Dr. Daniel Paul Casella, MD is a pediatric urologist in Washington, DC specializing in pediatric urology. He graduated from Eastern Virginia Medical School. Dr. Daniel Paul Casella, MD is affiliated with Inova, Children's National Health System and Inova Fairfax Hospital.
A hydrocele is a collection of fluid around the testicle that causes swelling in the scrotum. Hydroceles are common in newborns; they develop when the fluid in the sac surrounding each testicle does not get absorbed before birth. Hydroceles in newborns often disappear on their own during the first year of life. They are rare in adults, but when they occur, they are usually caused by injury, infection, or swelling in the scrotum, testicle, or epididymis, which is a coiled tube behind each testicle.
Hydroceles are typically painless, and surgical repair or removal, called hydrocelectomy, is only necessary if they continue to grow. In a hydrocelectomy, the surgeon makes an incision in or near the scrotum and uses suction to drain the fluid. The sac that contained the fluid may be cut and removed as well, or it may be stitched onto the back of the testis and epididymis, before the incision is closed.
This procedure may be done at an outpatient facility, so a hospital stay is usually not required. Normal activities can be resumed a few days following surgery, but exercise and other strenuous activities should be avoided for about two to four weeks.
Urinary Tract Infection (UTI)
A urinary tract infection, or UTI, happens when bacteria enter the body through the opening where urine is normally released. The bacteria infect the lining of the urethra and bladder, turning them red and inflamed. This causes pain in the abdomen or pelvic area, a burning sensation during urination, a sense of urgency about going to the bathroom, frequent urination, and urine that smells bad and looks cloudy, or even contains traces of blood. If the urinary tract infection is severe, it may travel all the way to the kidneys, a more serious kind of UTI called pyelonephritis. Patients with this kidney infection might have blood in their urine, feel back pain, and develop a fever.
Urinary tract infections are extremely common: 12% of all men and 40-50% of all women will have a urinary tract infection during their lifetime. They are more common in women because women have shorter urethras, so bacteria have a shorter distance to travel from the outside of the body to the bladder and cause an infection. Some people also have urethras that are an unusual shape or have an obstruction in the urethra that makes getting a UTI more likely. Also, certain chronic illnesses like diabetes weaken the immune system, so any bacteria in the body are more likely to cause an infection.
A urinary tract infection can be diagnosed very quickly by a doctor. A sample of urine can be examined under a microscope for the presence of bacteria or white blood cells. There are also diagnostic strips that can be used to test a urine sample without the need for a microscope. Once a diagnosis is made, treatment is a course of oral antibiotics, and most patients feel better within just a few days. There are some things that patients can do themselves to help reduce the risk of getting a urinary tract infection in the future. Stay well hydrated, wipe from front to back after going to the bathroom, wear breathable cotton undergarments, and don't hold it in when patients feel the urge to go.
Dr. Daniel Paul Casella, MD graduated from Eastern Virginia Medical School. He completed residency at University of Pittsburgh Medical Center (UPMC). He is certified by the Board Certification: Pediatric Urology, Urology and has a state license in District of Columbia.
Medical School: Eastern Virginia Medical School
Residency: University of Pittsburgh Medical Center (UPMC)
Board Certification: Board Certification: Pediatric Urology, Urology
Licensed In: District of Columbia
Dr. Daniel Paul Casella, MD is associated with these hospitals and organizations:
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Dr. Daniel Casella is a specialist in pediatric urology. Dr. Casella attended medical school at Eastern Virginia Medical School. For his professional training, Dr. Casella completed a residency program at the University of Pittsburgh Medical Center (UPMC). He is affiliated with Children's National Health System and Inova Fairfax Hospital.