Hi Mr cecil, I can see that you have been experiencing testicular pain for last 4 months and the cuture showed s. Aureus you took antibiotics for 10 days that didn’t work. Let’s break down every possibility for you. See s aureus in urine is not very common it can be due to skin flora contamination of the sample, can be from blood which appears to be less likely and it can be a cause for your epididymytis. If it was from a contamination do another culture and sensitivity of urine. This will rule it out. If it was blood Bourne do a CBC esr and crp. You should also rule out prostatitis since it may also cause the same issue that you have listed. One more thing I want to ask whether you did a semen culture or not. If not then get it done. Chronic epididymytis takes more than just 10 days to correct. Approx 4-6 weeks of regular treatment will show you results. Things that could be done are Take an expert opinion from a urologist. Empirical treatments may fail sometimes so take the antibiotics only after sensitivity testing. For pain choose scrotal support and mild nsaids(painkiller). You should avoid tight undergarments and try warm compresses too. Even after all this mess your problem doesn’t get resolved or the infection part is ruled out get a neuro consultation for neuropathic or referred pain that is also a distant possibility. Beware of danger signs like redness of scrotum, acute pain discoloration of the area or chills and fever. May you get well soon. Open to further questions.
Semen test are not done sir this bacteria is the reason for this my pain sir
Then get it done, if you’re having mild epididymytis due to this bacteria then it will be positive in semen culture & sensitivity too. If that comes out to be positive then consult a urologist for appropriate course of antibiotics. Taking antibiotics without sensitivity testing just creates resistance in a long run. You’ll get well soon.
Considering your situation, it seems you’ve been experiencing persistent bilateral testicular pain, and most recently a urine culture has indicated the presence of Staphylococcus aureus, which might indeed be linked to your ongoing symptoms. Staphylococcus aureus can sometimes be responsible for infections that could affect the epididymis and cause pain, though it’s not the most common pathogen in epididymitis. Addressing this bacterial infection directly is crucial. Antibiotics targeted against Staphylococcus aureus would typically be required. Your healthcare provider may consider prescribing an antibiotic regimen based on the sensitivity profile of this bacteria, often a beta-lactam antibiotic or possibly vancomycin if methicillin-resistant strains are suspected. It’s paramount that you complete the full course of antibiotics to effectively eradicate the infection. If pain persists despite treatment, it’s important to reassess, as resistant bacteria or other causes may still be factors. In parallel, using anti-inflammatory medications like ibuprofen, unless contraindicated, might help manage pain while the antibiotics take effect. It’s essential to manage the dosage and frequency according to medical advice. Ensure you’re hydrated to help cleanse your urinary tract and adhere to a balanced diet to support your immune system. Additionally, avoid activities that might exacerbate the pain, like heavy lifting, and consider scrotal support to alleviate discomfort. However, if symptoms worsen, like experiencing fevers, swelling, or you notice any changes in testicular mass, it’s advised to seek further immediate evaluation, as this might indicate complications or the need for a change in treatment approach. Regular follow-ups with your healthcare provider will ensure that the treatment is on track and effective, allowing for any needed adjustments.
