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Pain in perineal region and subsequent erectile dysfunction
Urological Disorders
Question #9141
58 days ago
3,315

Pain in perineal region and subsequent erectile dysfunction - #9141

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3-4 years ago I developed mild discomfort in my perineal region which radiates, to my penis, scrotum, and basically the whole pelvis. but since it was only mild I didn't put much attention to it and went on with life, the mild discomfort had slowly transformed to significant amount of pain causing issues with my ability to life a regular life,like inability to do work etc, the pain also makes me unable to get erect because it distracts me.it had also caused low libido and sexual anhedonia. Under the recommendation of a urologist before, I got whole abdomen ct and penile and scrotum color doppler, and both these tests didn't show anything wrong, I wasn't to ask you Dr.s, what could this be? What are the exact diagnostic tests which will help me figure out what's wrong with me,so I can get it treated? Thanks

Pain
Scrotum
Penis
Erectile dysfunction
100 INR (~1.18 USD)
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Doctors’ responses

Hi, I can understand how frustrating and debilitating this chronic pelvic pain must be, especially since it’s affecting your daily life, libido, and overall well-being. Since your CT scan and Doppler tests came back normal, this could be related to Chronic Pelvic Pain Syndrome (CPPS), prostatitis, or nerve-related pain like pudendal neuralgia. What You Can Do Next: 1. Get a urine culture and prostate fluid test to rule out any lingering infection. 2. Consider an MRI of the pelvis (focused on nerves) to check for nerve compression or irritation. 3. Consult a pelvic floor physiotherapist to evaluate for pelvic muscle dysfunction. 4. If sitting worsens your pain, discuss pudendal nerve issues with a neurologist. Managing the Pain: • Warm sitz baths and pelvic relaxation exercises may help. • You could also ask your doctor about alpha-blockers (like tamsulosin) if prostatitis is suspected. • Avoid long periods of sitting and manage stress, as both can aggravate symptoms. You’re not alone in this, and with the right evaluation and treatment, things can improve.
Accepted response

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Hello, As your are suffering from perineal pain radiating to whole pelvis and didn't get any diagnosis after abdomen ct and color Doppler..then most probably this can be nerve related issues I would advise 1 MRI abdomen AND BACK TO CHECK ANY NERVE COMPRESSION 2 getting checked by general surgeon for prostate gland related issues 3 Slitz bath in luke warm water for pain relief

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