Hi. Thanks for your query, albeit short and specific. Noted your findings of pain at perineum, lower back, bladder and some time at testicle. recently no growth in prostate massage fluid found. but problem increasing, now my testicles also paining and penis tip is paining. The most probable causes of severe urinary tract infection, particularly cystitis causing pain at the tip of penis and the testicles pain due to retrograde infection of the epididymis and testes, causing epididymo-orchitis. I would advise you the following: First of all send the sample of urine for culture and sensitivity and routine tests. Test of blood. Ultrasonography and color doppler of the abdomen and the scrotum to get a proper diagnosis and plan for further treatment. Consult an Urologist for proper clinical evaluation and treatment.