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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes A Lump And Pain In The Perineum?

I am going in for a hip arthroscopy in about 5 days, for FAI in my left hip. I have been experiencing a lot of groin pain, from burning/tingling in my penis/scrotum, to pain in my perineum. i feel a lump in my perineum when I sit in a chair, and more pain in general. The pain/ sensations change upon standing. Oddly when I sit on a toilet, there is no pain? I have been on a 1 1/2 month course or cipro, I have had some azithromycin, I have had ct scans, mri scans, digital prostate exams. I have tried nortriptyline ( currently taking 40mg every night) for possible nerve pain. I have tried hydroxyzine ( currently taking 1 10mg every night) helped for a few days then quit. None have helped. And now they have a cystoscopy being scheduled for me I work at a bike shop, and my job involves riding bikes at least 10-15min a day. and going up and down stairs a lot. With all that being said, my main concerns for the immediate future are causing further damage from the traction used with a perineal post for the hip arthroscopy. should I be concerned?
Fri, 30 Jan 2015
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Pathologist and Microbiologist,  's  Response
Hi, thanks for sharing your health concerns with HCM!
If I were your treating Doctor for this case of pain with perineal lump, I would come up with three possibilities, these include:
1.     skin or hair follicle infection due to some friction injury or some infected sinus
2.     The second possibility is of an ischiorectal abscess      or peri-anal abscess
3.     The last possibility is of some infected cyst or benign tumor / tumor like condition or some enlarged lymph node!
     
Overall, it is inflammatory and should be investigated!

I suggest you to go for some microscopic/microbiological tests for confirmation and definitive treatment.

Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.

Wishing you good health.
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What Causes A Lump And Pain In The Perineum?

Hi, thanks for sharing your health concerns with HCM! If I were your treating Doctor for this case of pain with perineal lump, I would come up with three possibilities, these include: 1. skin or hair follicle infection due to some friction injury or some infected sinus 2. The second possibility is of an ischiorectal abscess or peri-anal abscess 3. The last possibility is of some infected cyst or benign tumor / tumor like condition or some enlarged lymph node! Overall, it is inflammatory and should be investigated! I suggest you to go for some microscopic/microbiological tests for confirmation and definitive treatment. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.