Q. I have pelvic pain for the second time in five years. Please suggest a treatment.

Answered by
Dr. Ajit Kumar Varma
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jul 15, 2017

Hello doctor,

I am a 48 year old male. My height is 160 cm, and weight is 84 kg. I have a pain and discomfort in the pelvic area which gets aggravated on sitting, lower back pain, irritation on peeing, burning sensation in the pelvic region which radiates at times to the leg. I have seen a urologist. He said I have a mild BPH and my PSA value was 5.96. All these issues started at the beginning of the year when I drove an old jeep having a hard seat. And earlier to that, I had the first episode five years ago while I was in a job that required prolonged sitting. PSA was 4.44 back then. The symptoms subsided completely in one year at that time. Please suggest a treatment.

#

Hello,

Welcome to icliniq.com.

  • Your history suggests that you have a chronic mild to moderate inflammation of the pelvic organs, most probably the urinary bladder. The possibility of a chronic epididymo-orchitis also has to be ruled out. Please do get the following investigations:
  1. CBC (complete blood count).
  2. ESR (erythrocyte sedimentation rate).
  3. Renal function test.
  4. Ultrasonography of the abdomen and pelvis, especially of the kidneys, ureter, urinary bladder and scrotum to look for hydrocele.

Once these reports are available, please do get back to me or consult a urologist nearby.

Revert with reports to a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon


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