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Your nephew was watched for high bilirubin, which is good. It’s a puzzle with a positive UTI and maybe PUV. Symptoms include fever and UTIs. PUV can block urine flow. Surgery might be necessary but it’s not clear from the X-ray. If there is no fever or symptoms, don’t hurry now. Continue working with the doctors.

You may have two coexisting abnormalities in the scrotum area (one called hydrocele and the other called varicocele). These two conditions may give rise to discomfort and swelling, especially when you're on your feet for a long period. Hydrocele is the consequence of fluid buildup, while varicocele occurs when the veins are abnormally enlarged. Treatment can be topical or surgical if there is a need to operate. 

Hypocontractile bladder is diagnosed when the bladder muscles are not strong enough. This may cause difficulties in emptying the bladder completely, which in turn may lead to symptoms such as frequent urination or lack of control over urination. To facilitate the improvement of this condition, the treatment options consist of pelvic floor exercises, lifestyle changes, and in some cases medications which can be added. These measures are useful in improving the strength of the hybrid muscles and alleviating symptoms.

More detailed history and tests like Uroflowmetry and Ultrasound with Post void residual measurement will give accurate diagnosis. If it’s BPH only and not improving with medicines then might need a surgical treatment. There could be other reasons like urethral stricture or high bladder neck which is also dealt surgically.

You might have encountered testicular torsion, a condition of the testicle that twists and cuts off blood supply. This is an acute medical case and you should immediately see a urologist.