urination and sometimes there is swelling in the veins on my testes. i got a culture done and it had e.coli; there are pus cells in semen and urine. any treatment?

10 doctors weighed in across 4 answers

gynecomastia: There are medications that can cause gynecomasia, as well as excessive use of cannabis. Teen age boys often have some, and sometimes it does not regress with adulthood. Excessive estrogen is a very rare cause. Gynecomastia needs to be distinguished from obesity. Supplements are not your answer. See your doctor.

Answered 10/29/2013

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See a doctor: You need to be seen by a physician to be evaluated. You may have a urinary tract infection, epididymitis, prostatitis. It sounds like you are already being treated with Cipro (ciprofloxacin) and levaquin?

Answered 6/24/2014

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You: Should be worked up by a urologist to see what is the reason u have UTI so frequently. Anything obstructing the urine flow would cause what you have. Kub is a old fashion examination. I am talking to look up in your bladder and also to visualized the kidneys as well in one way or another. I hope you do not push anything up ur urethra. Some youngsters may just experiment...

Answered 9/29/2016

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Dr. George Klauber answered

Specializes in Pediatric Urology

Need urology work-up: Utis in young men are abnormal. Note at least 2 have been treated with antibiotics. Should get renal/bladder + scrotal/testicular ultrasound examinations if not yet done. Then careful cystoscopic (telescopic) examination of urethra & bladder. You might have a structural abnormality such as undiagnosed urethral valves, urethral diverticulum +/- reflux of urine into escalatory ducts or vas deferens.

Answered 9/14/2013

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