Pain and complaints in men

Have you been experiencing pain in your pelvis or lower abdomen for a long time? Or do you have pain in a groin, your hip(s), your upper legs or in your lower back?
Do you have pain with sitting?
Are there any problems or pain when you go to the bathroom?
Are you experiencing problems during intercourse?
Did your (pain) symptoms arise after you had surgery in your lower abdomen?
Did the symptoms arise after doing a lot of exercises?
Did your symptoms arise after a fall or accident?
Are there things you can no longer do or want because of the pain or other symptoms?

If your answer to one or more of these questions is "yes," or if you have symptoms similar to this:

Your pain or discomfort may have one or more causes. Because in the lower body, the bladder, intestines, muscles, tendons, blood vessels, nerves and bones are close together. Sometimes the cause of pain and symptoms is difficult to determine. But rest assured: we almost always manage to determine where the pain and discomfort are coming from. And we can treat you. For more than 25 years, we have specialized in treating these chronic pelvic pain and symptoms.

Do you see your symptoms in the list below? If so, we can help you. Would you rather talk about it? Then give us a call.

Pain

Pain in or around the pelvis
Pain in the upper abdomen
Abdominal pain
Pain in the groin
Low back pain that keeps returning despite treatment. Often at the level of the dimples in the lower back
Pain after lying in a position for a long time
Stomach Pain
Prostate pain
Penis pain
Pain between the penis and anus (perineum)
Pain between the shoulder blades
Pain in the scrotum
Pain after standing in a position for a long time
Breech pain
Pain in the testes
Pain after exercising back and abdominal muscles
Pain in the vas deferens
Pain when sitting
Pain after sitting in one position for a long time
Pain exacerbated by stress and or anxiety
Restless legs

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Bladder, urination, urine leakage

Bladder inflammation feeling without having a bladder infection
Recurrent bladder infections
Constant pressure sensation on the bladder
Pain in the lower abdomen at the level of the bladder
Abdominal pain
Pain on urination
Spraying sometimes interrupted jet with urination
Difficulty holding up urine
Having difficulty getting urine going
Having to urinate very often, usually just a little at a time
Feeling unable to empty properly
Long dripping when urinating
Pain at the outlet of the urethra
Urinary leakage upon urge, sneezing, laughing, startling or unexpected movements

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Bowels, defecation, defecation

Hemorrhoids
Painful tears (fissures) at the anus
Anus cramp
Pain between scrotum and anus
Abdominal pain
Feeling like there is a golf ball in the intestine
Increase in urge for defecation
Difficulty holding up stools
Defecation: difficulty emptying the bowels or constipation
Feeling like stool is left in the intestine
Pain during defecation
Spastic bowel

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Free

Premature ejaculation
More difficulty reaching orgasm
Altered sensation during orgasm
Pain during or after orgasm
Pain in the vas deferens
Pain in certain positions during lovemaking

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Other

Depressed feelings (caused by the symptoms)
Fatigue or lethargy (caused by the symptoms)
Poor sleep (caused by the symptoms)
Difficulty standing on one leg
Stress

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POSSIBLE CAUSES

Do you recognize one or more (pain) symptoms in the list? Below are possible causes. These causes are not unrelated. Suppose you enjoy sports and you also exercise your abdominal and back muscles vigorously. Then your pelvic floor muscles may shorten, making them tense all the time. This can also happen if you suffer from a lot of stress and therefore unwittingly tighten your muscles. When muscles cramp, a nerve can also become irritated. Both are painful and can also cause other symptoms, problems with urination or intercourse.

IMPORTANT: No two men are alike. Everyone has their own story and during the consultation we take the time to listen to your experiences.

Incorrect muscle use

We have many muscles in our abdomen and back. For example, because of our work, hobby, stress, because of an injury or after surgery, because of wrong sitting or walking posture, one muscle can become too strong and another muscle too weak. Or a muscle becomes overloaded and cramped. This can lead to pain during movement or at rest.

A too strong or too weak muscle can also put pressure on a nerve. Such an irritated nerve, or the muscle itself, can influence the function of the bladder or the bowels. And pain during intercourse may be due to excessive tension of the muscles in and around the pelvis.

When a muscle is cramped, it has small painful "knots. These are also called: 'trigger points'; you can read more about them here.
We also give you more information about pressure on a nerve, or an irritated nerve.

After surgery

During surgery on your abdomen, back or hip, for example, muscles and nerves can become sensitive or irritated. This can happen, for example, after sterilization (vasectomy) or inguinal hernia surgery. And after surgery on an arm or leg, you may have started to move less or differently. Even a small change in your body can lead to (pain) symptoms. And it may well be that those symptoms only appear a long time after surgery.

After a fall or an accident

A fall or an accident may have caused major or minor damage in the body, such as a broken bone, a pulled or bruised muscle, bruises or a damaged nerve. A small change in your body can already lead to (pain) symptoms. And it may well be that those symptoms only appear a long time after the fall or accident.

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Too flexible joints

Every joint is surrounded by ligaments. These provide strength. So do the muscles and tendons surrounding a joint. People with hypermobility syndrome (HMS) have very flexible joints. In them, the ligaments and tendons are weaker. They lack some of the firmness in the pelvis and this can cause (pain) symptoms.

Irritated nerves

Nerve pain in the pelvic floor
In the pelvis, pelvic floor, at the buttocks, groin, legs, abdomen and back are several nerves that can cause problems.

Do you have pain in your pelvic floor when you sit? Does the pain diminish when you stand or lie down? If so, you may be suffering from the Pudendus Nerve.
This type of complaint is medically known as Pudendus Neuralgia, entrapment of the Pudendus Nervus, also called Pudendus Entrapment or Neuropathy of the Pudendus Nervus. It is a problem that is not always recognized. Also, not much is yet known about it in medical science. Often Pudendus Problem occurs as part of Chronic Pelvic Pain Syndrome, also called CPPS (Chronic Pelvic Pain Syndrome).

Interstitial cystitis/bladder pain

The condition interstitial cystitis (IC) is also called bladder pain syndrome (BPS). This condition is still sometimes overlooked. This is because its symptoms resemble those of a bladder infection. But: in a bladder infection, bacteria are active and in IC and BPS, they are not.

People with IC or BPS suffer from one or more of these symptoms:
- frequent urination,
- pain above the pubic bone,
- feeling severe pressure or discomfort when the bladder fills. Peeing briefly gives relief, but as soon as the bladder fills, the pain or pressure returns. This complaint is the most noticeable.

These people may also suffer from chronic pelvic pain.

More information can be found here

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