Am I suffering from benign prostatic hyperplasia or chronic prostatitis?

Patient's question:

Testicular pain and swelling, frequent urination, incomplete urination, needing to urinate once during sleep at night (usually around 6 or 7 a.m., sometimes no need if it improves, and sometimes needing to urinate during sleep if it worsens), mild premature ejaculation; the condition has been occurring for about 3-4 years. Additionally, I have hemorrhoids that occasionally recur.
Laboratory results: White blood cells 30; Spherulites +; Prostate size 383121mm, normal shape, slightly inhomogeneous echo in, no strong light clusters or mass echoes observed internally; Bladder is full, wall is continuous, good sound transmission, no stones or mass echoes observed. Both kidneys are of regular size and shape, with uniform echo, no combined dark areas or strong light clusters in the collecting system, and both ureters show no dilation. The condition fluctuates between improvement and worsening, and has never been treated. Confirm the definitive diagnosis and solution.

Doctor's answer:

Dear patient,
I am very happy to answer your questions. Based on the current issue you are consulting about, I would like to provide you with a few suggestions, hoping they will be helpful to you.
Given the current situation described, combined with the medical records you have uploaded, it appears that you may have a certain degree of benign prostatic hyperplasia (BPH). This could also be the cause of your current discomfort. I recommend that you visit your local hospital for a follow-up examination to undergo further detailed tests and treatment.
Additionally, during the treatment for BPH, the patient's dietary condition and care are also very important. Patients should pay close attention to rest and engage in appropriate activities to avoid unnecessary harm. I hope the above answers can assist you. Thank you.

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