### Patient: Hi doctor, I am experiencing pain and swelling in my testicles. I did some research and I think I might have varicocele of the testicles.
### Doctor: Okay, to confirm the diagnosis, I would recommend a few medical tests including a urinalysis, ultrasonography (ultrasound), a complete physical skin exam performed by a medical professional, a prostate specific antigen measurement (prostate specific antigen test), and a rectal examination. In addition, we may need to perform other diagnostic procedures such as an interview, evaluation, and consultation. In some cases, surgical intervention such as excision (removal) might be necessary, but let's wait to see what the initial tests reveal.