<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hello, I am 23 years old healthy male and I am unmarried. I am doing bodybuilding for the past 1 year. 6 months a ago I felt pain in my left testicle and the very next day I went to the Urologist . He examined my testicles physically and then advised me to have a scrotal ultrasound . An early varicocles on the left side was found in ultrasound. He advised my to wait and see if the pain still exist then a surgery have to be done to correct it. I waited for 4 months and fortunately the pain has gone but there is another problem occurred and that is when I urinate, I feel pain on the right of my testicle. I feel pain only when my bladder is full and after I urinate. Again I went to the same Urologist and told him the situation. He ask me to do two test: Urine and UTI . I did both tests. Urine test was ok and in the UTI test, my bladder wall was found thick due to infection or inflammation. As per my reports, I undergo some antibiotic treatment for 1 week. The problem has gone now, no pain on either of the testicles. After two months of my above mentioned tests, I have been advised by the doctor to have a semen analysis . and the report is as follows: Volume: 4 ML Colour: Grayish White Viscosity: Normal Reaction: ALKALINE Liquifacation Time: 30 Mins Normal Forms: 70 - Oval Forms Abnormal Forms: 30 Pus Cells: 6-8 hpf Sperm Agglutination - Present MOTILITY: Active after 12 hours: 30 Sluggish after 12 hours: 40 Non-Motile after 12 hours: 30 The doctor saw this report and said Your report is good but it is still advisable to have a surgery to treat varicoceles, Puss cells are there but no need to have another antibiotic treatment cos you already had it once to UTI infection Need your advice here.  <response>: Ok. Great description of your problem. Do you have any problem presently? What is the total sperm count per ml in the report - I did not find it here, Your sperm report is near normal. I dont think you need any treatment at all - no medicines and no surgery. There is no need for Varicocele surgery if it does not cause any problems like a low sperm count which I cannot establish in absence of absolute count. Feel free to let us know and will guide you further. Take care and relax. 