Male pelvic pain: causes and symptoms

Written by: Mr Kasra Saeb-Parsy
Published: | Updated: 25/06/2021
Edited by: Top Doctors®

Pelvic pain is usually felt below the belly button. It can feel mild or severe and may occur quickly and unexpectedly. Mr Kasra Saeb Parsy is a highly experienced urological surgeon, he predominantly treats prostate issues in men.


Man struggling with pelvic pain


We recently spoke to him to find out about the causes of pelvic pain and inflammation, he let us know about some of the causes and how it can be diagnosed.


Is pelvic pain in men normal?

It’s definitely not normal but it is very common. About 10 percent of men over the age of 50 can experience it but its more common in men younger than 50.


Which infections could cause male pelvic pain?

Essentially any bacteria can infect the urine and can cause infection of the prostate or prostatitis but you can get infections from the blood that can cause prostatitis or infections from the urethra. This doesn’t happen to all men who have infections but sometimes the pain can be due to inflammation.


What can cause inflammation?

This is the million-dollar question. It can be due to previous infection, trauma from instrumentation, these things can lead to inflammation and put pressure on the nerve. It’s quite a complex process determining the main cases of inflammation.


What symptoms indicate that pelvic pain is caused by an infection? 

Symptoms that patients would have would be frequently passing more urine, debris, or discoloured urine. Specific to chronic pelvic pain, discomfort sitting down for long, pressure around the back-passage area, and also pain burning or discomfort sensation after ejaculating.


How can an infection be diagnosed?

If it’s a simple urine infection, a simple urine test would suffice. But quite often you could get a diagnosis of the prostate where samples are taken at different times when urine is passed.


If there’s a urine infection or in the prostate as well. Prosthetic massage, where the prostate excretes secretion and you check the secretions. It’s something that not many people can do but can clarify the diagnosis.


Can pelvic pain be a side effect of medication?

Not really.


If you need pelvic pain to be assessed and treated, we recommend booking an appointment with Mr Kasra Saeb Parsy. Visit his Top Doctors profile today for information on appointment availability and his expertise.

By Mr Kasra Saeb-Parsy

Mr Kasra Saeb-Parsy is a leading consultant urological surgeon based in Cambridge, whose areas of expertise lie in men’s health, including prostate cancer, laser prostate surgery, benign prostate enlargementHoLEP and the new water vapour treatment of prostate Rezum. He also has subspecialist interest in treatment of kidney stone disease. He is the stone subspeciality lead for Cambridge University Hopsital.

He is the first urologist to Perform Rezum in Cambridgeshire. 

Mr Saeb-Parsy graduated from the University of London in 1999 and continued his surgical training at Hammersmith Hospital. He spent the next 10 years conducting clinical research and undertaking his higher surgical training in urology at Cambridge University Hospital. He was previously a consultant at the Royal Free Hospital London, where he introduced HoLEP surgery and was the Clinical Lead for prostate cancer diagnosis. In 2016 Mr Saeb-Parsy moved back to Cambridge.

Mr Saeb-Parsy sees patients with all aspects of general urology, including chronic prostatitis and chronic pelvic pain. He has a keen interest in research and education and organises courses on laser management of stone disease and MRI of the prostate. He presents his research nationally and internationally and has been faculty on many international conferences.

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