Perineal-tenderness: Causes & Reasons

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Possible Causes for perineal tenderness

Pelvic Inflammatory Disease

Centers for Disease Control and Prevention 1600 Clifton Rd. Atlanta, GA 30333, USA 800-CDC-INFO (800-232-4636) TTY: (888) 232-6348 - Contact CDC-INFO Self-Study STD Modules for Clinicians - Pelvic Inflammatory Disease (PID) Epidemiology Introduction Pelvic inflammatory disease (PID) is a clinical syndrome in women[…] [www2a.cdc.gov]

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]

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]

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 5. [antimicrobe.org]

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

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]

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]

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]

Pelvic Fracture

Abstract Superior gluteal artery injury is a rare but well-known complication of abdominal trauma, usually in association with pelvic fractures. Embolization has become the most effective treatment for pelvic hemorrhage with regard to superior gluteal artery injury, due to difficult surgical access. We report an[…] [ncbi.nlm.nih.gov]

Anal Fissure

The case of a 43-year-old woman with persistent anal fissure responsive to dicyclomine is described. Associated spasm of the internal sphincter had precluded fissure healing. The spasm of the internal sphincter relaxed within 24 hours of dicyclomine administration and subsequently allowed healing. Surgery was avoided. [ncbi.nlm.nih.gov]

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]

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]

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]

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. [merckmanuals.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]

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]

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

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]

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]

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 (n[…] [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

A retained urethral foreign body is an uncommon presentation in the Emergency Department. The diagnosis and treatment of retained urethral foreign bodies are determined by their size, location, shape, and mobility and often require specialty consultation and operative intervention. In this case of a 74-year-old man[…] [ncbi.nlm.nih.gov]

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]

testicle, LBP, w/ ejaculation, defecating), Possible STD Hx, /- bloody ejaculate - Prostate firm or boggy - Mildly tender prostate - Possibly enlarged prostate Acute bacterial [quizlet.com]

Prostatic Disease

Abstract Benign prostatic hypertrophy is the most common prostatic pathology seen in rural Melanesians. Patients almost always present with urinary retention. Fifteen prostatectomies performed at Alotau Hospital are reviewed. Surgical techniques and associated problems are discussed. [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

Cien Saude Colet. 2017 Sep;22(9):2919-2928. doi: 10.1590/1413-81232017229.11042017. [Article in English, Portuguese] Author information 1 Programa de Pós- Graduação em Economia do Desenvolvimento, Pontifícia Universidade Católica do Rio Grande do Sul. Av. Ipiranga 6681, Partenon. 90619-900 Porto Alegre RS Brasil.[…] [ncbi.nlm.nih.gov]

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

Two men sought treatment at an emergency room with apparent gonococcal proctitis. Further evaluation after failure of antibiotic therapy in both patients revealed that rectal damage resulting from the patients' sexual habits had resulted in a severe traumatic proctitis. The discovery of several organisms,[…] [ncbi.nlm.nih.gov]

Cystitis

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

Hypertension

[…] incision, foul-smelling or bloody discharge from an incision, or increased swelling of an incision Tenderness with a red, warm, or swollen area on a breast, especially with [uwmedicine.org]

[…] the odor of menstrual fluid) Sudden onset of abdominal, incision, or perineal pain Inability to urinate; pain, burning, or urgency of urination Opening of an abdominal or perineal [uwmedicine.org]

Sexually Transmitted Disease

Herpes — Causes painful, tender blisters on the vaginal or perineal skin. Often the woman will also experience flu-like feelings or a headache, or swollen glands. [ucsfhealth.org]

Hypoglycemia

Assess patients presenting with pain or tenderness, erythema, or swelling in the genital or perineal area, along with fever or malaise. [jardiancehcp.com]