Is this a problem with the prostate or the urethra?

Patient's question:

Testicular pain and swelling are more pronounced when it's hot. Pain in the left testicle, lower back pain, pain in the lower abdomen and near the anus, difficulty in erection but not severe, occasional burning sensation during urination. Today, after urinating, there is pain from the scrotum to the anus.
History of treatment and effectiveness:
A testicular ultrasound was performed. The left testicle is 3.01.6cm, and the right is 3.91.5cm. Both testicles have smooth shapes, regular surfaces, and uniform. There is a 0.20.2cm anechoic area in the right epididymis. A deep 0.8cm liquid dark area is observed in the left tunica vaginalis. A small amount of fluid is present in the left tunica vaginalis. Two bottles of Scopolamine were prescribed, totaling 400.
What kind of help is needed:
Hello, is there any problem with the ultrasound? Do I need any other tests? Is it urethritis or something else?

Doctor's answer:

Hello, it seems like you have testicular pain. There are mainly three possible conditions to consider: prostatitis, orchitis, or seminal vesiculitis. It is recommended that you go to the hospital for a detailed examination of your condition, including a thorough check of prostatic fluid and a testicular ultrasound. Only by identifying the root cause of your condition can you be treated appropriately, which will help you regain your health.
For patients, if the prostatic condition is severe, immediate symptomatic treatment should be administered, and the right medications should be used. Otherwise, it may lead to a recurrence of the condition. Additionally, patients should pay attention to their diet and psychological care as well.

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