What disease is it when there is pain in the urethra and a heavy feeling in the testicles? What tests should be done?

Patient's question:

What happened again last night, after taking a shower, suddenly there was pain in the urethra, and the right testicle felt heavy and swollen, with discomfort in the right lower abdomen as well. There was no pain in the urethra when urinating, but usually there is pain in the urethra. Two days ago, I just had a male examination, and all the tests—prostate fluid routine, ultrasound, and urinalysis—were normal. However, I have been experiencing frequent urination before bed and a feeling of incomplete urination. Before the examination, I had never had urethral pain combined with discomfort in the testicle. What should I do?

Doctor's answer:

Consider epididymitis or prostatitis. It is recommended to have a thorough ultrasound examination and prostatic fluid test at a regular hospital. Bacterial culture and drug sensitivity test, Mycoplasma and Chlamydia tests should be conducted. Rest, avoid staying up late, avoid sexual activity, maintain a regular lifestyle, and avoid smoking and alcohol. It is recommended to take Cefixime capsules and Levofloxacin for 7 to 10 days, and drink more water. Rest, avoid staying up late, avoid overexertion, avoid smoking and alcohol, maintain a regular lifestyle, and enhance physical exercise. Drink more water, relax your mind. Detailed examination and treatment. In daily life, maintain a regular sex life and avoid prolonged sitting.

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