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Thanks for your question.
Prominent varicose veins and the radiating pain can be due to the blood clot in the abdominal vein ( renal vein or in the common iliac vein).
Sometimes there can be a tumor obstructing blood flow to the scrotum.
This should be checked out with a CT scan of the abdomen with IV contrast.
yes they did not look there.
you need a CT scan of the pelvis with contrast.
this is serious if you do have tumor or blood clot.
So take it as urgent.
Another possibility can be herniated disc at your lumbosacral spine.
Sacral nerves supply the scrotum penis and also the lower leg and feet.
If you have significant nerve impingement from herniated disc, you will experience similar symptoms.
If your CT scan comes back negative, then next step will be MRI scan of the lumbosacral spine.
Also a neurologist should be consulted.
You can go back to the urologist and get the Ct scan of the pelvis with contrast first.
If that test is negative, you need to see a neurologist for neurological evaluation with MRI scan.
you can continue with the antibiotic to complete the course.
Ibuprofen 400 to 600 mg every 6 hours with food can be taken for the pain.
Avoid sitting for the long time.
Avoid too much bending or heavy lifting
sorry I did not know that
in that case tylenol extra strength can be used
otherwise you will need prescription narcotic medication for short period of time from your doctor.
Please follow my suggestions above.
You will find the solution.
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