How to treat varicocele and prostatitis

Patient's question:

I have bilateral varicocele. After the hospital conducted a thorough examination of my semen, the qualified doctor told me that surgery was not necessary. Then, the prostate ultrasound revealed abnormal bright spots, suggesting fibrosis. Could this be prostatitis?
In the first picture, the red-marked area hurts when walking. Is this due to spermatic cord interference? My thigh feels a bit sore, but it improves after exercise. I also have some lower abdominal pain. When I walk forcefully, sometimes the ligaments inside the testicle are pulled.
In the second picture, the marked area often feels sore. Is this due to spermatic cord interference? After taking cephalexin, the soreness becomes more pronounced. Without taking it, it wouldn’t be this sore.
The third picture shows the testicle. Sometimes, light pressure in that area causes pain, but it’s not constant—it happens occasionally. Walking sometimes causes pain in that area too, but also occasionally.
Given my symptoms, is it varicocele, prostatitis, or a lumbar spine issue?

Doctor's answer:

According to your description and symptoms, in your current condition, it is recommended that you do not need treatment. You have mild varicocele, and you would like to know a few things. According to your description and symptoms, you currently have varicocele and do not need surgical treatment. The varicocele is located above, not in the scrotum. Varicocele is prone to recurring, requiring long-term medication. For male patients, it is important to actively seek medical attention at professional and reputable hospitals and consider treatment based on examination results. Additionally, pay attention to a proper diet and avoid sexual activity.

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