To the Editor.
We read with interest the case report and discussion on “blue balls.”1 We agree with the authors' conclusions that “a greater awareness and discussion of this entity would benefit both physicians and their patients.” The condition described, what the urologists often term “epididymal hypertension,” and some have labeled “deadly sperm buildup” or “DSB,” has many other manifestations of which physicians and their caretakers ought to be aware. Other common presentations of this condition include an altered sensorium, thought to be the result of increased cerebrospinal fluid turbidity levels; and decreased visual acuity secondary to cloudiness of the fluid in the anterior chamber of the eye. The latter condition can be diagnosed by the finding of an anterior chamber meniscus.
In the discussion of treatment, however, we wonder whether the authors' suggestion that “straining to move a very heavy object” is the first choice “simple maneuver [that]...
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RE: Balls
Balls. They're the tops.