Chronic Pelvic (lower abdominal area) pain may arise in men and women due to organs in this region, as well as neuromuscular and psychological reasons. Now, let's examine these causes one by one:
Urological causes;
Cystitis
Prostatitis
Urethritis
Epididimoorchitis
Varicocele
Gynecological Causes:
Vaginitis
Salpingitis-Overitis
Cervicitis
Anorectal Diseases:
Anal Fissure
Proctitis
Hemorrhoids
Noromuscular Causes:
Sacral spinal cord diseases
Other Causes:
Spasms of the pelvic floor muscles
TREATMENT PRINCIPLES:
The patient who applied with these complaints, after history and physical examination, urine test and culture, blood tests, USG examination, if necessary, urodynamic tests and then cystoscopic examination. examination is performed. During cystoscopic examination, biopsy can be taken if necessary. Once the diagnosis is made, treatment is started.
Prostatic Pain Treatment: a-blocking drugs, antibiotics, anti-inflammatory drugs, 5a-reductase inhibitors (Prostatic (if there is hyperplasia)
Cystitis: It manifests itself with frequent urination, burning sensation while urinating, and sometimes urinary incontinence. Diagnosis is made with the examinations mentioned above. Antibiotics and antispasmotics are used in the treatment, and bladder fulguration is applied if necessary.
Scrotal Pain: Varicocele and hernias are treated surgically. Diseases such as orchitis and epididymitis are treated with appropriate antibiotics, anti-inflammatory and analgesics, and for other pains, physiotherapy is applied.
Urethral Pain: There are usually no positive findings. Pain may be due to inflammation of the urethral mucosa. Estrogen deficiency in women may cause pain. Dysuria, frequent urination and nocturia are the symptoms that occur. Often there is no infection. Treatment is very difficult. Systemic antibiotics and blockers can be tried, but a multidisciplinary approach may generally be required.
Gynecological Pelvic Pain: Dysmenorrhea, endometriosis, pelvic infections are involved in the etiology. Antibiotics are the first choice in pain due to infection. Sometimes pelvic m The first symptom of alignment may be pain.
Neurological Causes: Pain due to sacral root pathologies manifests itself in the tissues innervated by these tissues. Diagnosis is made by MRI examination, and treatment is based on the cause.
Psychogenic Causes: Tension and lack of orgasm due to erectile dysfunction in men may cause tension and pain. The same problem can cause depression and tension headaches in women. In addition to eliminating the underlying cause, anxiolytics and antidepressants are used in the treatment.
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