Perineal Tenderness: Causes & Reasons

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Possible Causes for Perineal Tenderness

Prostatic Abscess

The first reported case of CA-MRSA was a patient with a history of intravenous drug abuse (IVDA) and hepatitis C who presented with dysuria, tender prostate, perineal pain [ijcasereportsandimages.com]

The patients presented with clinical symptoms of dysuria, high fever with chills and rigors, perineal pain, urethral discharge and severe tenderness with or without fluctuation [sjkdt.org]

Rectal examination may disclose prostate tenderness and fluctuance, but prostate enlargement is often the only abnormality, and sometimes the gland feels normal. [msdmanuals.com]

Rectal Trauma

Perineal, anal, or lower abdominal pain Signs of perforation or peritonitis: Guarding Rebound tenderness Fever Rectal bleeding Obstipation Presence of pelvic fracture History [5minuteconsult.com]

Physical examination revealed pelvic tenderness at palpation, with appreciable peristalsis and absent peritonism. External inspection of perineal region was normal. [onlinejets.org]

DRE in a trauma patient if: pelvic fractures (complications and associated injuries may be detected) abnormal neurological findings hypotension penetrating abdominal or perineal [lifeinthefastlane.com]

Acute Prostatitis

pelvic, with defecation) Mild, possibly stronger or noticable on ejaculation Moderate, diffuse (lower abdomen, perineum, scrotum, or penis ) Prostate Tender, boggy, swollen [amboss.com]

[…] pain + _ _ _ Flank pain _ _ _ + Tender, enlarged prostate + +/- _ _ Fever + _ _ + Chills, rigor + _ _ + Hypotension + _ _ + PMNs in EPS + + _ + PSA >4 ug/ml + + _ _ Ta ble [antimicrobe.org]

Patients may have irritative voiding symptoms and testicular, perineal, low back, and occasionally distal penile pain. [atsu.edu]

Chronic Prostatitis

On examination, suprapubic tenderness is common along with external (perineal) tenderness and internal (levator muscle) tenderness/spasticity. [auanet.org]

Patients may have irritative voiding symptoms and testicular, perineal, low back, and occasionally distal penile pain. [aafp.org]

On physical examination, patients are usually afebrile, and on digital rectal examination the prostate may feel normal, tender, or boggy. [aafp.org]

Intraperitoneal Abscess in the Right Lower Quadrant

[…] pain R1030Lower abdominal pain, unspecified R1031Right lower quadrant pain R1032Left lower quadrant pain R1033Periumbilical pain R10811Right upper quadrant abdominal tenderness [cms.gov]

N805Endometriosis of intestine R100Acute abdomen R1010Upper abdominal pain, unspecified R1011Right upper quadrant pain R1012Left upper quadrant pain R1013Epigastric pain R102Pelvic and perineal [cms.gov]

Prostate Sarcoma

> Case History A 35-year-old male patient presented with complaints of narrow, intermittent urinary stream for three months and progressive perineal pain for 15 days. [cancerjournal.net]

On examination, the bladder was palpable, genitalia were normal and on digital rectal examination, the prostate was non tender, lobulated, asymmetrically enlarged with variegated [cancerjournal.net]

Anorectal Fistula

[…] sepsis may develop • Patients with fistula-in-ano may have pain and bloody discharge • Exam findings may include tender perianal or rectal mass • Fistula: Internal and external [accesssurgery.mhmedical.com]

[…] openings with mucopurulent drainage • Fistulous tract is often palpable and firm • May have elevated WBC count, especially with perineal sepsis • Drainage may have white [accesssurgery.mhmedical.com]

[…] and throbbing • Pain may worsen with movement and straining • Swelling and discharge may be noted • Patients may have fever, urinary retention • Severe, life-threatening perineal [accesssurgery.mhmedical.com]

Trichomonas Prostatitis

[…] or pelvic pain, Cloudy urine - VERY tender prostate - Enlarged, firm, warm prostate What defines chronic prostatitis Prostatitis > 3 mo (May exist for several years before [quizlet.com]

Rectal examination-reveals a tender prostate and the seminal vesicle may be involved. [abchomeopathy.com]

[…] bacterial prostatitis S&S's - Acutely ill (fevers, chills, malaise, myalgias) - Acute UTI sx's ( Think STD = irritative voiding sx's, testicular pain) - Dribbling, LBP, Perineal [quizlet.com]

Perianal Abscess

There was erythema and induration along the right perineal region consistent with cellulitis. [academic.oup.com]

A genital examination revealed a normal distribution of pubic hair and normal penile development without deformity, prepuce, penile ulceration, tenderness, induration, or [jmedicalcasereports.biomedcentral.com]

His abdominal/genitourinary examination revealed a soft abdomen, non-tender and non-distended. [academic.oup.com]

Prostatic Calculus

a tender, swollen prostate; and other symptoms. [wordinfo.info]

Acute bacterial prostatitis is a febrile illness with sudden onset; pain in the lumbar and perineal regions, dysuria with frequency of urination, urgency, and nocturia urination [wordinfo.info]

Vesicovaginal Fistula

One week prior to presentation, she started experiencing excruciating suprapubic and perineal pain akin to labour. [jwacs-jcoac.org]

On physical examination, she was in painful distress with marked suprapubic tenderness, and vaginal examination demonstrated a huge calculus occupying the upper half of the [jwacs-jcoac.org]

Urethrorectal Fistula

A physical examination revealed hypotension (systolic blood pressure 70 mmHg) and tenderness of her lower abdomen but without any bloody stool upon a rectal digital examination [surgicalcasereports.springeropen.com]

[…] ureter ( a overall view and b enlarged view) One month after the diagnosis of the uretero-colic fistula while waiting for the colostomy, she visited the ER complaining of perineal [surgicalcasereports.springeropen.com]

Prostate Injury

[…] wounds; - during the rectal examination, the examiner can gently palpate the sacrum for tenderness or asymmetry; - if rectal exam is suspicious, then consider Renografin [wheelessonline.com]

occur in less than 1% of pelvic fractures; - may include lacerations of the rectum, perforations of small or large bowel; - often rectal tears will be accompanying by perineal [wheelessonline.com]

Vulvar Disorder

Perineal streptococcal dermatitis. Symptoms range from perianal pruritus and tenderness to abdominal pain and rectal bleeding. [health.am]

The tenderness can be reproduced during a pelvic examination, by moving or pressing against the cervix or uterus. [pelvicurecenter.com]

In girls, clinical symptoms include dysuria, pruritus, tenderness, and vaginal discharge. Clinical pharyngitis may be present. [health.am]

Female Pelvic Inflammatory Disease

Sexually Transmitted Diseases: Article Trends in Pelvic Inflammatory Disease Hospital Discharges and Ambulatory Visits, United States, 1985–2001 Sutton, Madeline Y. MD, MPH; Sternberg, Maya PhD; Zaidi, Akbar PhD; St. Louis, Michael E. MD; Markowitz, Lauri E. MD Author Information From the Division of Sexually Transmitted[…] [web.archive.org]

Pelvic Fracture

Home > 2015 ICD-9-CM Diagnosis Codes > Injury And Poisoning 800-999 > Fracture Of Spine And Trunk 805-809 > Fracture of pelvis 808- > 808 Fracture of pelvis 808.0 Closed fracture of acetabulum convert 808.0 to ICD-10-CM 808.1 Open fracture of acetabulum convert 808.1 to ICD-10-CM 808.2 Closed fracture of pubis[…] [icd9data.com]

Anal Fissure

An anal fissure is a break or tear in the skin of the anal canal. Anal fissures may be noticed by bright red anal bleeding on toilet paper and undergarments, or sometimes in the toilet. If acute they are painful after defecation, but with chronic fissures, pain intensity is often less. Anal fissures usually extend[…] [en.wikipedia.org]

Bartholin's Abscess

Bartholin’s Cyst and Abscesses in a Tertiary Health Facility in Port Harcourt, South-South Nigeria John C.O, Enyindah C.E and Okonya O Research Paper I Published October,2015 Journal of Medical and Biological Science Research Vol. 1 (8), pp. 107-111 ABSTRACT Cyst or abscess formations of Bartholin’s gland are among[…] [pearlresearchjournals.org]

Ischial Bursitis

OBJECTIVE: The aim of this study was to evaluate the imaging features of ischial bursitis with an emphasis on ultrasonography (US). DESIGN AND PATIENTS: Our study included 31 patients with a painful mass or tenderness in their buttock who underwent US (n=27), CT (n=1), or MR imaging (n=4). A needle aspiration[…] [ncbi.nlm.nih.gov]

Pelvic Abscess

BACKGROUND AND AIMS: Few case series are reported on endoscopic ultrasound (EUS)-guided drainage of pelvic abscesses under fluoroscopy guidance. We hypothesized that EUS-guided drainage of pelvic abscesses without fluoroscopy is an effective alternative to surgery in patients whose abscesses are not amenable[…] [ncbi.nlm.nih.gov]

Urethral Foreign Body

The full text of this article hosted at iucr.org is unavailable due to technical difficulties. Jack W. McAninch Corresponding Author Department of Urology, University of California School of Medicine, and San Francisco General Hospital, San Francisco, California, USA Jack W. McAninch, Urology Service, 3A18, San Francisco[…] [doi.org]

Prostatic Disease

Abstract All of your male patients may one day be concerned with the prospect of prostatic disease. How can you as a primary care physician best approach evaluation and treatment of these disorders? Drs Daneshgari and Crawford provide the information you need to know about recognition and management of[…] [ncbi.nlm.nih.gov]

Urethral Disease

Retrograde urethrography and voiding cystourethrography are the modalities of choice for imaging the urethra. Cross-sectional imaging modalities, including ultrasonography, magnetic resonance (MR) imaging, and computed tomography, are useful for evaluating periurethral structures. Retrograde urethrography is the[…] [ncbi.nlm.nih.gov]

Sexual Abuse Victim

Former England boss Graham Taylor was told about possible sexual abuse of young players during his time as Aston Villa manager but suggested it should be swept "underneath the carpet", a victim has claimed. Ex- Leicester footballer Tony Brien said he was advised to stay silent to avoid "obscenities from the[…] [independent.co.uk]

Rape Victim

Abstract A victim of rape immediately feels an acute disruption of her life style and coping skills and a great stress on her ego. In order to achieve long-term integration, she must resolve a lack of trust of men, paranoia about her physical safety, guilt, and a grief reaction. The author reviews several models of[…] [ncbi.nlm.nih.gov]

Seminal Vesiculitis

Seminal vesiculitis is generally not investigated in infertile men, since it is uncommon and often nonspecific in signs and symptoms. In this article, the author reports an unusual presentation of seminal vesiculitis, incidentally diagnosed in a man referred for semen analysis to investigate infertility. Analyses of physical[…] [ncbi.nlm.nih.gov]

Gonococcal Proctitis

Proctitis is the inflammation of the rectal mucosa due to a number of infectious and non-infectious etiologies. Gonococcal proctitis is inflammation caused by the organism Neisseria gonorrhoeae. Gonococcal proctitis is usually acquired sexually and is most commonly seen in individuals who practice receptive anal[…] [symptoma.com]

Puerperal Infection

Uterine tenderness is often difficult to distinguish from incisional tenderness in patients who have had a cesarean delivery. [merckmanuals.com]

Palpate the uterus to assess size and tenderness. Assess any perineal wounds and lochia. Examine the breasts. Examine the chest for signs of infection. [patient.info]

Other causes of fever and lower abdominal symptoms include UTI, wound infection, septic pelvic thrombophlebitis, and perineal infection. [merckmanuals.com]

Idiopathic Scrotal Edema

The clinical manifestations of AISE include scrotal edema without tenderness. 2 Penile, perineal and inguinal involvement occur in 20%, 42% and 67% of patients with AISE, [journals.lww.com]

Scrotal redness and swelling are the most common clinical signs of AISE, and scrotal pain and tenderness, scrotal, penile, perineal, and inguinal area swelling are often coexistent [chikd.org]

Urethral Trauma

[…] areas, and tender enlargement in the suprapubic region due to a full bladder. [aibolita.com]

upper quadrant mass, perineal lacerations DRE: sphincter tone, position of prostate, presence of blood scrotum: ecchymoses, lacerations, testicular disruption, hematomas [medbullets.com]

[…] wounds; - during the rectal examination, the examiner can gently palpate the sacrum for tenderness or asymmetry; - if rectal exam is suspicious, then consider Renografin [wheelessonline.com]