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70 Possible Causes for Male Perineal Pain

  • Cauda Equina Syndrome

    A 36-year-old Greek male, HIV-positive patient presented with perineal and left hemiscrotal numbness, lumbar pain, left-sided sciatica, and urinary incontinence.[ncbi.nlm.nih.gov]

  • Urethritis

    Providers should be alert to the possibility of chronic prostatitis/chronic pelvic pain syndrome in male patients experiencing persistent pain (perineal, penile, or pelvic[cdc.gov]

  • Carcinoma of the Prostate

    In the locally invasive stage, the illness causes incontinence, nocturia, hematuria, hematospermia, painful ejaculation, suprapubic and perineal pain, impotence, rectal tenesmus[symptoma.com] Urgency and dysuria may signify a urinary tract infection, not uncommon in older males.[symptoma.com]

  • Chronic Urethritis

    Providers should be alert to the possibility of chronic prostatitis/chronic pelvic pain syndrome in male patients experiencing persistent pain (perineal, penile, or pelvic[cdc.gov]

  • Acute Prostatitis

    Genitourinary Radiology Male Pelvis Prostate & Seminal Vesicles Prostatitis Prostatitis Prostatitis, an inflammation of the prostate gland, manifests as pelvic or perineal[med-ed.virginia.edu] The clinical presentation of ABP may be highly variable with symptoms ranging from mild to severe. 6 Classic symptoms include: fever chills perineal or lower abdominal pain[racgp.org.au] pain, or irritation with micturition or ejaculation.[med-ed.virginia.edu]

  • Urethral Carcinoma

    It usually manifests in the fifth decade of life. urethral bleeding palpable urethral mass obstructive voiding symptoms perineal pain The histologic types are transitional[radiopaedia.org] It has an incidence of 4.3 per million for males and 1.5 per million for females.[radiopaedia.org]

  • Bladder Fistula

    Patients with anal fistulae may present with severe perineal pain , smelly drainage, recurrent abscesses and fever .[myvmc.com] Anorectal abscesses are more common in males, particularly homosexual men who practice anoreceptive intercourse. Anal fistulas are therefore also more common in men.[myvmc.com]

  • Chronic Prostatitis

    The clinical presentation of ABP may be highly variable with symptoms ranging from mild to severe. 6 Classic symptoms include: fever chills perineal or lower abdominal pain[racgp.org.au] […] dysuria urinary frequency urinary urgency painful ejaculation hematospermia. 8 Acute bacterial prostatitis should be considered in the differential diagnosis of any male[racgp.org.au]

  • Urethral Obstruction

    Two cases of bladder diverticula causing posterior urethral obstruction, which was corrected surgically, are presented. Five similar cases have been found in the literature.[ncbi.nlm.nih.gov]

  • Prostatic Abscess

    An extensive, multiloculated prostatic abscess due to Staphylococcus aureus developed in a patient with mycosis fungoides. The clinical symptoms and signs were largely masked by prior antibiotic therapy until after urethral instrumentations. Computed axial tomographic scanning of the pelvis confirmed the clinical[…][ncbi.nlm.nih.gov]

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