Why are swollen testis and penis not reducing in a 53 year old male who doesn't smoke or drink?

If you are going through an itchy penis, you should refer a urologist or a dermatologist with a specialization in genital conditions. They will be able to diagnose you properly and suggest the best treatment for you. It is advised to consult a physician instead of self-diagnosing and applying home remedies.

Since you are worried, it is suggested that urologist should be consulted for a detailed diagnosis and treatment plan. It could also be a birth defect, hormonal dissonance or some other medical comorbidity that causes the condition. Thus, one should consult a specialist in the field.

It seems like you might have phimosis, which is a condition where the foreskin is too tight and hard to pull back. This can make erections uncomfortable and even painful. Tenovate GM might not be the best solution for this issue because it can cause burning. I suggest using a gentle moisturizer like Vaseline or a mild steroid cream like hydrocortisone. These will help to soften the skin and reduce inflammation. Make sure you apply the ointment after cleaning the area with warm water. 

To strengthen your bladder muscle, you can try pelvic floor exercises, maintain a healthy weight, stay hydrated. Avoid bladder irritants like certain foods and drinks such as caffeine, alcohol, spicy foods, and artificial sweeteners, can irritate the bladder. 

PUNLMP is an acronym for Papillary Urothelial Neoplasm of Low Malignant Potential. This is a non-cancerous growth in the bladder that, however, may become cancerous. The ideal next step to take is to follow your surgeon's recommendation for a cystoscopy in September. This procedure will aid in observing the bladder for any changes. This check-up is the first step in catching any problems that may arise early. Be mindful, that early discovery plays a significant role in the success of such situations. 

Your Epididymis pain indicates inflammation. Epididymitis often brings scrotal pain, swelling, re­dness. Bacterial infections usually cause­ it. To end the pain, your doctor may prescribe­ targeted antibiotics for the bacte­ria. It's crucial to keep see­king medical help to find the right tre­atment approach.