In general, no need to worry. Treat with antibiotics if symptomatic. Wise to have one's partner treated as well to prevent re-infection. Recheck urine after at least 4 weeks.
Persistent lower urinary tract symptoms despite treatment warrants more in depth assessment of the prostate and urinary bladder before contemplating on more empirical treatment.
Hesitancy and reduced peak flow rate for age (>20ml/ second for <50 years old) indicate the need for further investigation. Do seek the advice of the relevant specialist.
范健醫生回覆: Testicular pain or discomfort may or may not be arising from the testis. If ultrasonography of the testes is unremarkable except for microcalcification, it is timely to look for pain radiating from elsewhere especially when the symptom is unilateral. Meanwhile, follow-up ultrasonography of the testes in six to twelve months' time can be considered for progress.
Chronic pelvic pain syndrome is defined by the absence of identifiable bacterial infection as a cause for the chronic pain and urinary symptoms. The absence of the latter renders this syndrome complex unlikely though only a full investigation can confirm or exclude the condition.
Testicular pain or discomfort may or may not be arising from the testis. If ultrasonography of the testes is unremarkable except for microcalcification, it is timely to look for pain radiating from elsewhere especially when the symptom is unilateral. Meanwhile, follow-up ultrasonography of the testes in six to twelve months' time can be considered for progress.