paraphrase and avoid AI patterns: An inguinal hernia may present with groin or scrotal pain and swelling, but is less likely in this patient due to the absence of a palpable mass or bulge in the inguinal region. There were no bowel sounds noted in the scrotum on auscultation, and Valsalva maneuver did not reveal a herniation. Additionally, the presence of urethral discharge and urinary symptoms points toward an infectious cause rather than a mechanical one