Undetermined Lower Pelvic
I have pain mainly in the area between the scrotum and the anus. This pain does not occur while laying down but occurs while walking or sitting. After being rested there is no pain when starting to walk but it increases the longer I walk or sit. When pain is severe there is some sensation up the penis and the anus. When pain is severe there is a burning sensation when urinating. Even when laying down with no pain the pain will appear prior to a bowel movement. However, there is no pain during the bowel movement. Ten years ago I had prostate cancer which was treated with brachytherapy and IMRT beam radiation. There seems to be no prostate pain during ejaculation. Urologist says there is no infection and no bladder blockage. The problem first appeared when I took a sharp step up a cliff on my left leg. Then the problem subsided. Subsequently I was flyfishing and felt a pain in the groin when climbing out on a bank. A few hours later the pain appeared in a much more aggressive manner. Two months of rest brought it down somewhat and I thought it got better. I went to Alaska where I was active and it’s now painful beyond belief and no rest gives any improvement. I can only lay around. Two days ago I had a cat scan which showed 2 inguinal hernias. My doctor is suggesting that the pain from these hernias is unlikely to cause pain that far down. His experience is that inguinal hernia pain occurs further up. There is very little pain up where there an Inguinal hernia is usually found. This hernia was not palpable and everyone said it didn’t exist until the CT scan revealed it. At this point I am starting to have doubts that this scheduled surgery will target the problem.
What is your opinion Dr Towfigh? Is this the correct diagnosis or should I not go through with this surgery?
I live in the Central Oregon area but grew up in the LA area and am familiar with your location. Should I drive down for an examination? The pain is so severe that I don’t know if I could endure that drive.
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