Conversation: The conversation between human and AI assistant.
[|Human|] I am experiencing complete impotency and I have a varicocele that hurts extremely bad on the left side. I had testicular cancer 3 years ago and went through chemotherapy but not radiation. After I pee, I also have to normally pull on my penis or press on my gooch area to relieve all of the urine to be done. I smoke cigarettes but I am trying to quit. What tests should I have my urologist run on me to find out what the problem is?
[|AI|]  HelloThanks for your query, based on the facts that you have posted it appears that you have Left sided Varicocele that is painful and have painful urination and have to apply pressure on supra pubic region to empty the bladder. Please consult qualified urologist for clinical examination and get following tests done to grade the varicocele.1) Ultrasound scanning of Scrotum. This will also reveal the status of your testicular cancer after chemotherapy.2) Color Doppler study of testicles .3) Serum testosterone levels and Prolactin to assess the cause for ED. Chat Doctor.