Is it very tight below when the penis is erect?

Patient's question:

Left testicular swelling, dull pain, hard lumps at the base, significant drooping of the left scrotum. After taking levofloxacin for three days, there hasn't been significant improvement. Today, I went to a top-tier hospital for a color Doppler ultrasound, which showed everything normal—the testicles and epididymis were normal with no obvious varicoceles. However, I have noticeable swelling, so the outpatient doctor manually examined it and told me the lump was quite prominent, speculating it was epididymitis, which the ultrasound didn't detect.
What is going on? How is it possible that the epididymitis wasn't detected by the ultrasound? Is this relatively mild epididymitis? Regarding the ultrasound report on the testicles and varicoceles, does it have any reference value? Do I need to have another ultrasound? The doctor prescribed cefdinir and Hoten Granules. Will they be effective?
Finally, could prostate cancer possibly cause epididymitis?

Doctor's answer:

In this case, it's best to go to the hospital for a check-up to get a clear diagnosis first. As for advice and treatment plans, it's important to maintain local hygiene, quit unhealthy habits in daily life, and avoid unsafe sex. After a clear diagnosis, follow the doctor's instructions for medication. Testicular conditions can be prone to recurrence, requiring long-term medication. For male patients, it's crucial to seek treatment at a professional and reputable hospital based on thorough examination results. Additionally, pay attention to a proper diet and avoid sexual activity.

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