Prostatitis is possible. You can consider a transrectal ultrasound to image the prostate. Prostate cancer would be extremely unlikely at 25 years old. You can consider a PSA to further evaluate this possibility.
If the testicals are tender, you can consider imaging them with an ultrasound to exclude the possibility of infection, a mass, or cancer.
These options can be discussed with your urologist.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
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