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Pain in the scrotum or testicles can be due either to problems within the testicle itself or to a problem in another part of the body, as your question implies. Infection in the epididymis (called epididymitis), part of the sperm-collecting system that is attached to the testicle, is a common cause. Also, the testicle itself can become infected (orchitis) due to a variety of agents including the mumps virus. Continue reading →

A hydrocele is a collection of fluid in the thin sheath that surrounds the testicle; the name literally means “water tumor.” It may be the result of either too much fluid production or too little absorption. It’s a rather common condition that may occur at any age and may involve either one or both sides of the scrotum. In early childhood it may be associated with and hard to distinguish from an inguinal hernia. Continue reading →

BPH, the acronym for benign prostatic hypertrophy, should not be accepted as the explanation for blood in the urine unless a thorough evaluation has been done to exclude other potentially more serious causes. The common symptoms of BPH include more frequent urination, especially at night, slowing of the urinary stream, dribbling at the end of urination and difficulty in starting to void. Bleeding is not a common manifestation. Continue reading →

Semen that is pink or red in color due to blood is known as hematospermia or hemospermia. Unless there is a history of injury to the genitalia, it’s presumed to be due to bleeding from tiny blood vessels in the sacs that store the semen (the seminal vesicles), but the cause usually cannot be determined. On the first occurrence, it’s reasonable to have an examination of your genitals including the testicles and prostate. Rarely are extensive studies warranted if the examination reveals no abnormalities.

Peyronie’s disease is characterized by a curvature of the erect penis due to a fibrous plaque or scar in the erectile tissue. If the curvature is pronounced, it may cause pain with erections and impair or prevent intercourse. The cause of the plaque formation remains unknown. In most instances the problem resolves spontaneously within 1 to 3 years after the onset. Continue reading →

Bladder outlet obstruction refers to conditions that impair the flow of urine out of the bladder and into the urethra. By far the most common cause is benign enlargement of the prostate gland (benign prostatic hyperplasia, or BPH) that occurs with increasing age. Other causes include prostate cancer and narrowing of the urethra at its attachment to the bladder due to congenital abnormalities or to scarring (strictures) due to injury or infection. Continue reading →

Although bladder infection (cystitis) is less common in men, its symptoms are similar in men and women. The most prominent symptoms are an increase in the frequency of urination, an unusually strong urge to empty the bladder, discomfort in the area just above the pubic bone and a burning sensation during urination. Continue reading →