What is the reason for pain when pressing the prostate with the pubic bone on the right side?

Patient's question:

In the past month, when gently pressing and kneading the right prostate and pubic bone, there was pain, so I went to the hospital for a thorough examination. The ultrasound revealed no issues with the bilateral spermatic veins. Then, it was discovered that there was an uneven, heterogeneous strong echo measuring 10.1mm × 8.0mm inside the left testicle. On the right side, at the head of the epididymis, there was an abnormal dark area, approximately 4.6mm × 3.8mm in size, with an elliptical shape. The MRI indicated that the heterogeneous echo in the left testicle might be due to a possible calcification focus. The cystic mass at the head of the right epididymis was considered to be an epididymal cyst. Finally, the doctor said everything was fine and recommended coming back for a follow-up check in a few months to see if the cyst in the right testicle had been there all along. If it didn’t shrink, it would prove that everything was okay. But why does the right side of the pubic bone hurt when gently pressed? Sometimes pressing it doesn’t hurt, but other times it does—what’s going on?

Doctor's answer:

Considering the symptoms you are experiencing are due to an epididymal cyst. It is recommended that you visit the urology department of a regular public hospital. Pay attention to hygiene, engage in appropriate exercise to improve your immunity, maintain a regular lifestyle, and opt for a light and nutritious diet. Prostate conditions tend to be recurrent, requiring long-term medication for management. For male patients, it is important to seek treatment at a professional and reputable hospital promptly. Treatment should be considered based on thorough examination results. Additionally, it is advisable to control sexual activity and maintain a positive mood.

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