Line-like Pain from Scrotum to Anus: Causes and When to See a Doctor - Urology

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The line-like pain you are experiencing from the scrotum to the anus, particularly when sitting for prolonged periods or holding urine, could be indicative of several underlying conditions. This type of pain, which lasts for about five seconds and resolves after urination, suggests a possible issue related to the pelvic region, nerves, or even the urinary system.


Potential Causes
1. Nerve Irritation or Compression: The pain you describe could be related to irritation or compression of the pudendal nerve, which innervates the genital area and perineum. Prolonged sitting can put pressure on this nerve, leading to transient pain.

2. Pelvic Floor Dysfunction: The pelvic floor muscles support the pelvic organs, and any dysfunction or tension in these muscles can lead to pain in the perineal area. This is often exacerbated by prolonged sitting or straining.

3. Urinary Tract Issues: Conditions such as urinary tract infections (UTIs) or prostatitis (inflammation of the prostate) can cause referred pain to the scrotum and perineum. The pain may be more pronounced when the bladder is full, as the pressure can irritate surrounding tissues.

4. Muscle Spasms: The muscles in the pelvic region can spasm due to various factors, including stress, prolonged sitting, or overexertion. This can lead to sharp, transient pains that may feel like a line running from the scrotum to the anus.

5. Referred Pain: Sometimes, pain in the pelvic area can be referred from other regions, such as the lower back or hips. Conditions affecting these areas can manifest as pain in the perineum.


When to See a Doctor
Given that you have experienced this pain multiple times, it is advisable to consult a healthcare professional, especially if:
- The pain becomes more frequent or severe.

- You notice any additional symptoms, such as changes in urination (e.g., burning, increased frequency, blood in urine), swelling, or discomfort in the testicles.

- You experience any other unusual symptoms, such as fever, chills, or unexplained weight loss.


Recommended Specialists
1. Urologist: A urologist specializes in urinary tract and male reproductive health. They can evaluate for conditions like prostatitis or other urinary issues.

2. Pelvic Floor Specialist: A physical therapist specializing in pelvic floor dysfunction can help assess and treat any muscle-related issues.

3. Neurologist: If nerve involvement is suspected, a neurologist can evaluate for any nerve compression or other neurological issues.


Conclusion
While the transient nature of your pain may suggest a benign issue, it is essential to seek medical advice to rule out any serious underlying conditions. A thorough evaluation, including a physical examination and possibly imaging or nerve conduction studies, may be necessary to determine the exact cause of your symptoms. Early intervention can help prevent potential complications and improve your quality of life.