Intence pain in testies during intercource

Patient : Hello. I've been having a lot of problems lately in the genitles, burning in my penis and frequent urination especially at night. i went to the doctor and was told it is my prostate. Im 43 in case it matters to the question. i had an ultrasound on my kidneys and bladder and because i haven't heard back after a couple weeks i guess everything is fine. I didnt have sex while i was having these problems. last night while having sex i had a pain in my lower back and when i ejaculated there was an intense pain in my rectum and at the bottom of my testies, my scrotum was very swollen (twice usual size). i put an icepack on it for the swelling. there is only a little swelling now but still some pain. should i be concerned or is this just more prostate problems?
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