It takes a while to start and there is swelling in the testicles, what could be the cause?

Patient's question:

Approximately two and a half months have passed. At first, the sensation of testicular swelling would reappear after a longer car ride, but now it occurs after just about ten minutes of driving. If I sit on a hard bench, it's normal, and a testicular ultrasound is also normal. The prostate is slightly enlarged. When doing manual labor, the left testicle also swells. How should I treat this? Walking and taking naps usually keep the condition normal. There's also a slight protrusion around the anal opening. Could this be the cause?

Doctor's answer:

It may be chronic prostatitis, but it cannot be fully confirmed at this time. It is recommended that you follow up with the urology department at the hospital. Generally, it is necessary to undergo thorough examinations such as MRI. After diagnosis, active treatment should be initiated, such as anti-inflammatory therapy, physical therapy, and prostate massage. I hope my explanation can help you.
The condition of the testicles tends to be recurrent, requiring long-term medication treatment. Moreover, for male patients, it is important to seek medical attention immediately at a professional and reputable hospital. Treatment should be considered based on examination results. Additionally, it is important to quit smoking and drinking and pay attention to personal hygiene.

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