Steven Doerr, MD, is a U.S. board-certified Emergency Medicine Physician. Dr. Doerr received his undergraduate degree in Spanish from the University of Colorado at Boulder. He graduated with his Medical Degree from the University Of Colorado Health Sciences Center in Denver, Colorado in 1998 and completed his residency training in Emergency Medicine from Denver Health Medical Center in Denver, Colorado in 2002, where he also served as Chief Resident.
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
This condition occurs when there is inflammation of the
epididymis, generally as a result of an infection. Epididymitis primarily
affects adults, and is most common between 19 to 40 years of age, though it can
occur in the prepubertal and elderly age groups.
In sexually active men, the most common cause of infection is the
sexually
transmitted organismsChlamydia trachomatis and Neisseria gonorrhoeae. In
younger and older individuals, infection is usually caused by bacteria that are
found in the urinary tract, such as
Escherichia coli. Infection in these age
groups is typically the result of an abnormality within the genitourinary
system.
Torsion of a testicular appendage
This condition occurs with torsion
(twisting) of the testicular appendage or the epididymal appendage, functionless
structures that are remnants of tissue from human development. The testicular
appendage lies between the testicle and the epididymis, while the epididymal
appendage typically projects from the epididymis. As with testicular torsion,
twisting of these structures leads to a decrease in blood flow and subsequent
testicular pain. This is a common condition in younger boys, with most cases
occurring between 7 to 14 years of age. Though this condition is benign and
self-limiting, it must be distinguished from the more serious testicular
torsion.
Trauma
Any type of trauma or injury to the testicles can cause severe pain
and discomfort. The most common mechanism of testicular trauma occurs from blunt
trauma (~85%), which can occur from sports injuries, a direct kick to the area,
car accidents, and straddle injuries. In most instances, the pain will improve
with the passage of time. However, in a few instances, trauma to the testicles
can cause more severe injuries requiring immediate medical attention.
Testicle rupture: This serious injury to the testicle results from a
disruption to the connective tissue enveloping the testicle (tunica albuginea),
leading to the extrusion of testicular tissue. This injury is often accompanied
by a blood collection (hematocele) that surrounds the testicle.
Other types of injuries to the testicles include penetrating trauma and
testicular dislocation.
Urinary tract infection (UTI) is an infection of the kidney, ureter, bladder, and/or urethra. Not
everyone with a UTI has symptoms. Common symptoms include a frequent urge to
urinate and a painful, burning when urinating.
Abdominal pain is pain in the belly and can be acute or chronic. Causes include inflammation, distention of an organ, and loss of the blood supply to an organ. Abdominal pain can reflect a major problem with one of the organs in the abdomen such as the appendix, gallbladder, large and small intestine, pancreas, liver, colon, duodenum, and spleen.
One in every 20 people develop a kidney stone at some point in their life. A kidney stone is a hard mineral and crystalline material formed within the kidney or urinary tract. Kidney stones symptoms and signs are, blood in the urine and pain in the abdomen, flank (lower back), or groin. A number of different conditions can lead to kidney stones including: gout, hypercalciuria, people with inflammatory bowel disease, kidney disease, and hypoparathyroidism. Some medications also increase the risk of kidney stones.
A hernia is an opening or weakness in the muscular structure of the wall of the abdomen. This defect causes a bulging of the abdominal wall. Symptoms of a hernia include pain or discomfort and a localized swelling somewhere on the surface of the abdomen or in the groin area.
Sexually transmitted diseases, or STDs, are infections that are transmitted during any
type of sexual exposure, including intercourse (vaginal or anal), oral sex, and
the sharing of sexual devices, such as vibrators. Although treatment exists for many STDs, others currently are
usually incurable, such as those caused by HIV, HPV, hepatitis B and C, and HHV-8.
Male sexual dysfunction can be caused by physical or psychological problems. Common sexual problems in men include erectile dysfunction (impotence or ED), premature ejaculation and loss of libido. Treatment for sexual dysfunction in men may involve medication, hormone therapy, psychological therapy, and the use of mechanical aids.
Mumps is an acute viral illness caused by the mumps virus. Symptoms of mumps include fever, headache, muscle aches, tiredness, and loss of appetite; followed by swelling of the salivary glands.
Testicular cancer symptoms include a painless lump or swelling in a testicle, testicle or scrotum pain, a dull ache in the abdomen, back, or groin, and a feeling of heaviness in the scrotum. Treatment for cancer of the testicles depends on the type of cancer (seminoma or nonseminoma), the stage of the cancer, and the patient's age and health.
Infertility is the diminished ability to conceive a child. The primary cause of infertility in men is a sperm disorder. In women, the primary cause of infertility is an ovulation disorder. Most forms of infertility can be treated. Conventional infertility therapies include drugs or surgery.
Hydrocele is a collection of clear fluid in a thin walled sack that also contains the testicle. Hydroceles are more common in males than females. There are two types of hydroceles: 1) communicating and 2)non-communicating. Hydroceles present at birth may resolve on their own. Hydroceles that appear in the teen or adult years may require surgery.
Sexual health information including birth control, impotence, herpes, sexually transmitted diseases, staying healthy, women's sexual health concerns, and men's sexual health concerns. Learn about the most common sexual conditions affecting men and women.
Men's health is an important component to a happy lifestyle and healthy relationships. Eating healthy, exercise, managing stress, and knowing when to have medical tests for a particular age is key to disease prevention in men.
Children's health is focused on the well-being of children from conception through adolescence. There are many aspects of children's health, including growth and development, illnesses, injuries, behavior, mental illness, family health and community health.
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