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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In Perennial Area Despite On Lyrica After Lower Back Injury?

Hi, My name is Frank and 60 years old , had Back lower Injury back 2013 and last 12 months have developed pain around peranial area between testies and anal passage ... pain is very dual and at times unberrable , taking Lyrica and Targin but not helping ... had my first CT guided steroid injection in my bum for Nerve block last week but stil in pain .... My doctors have almost given up , do you have any other suggestions?
Wed, 27 Apr 2016
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General & Family Physician,  's  Response
Hello dear Greetings
Regarding your persistent pain at your perineum between your testis and your anus following intake of lyrica for low back pain Are you have any urinary urgency or frequency? I am suggesting that you have developed the following differential diagnosis

Acute prostatitis
Benign prostate hyperplasia
Acute urethritis
Acute cystitis
Urethral stenosis

In view of this please do the following test
Serum PSA
URINE CULTURE
Urethroscopy
PROSTATE ultrasound

Meanwhile see an urologist specialist with the results and for further clinical evaluation as well as adequate drug prescription

Moreover continue with your lyrica for it does not contribute to your perineum pain

I hope this helps
Regards and get well soonest
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What Causes Pain In Perennial Area Despite On Lyrica After Lower Back Injury?

Hello dear Greetings Regarding your persistent pain at your perineum between your testis and your anus following intake of lyrica for low back pain Are you have any urinary urgency or frequency? I am suggesting that you have developed the following differential diagnosis Acute prostatitis Benign prostate hyperplasia Acute urethritis Acute cystitis Urethral stenosis In view of this please do the following test Serum PSA URINE CULTURE Urethroscopy PROSTATE ultrasound Meanwhile see an urologist specialist with the results and for further clinical evaluation as well as adequate drug prescription Moreover continue with your lyrica for it does not contribute to your perineum pain I hope this helps Regards and get well soonest