Brief Answer: UTI, Epididymitis/Orchitis? GPE,urine routine,VDRL Detailed Answer: Hi XXXXX, Thanks for using XXXXXXX I went through the query and understood your concern. Be relaxed I can really understand the kind of stress you are undergoing by the problem. Pain in testicles (amplifying after hand job), feeling lymph node and burning sensation during micturition suggest infection (urinary tract infection). This may be due to the oil (contaminated) used. I can think of urethritis to be the cause here. Severe urethritis can worsen the problem of orchitis. The increasing testicular pain need to get examined by your doctor to rule out torsion of testis, if present needs emergency management or due to epididymitis or epididymo orchitis. Sexually transmitted disease may spread even with skin to skin touch or if you get contacted with the infected materials. You must seek consultation from a doctor for examination and get yourself tested to confirm the absence of disease like herpes and syphilis which can be transmitted even by close skin to skin touch. So with all these you are required to get examined first by your doctor(general physical examination: GPE) and some of the investigations like VDRL test to rule out syphilis, USG of external genitalia, Urine routine and complete haemogram may be required for diagnosis. For now you can use NSAID like aceclofenac which will reduce pain and inflammation with good hygiene practice. Give testicular support and you are required antibiotic treatment for your management and it depends on the diagnosis. Hope this information is helpful for you. Please feel free to ask any further query and I will be happy to help you. Wish you faster recovery. Regards

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