What should I do about left varicocele with prostatitis?

Patient's question:

Recently, there were small red spots on my glans, and after applying erythromycin ointment for a while, there was no significant improvement. So, I went to a urology hospital for several detailed examinations. The doctor said I had perinatal urinary infection and the examinations revealed that I suffer from bacterial chronic prostatitis, candidiasis infection, left varicocele measuring 2.2mm, cysts in the epididymis, and hydrocele. The doctor attributed it to my long foreskin, excessive sexual activity, and penile congestion. Previously, I usually had sexual intercourse once every one to two weeks, and it was common for me to sit for long periods at school, work overtime, and drink little water. Following the doctor's advice, I had a circumcision, but the doctor recommended rectal low-frequency insertion treatment, which was very expensive, so I declined and focused on the treatment instead. Now I am in the full recovery phase after the surgery. I would like to ask the doctor in particular about bacterial chronic prostatitis and varicocele.

Doctor's answer:

First, I recommend that you go to a formal hospital's urology department to undergo a thorough examination of prostatic fluid routine and scrotal color Doppler ultrasound. This will help clarify whether you indeed have both bacterial chronic prostatitis and varicocele. If these conditions are confirmed, they can be treated through oral medication and by correcting unhealthy lifestyle habits, leading to stabilization. Prostatitis tends to recur, requiring long-term medication for maintenance. Additionally, for male patients, it is crucial to seek treatment immediately at a professional and reputable hospital. Based on the examination results, the treatment plan should be considered. Furthermore, it is important to limit sexual activity and maintain a positive mood.

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