Thanks for your query.Based on the facts that you have posted it appears that you may have
grade one varicocele or epididymitis
.However this can be confirmed only on clinical examination and colour Doppler study of the scrotum.
Please consult another Urologist
for clinical examination and second opinion
In the mean while take broad spectrum antibiotics along with anti inflammatory medication like Diclofenac
twice daily .
Get the prescription of medicines from your family Physician.
Ensure to drink more water.To keep your urine dilute .