Can masturbation exacerbate symptoms of epididymitis?

Patient : I'm a 37 year old male who is experiencing the symptoms of chronic epididymitis. I have a doctor's appointment next week but I am trying to learn as much as I can about my situation. I began noticing what appeared to be semen mixed in with my urine as far back as 8 years ago. At the time I was referred to a urologist but he found no problems - I don't even remember what possibilities he considered. A little over 2 years ago I had a vasectomy, after which the occurrence of semen in my urine became more frequent and again my urologist (a different urologist) told me this was normal and he was unconcerned. For a few months now though I have had one testicle become gradually more sensitive and now I have a fairly constant dull pain. I am married and monogamous, but I do engage in unprotected anal penetration at times, so I can't rule out a bacterial infection from that. I have also engaged in almost daily masturbation since I was 15 probably - not sure if that is relevant. My question is whether this likely points to a post-vasectomy complication or a bacterial infection - or either or both? Also, if I am experiencing chronic epididymitis should I refrain from sex and/or masturbation until it is treated? Currently neither seems to cause my level of pain to increase at all. Thanks for whatever feedback you have for me.
Symptoms:  Testicular pain, semen in urine
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