Are you experiencing pelvic pain? Male pelvic congestion syndrome (MPCS), also known as male pelvic congestion syndrome (MPCS), is a condition that affects men and causes pain in the pelvic area. This condition is similar to a similar problem that women suffer from, which is varicose veins and pelvic congestion. In this article, we Dalili Medical will discuss the nature of MPCS, its causes, symptoms, and diagnostic methods, in addition to the revolutionary innovative treatment through venous embolization. MPCS involves chronic pain in the lower abdomen or testicular area as a result of enlarged veins and disruption of normal blood flow.

**Is pelvic pain normal?**

 

A: Pelvic pain is not always normal, it may be an indication of a health problem that needs to be evaluated. If the pain lasts for more than two days or is severe, it is necessary to see a doctor to determine the cause. Common problems that may cause pelvic pain include: infection, pelvic congestion, problems with the reproductive system, or conditions such as hernia and arthritis.

**Does pelvic inflammatory disease cause leg pain?**

 

Yes, pelvic inflammatory disease can cause pain that radiates to other areas of the body, including the leg. This pain may appear as burning, aching, or pressure, and can spread to the thighs and lower back. It is important to treat pelvic inflammatory disease to avoid further complications.

**How ​​common is pelvic congestion syndrome in men?**

 

A: Pelvic congestion syndrome, which causes severe pain and pressure in the pelvis and thighs, affects both men and women, but is less common in men. This syndrome is often caused by several factors, such as poor blood circulation to the genitals and pelvis. It is more difficult to diagnose in men, as the symptoms may mimic other health problems in the area.

Q: Which medical specialty is responsible for performing an IV catheter to treat pelvic congestion syndrome in men?

 

A: The specialty involved is interventional radiology, but it is essential to have a consultant with experience in this type of procedure.

Q: Does an IV catheter cause pain?

 

A: No, this procedure is minimally invasive and is usually well tolerated by patients. Local anesthesia is usually used to relieve any discomfort.

Q: Can male pelvic congestion (MPCS) return after treatment?

 

A: Yes, it is possible for MPCS to return even after treatment, especially if the underlying causes, such as circulatory disorders or chronic diseases, are not effectively treated. Regular medical follow-up and recommended exercises, as well as supportive treatments such as massage and physiotherapy, are recommended to reduce the likelihood of the problem recurring.

Q: Are there lifestyle changes that can help manage MPCS?

 

A: Certainly, lifestyle changes can be helpful. Your doctor may recommend exercise and adopting healthy habits to promote overall health.

Q: When does pelvic pain become a cause for concern?

 

Pelvic pain is a cause for concern if it is persistent or severe enough to interfere with daily activities. If the pain is accompanied by other symptoms such as bleeding, fever, swelling, or difficulty urinating, it warrants urgent medical evaluation. Severe pain in the pelvic area may also indicate serious conditions such as kidney stones or cancer.

**Q: What are the causes of pelvic pain in men?**

 

There are many causes of pelvic pain in men, including reproductive system problems such as prostatitis or testicular inflammation, urinary system problems such as stones or urinary tract infections, in addition to digestive system problems such as colitis. Other causes may be due to injuries or muscle tension in the pelvic and back area.

**Type of pelvic pain in men**

The pain can be constant or intermittent, and individuals often notice an increase in discomfort during or after activities that put pressure on the pelvic area, such as standing for long periods, lifting heavy objects, or straining during bowel movements.

**Discomfort and heaviness** In addition to pain, individuals may also feel a general sense of discomfort or heaviness in the pelvic area, which negatively affects comfort levels and hinders daily activities.

**The Impact of Pelvic Congestion on Sexual Function** Male pelvic congestion (MPCS) can significantly affect sexual function, causing pain during or after ejaculation. This not only affects intimate relationships, but can also lead to psychological stress for the man, causing him to fear or worry about the expected pain. Early diagnosis and effective treatment of pelvic congestion is crucial to avoid long-term complications, including negative effects on intimate relationships and sexual health. Treatment may include the use of medications to relieve pain, in addition to exercises aimed at strengthening the pelvic muscles, and in some cases, surgery may be necessary to treat the underlying causes of congestion. It is essential to consult a doctor when any of the above symptoms appear, to accurately assess the condition and develop an appropriate treatment plan. Appropriate treatment not only helps relieve symptoms, but also helps restore sexual function and improve quality of life.

**Emotional Impact** The persistent nature of the symptoms can negatively affect mental health, causing feelings of stress, anxiety, and sometimes, depression. The doubt and frustration resulting from facing constant pain can also contribute to a deterioration in overall quality of life.

### Causes of pelvic pain in men

There are many health causes and diseases that lead to pelvic pain in men, and they can be distinguished by the accompanying symptoms. Here are the most prominent of these causes:

1. **Diseases and problems of the urinary system**: These include interstitial cystitis, urinary tract infections, urethral diverticulum, and bladder and prostate cancer.

2. **Diseases and problems of the digestive system**: Digestive system disorders may lead to pain in the area ofPelvic pain, such as irritable bowel syndrome that causes abdominal pain, inflammatory bowel disease, diarrhea, abdominal cramps, ulcerative colitis, and chronic constipation.

3. **Musculoskeletal problems**: Sometimes, pelvic pain can be caused by problems with the muscles and bones in this area, such as fibromyalgia, pelvic floor muscle spasms, pubic bone inflammation, hip arthritis, and muscle tendon abnormalities.

4. **Sexual infections**: Men can get sexually transmitted infections, such as gonorrhea and chlamydia, which can lead to pelvic pain.

5**Prostate diseases: Prostate problems are often the cause of pelvic pain, especially in men.

6** Urethral stricture is a common condition among men, as it leads to chronic pain in the pelvic area.

7. Urinary Tract Infection**Urinary tract infection is usually caused by a bacterial infection, and is an inflammation of the urinary tract in men, which includes the urethra, ureters, bladder, and kidneys.

Pelvic pain is associated with urinary tract infection with the following symptoms:

- Burning sensation during urination.

- Frequent need to urinate.

- Change in the color and smell of urine.

- High temperature and chills.

- Pain in other areas, such as the lower back.

- Blood in the urine.

**Sexually transmitted diseases** There are many sexually transmitted diseases that may lead to pelvic pain in men, the most prominent of which are gonorrhea and chlamydia. Pelvic pain resulting from these diseases is accompanied by the following symptoms:

- Urethritis.

- Discharge from the penis.

. Prostatitis**Prostatitis is usually caused by a bacterial infection, and the following symptoms appear with it:

- Fever.

- Chills.

- Difficulty urinating.

- Burning sensation during urination.

- Waking up at night to go to the bathroom.

- Pain during ejaculation.

**Symptoms of Pelvic Congestion in Men**

Men with chronic pelvic congestion (MPCS) can experience a gradual onset of symptoms that significantly impact their quality of life. Chronic pelvic pain associated with MPCS often appears as an uncomfortable sensation in the lower abdomen or around the testicles. This pain can vary in severity, but it tends to persist over time, causing discomfort and frustration. Symptoms are often similar to those seen in chronic nonbacterial prostatitis, which is often considered one disease.

**Common Symptoms:**

- Pain during or after ejaculation.

- Pain or burning sensation during urination.

- Blood in the urine or semen.

- Persistent or recurring pain in the pelvic area.

- Pain in the thighs or hips.

- Difficulty urinating or changes in urinary habits.

**Symptoms of Pelvic Pain from Uterine Fibroids**

Uterine fibroids are non-cancerous tumors that form inside the uterus, and are a common condition among women during their reproductive years. Although these tumors are often painless, they can cause annoying symptoms when they increase in size or affect nearby organs. Possible symptoms resulting from fibroids include:

- **Pelvic pain or pressure**: A woman may experience mild or severe pain in the pelvic area, which can be a result of the tumors pressing on nearby organs.

- **Irregular menstrual periods**: A woman may experience heavy or prolonged bleeding during her menstrual cycle, which can lead to anemia.

- **Abdominal bloating**: Large fibroids can cause noticeable swelling in the abdominal area.

- **Pain during intercourse**: A woman may feel pain during intercourse due to the tumors pressing on surrounding tissues.

- **Difficulty urinating**: Large tumors can put pressure on the bladder, causing difficulty urinating or a frequent need to urinate.

- **Constipation**: In some cases, fibroids can put pressure on the intestines, causing chronic constipation.

**Symptoms of pelvic pain resulting from colitis**

 

Colitis is an inflammatory condition that affects the large intestine (colon), and may cause pain in the pelvic and abdominal area. This inflammation can be caused by several factors, such as Crohn's disease or ulcerative colitis. Common symptoms include:

- **Severe abdominal pain or cramps**: The pain is often centered in the lower abdomen and may extend to the pelvic area.

- **Constipation or diarrhea**: The patient experiences changes in the pattern of bowel movements, which may lead to chronic constipation or frequent diarrhea.

- **Bloating**: The inflammation may cause a feeling of bloating in the abdomen and uncomfortable fullness.

- **Difficulty sitting or walking**: Due to pain and pressure in the pelvic and abdominal area, the patient may find it difficult to sit or walk for long periods.

- **Loss of appetite and weight**: Some patients suffer from loss of appetite, which leads to unjustified weight loss.

- **Blood in the stool**: Colitis may be accompanied by blood in the stool, especially in advanced cases.

**Symptoms of pelvic pain resulting from urinary tract infection**

Urinary tract infection is an infection that affects the urinary system, often affecting the bladder and urethra, and may extend to the kidneys in more severe cases. One of the common symptoms that patients suffer from as a result of this infection is pelvic pain, which may be accompanied by a group of other symptoms, such as:

- **Pelvic pain**: The pain may be sharp or mild, and is often concentrated in the lower abdomen and may extend to the lower back.

- **Difficulty and pain during urination**: The patient feels a burning or pain during urination, especially at the end.

- **Frequent need to urinate**: The patient suffers from an urgent desire to urinate frequently, although the amount may be small.

- **Congestion orPelvic discomfort**: Inflammation can cause a feeling of congestion or heaviness in the pelvic area.

- **Urine leakage**: In some cases, urine leakage may occur as a result of bladder irritation.

- **Blood in the urine**: Blood may appear in the urine, which is a common symptom in acute cystitis.

Methods for diagnosing pelvic congestion syndrome in men:

To confirm the diagnosis of pelvic congestion syndrome in men (MPCS), several methods can be used, including:

**Diagnostic imaging of the pelvic area:**Ultrasound and color Doppler can be used to image blood flow in some pelvic veins, as the sacral vein flow focuses on the veins associated with MPCS. Magnetic resonance imaging of the pelvic veins (MRV) can also be used.

**Identifying dilated veins:**Sacral vein flow helps identify dilated veins in the pelvic area. When these veins enlarge, they obstruct the normal flow of blood, which contributes to the symptoms of pelvic congestion syndrome.

**Treatment of pelvic pain in men**

Treatment methods for pelvic pain vary depending on the underlying cause, but in general they can be summarized as follows:

**Treatment of endometriosis:** This is one of the most common causes of pelvic pain in women. Treatment is often done using a laparoscope, where a small incision is made in the abdominal area and a thin tube is inserted that allows the doctor to identify and treat the problem. However, the problem may return after a period of treatment.

**Treatment of pelvic infections:** In cases of inflammation or bacterial infection, broad-spectrum antibiotics are used, due to the difficulty of accurately identifying the type of bacteria causing these infections.

**Treatment of urinary tract infections:** In some cases, the pain resulting from this infection may require hospitalization to continue treatment with antibiotics and closely monitor the condition. Several types of antibiotics are used over several days, without the need for surgery, as is the case with simple bladder infections, recurrent bladder infections, and kidney infections.

Irritable bowel syndrome**: This syndrome is usually treated by making changes to the patient's diet and daily lifestyle, in addition to using some medications depending on the severity of the condition.

Treatment of ovarian masses**: Treatment depends on removing the mass, either with or without oophorectomy, depending on the patient's condition in terms of age, size of the mass, and the possibility of a malignant mass.

Fibroids**: These are considered serious conditions that require treatment by removing the tumor, and may require hysterectomy in some cases.

Treatment of adhesions**: Dense adhesions and intestinal adhesions are treated by performing a laparoscopic scar tissue removal procedure.

Treatment of pelvic congestion syndrome** depends on the underlying cause of the congestion. Surgical treatment includes surgically tying the ovarian veins, removing the ovaries and uterus, or performing ovarian vein embolization.

There are also multiple treatment options depending on the cause of the pain, such as physical therapy, trigger point injections, and the use of local anesthesia, in addition to psychological or physical and behavioral therapy, acupuncture, and nerve stimulation.

Rest**: It is recommended that the individual take a rest for several days, while avoiding excessive rest to prevent joint stiffness.

Physical therapy**: Focuses on practicing some light exercises that enhance joint strength and relieve pain, such as yoga and massage.

**Compresses**: It is recommended to alternate cold and warm compresses to relieve muscle tension, spasms and associated pain.

**Taking medications**: The individual can take some medications that do not require medical advice, such as non-steroidal anti-inflammatory drugs or acetaminophen, in cases of normal and moderate pain. However, if the pain is more severe, the person may need muscle relaxants and steroid-containing painkillers.

**Using a corset**:** A corset similar to a belt can be used in the back area if the sacroiliac joint is unstable, which leads to pain.

**Injections**:** A group of pain-relieving injections are used, such as those containing lidocaine, in addition to steroid injections that help relieve pain and inflammation.

**Pain relievers:** These are generally used to relieve pain, such as nonsteroidal anti-inflammatory drugs.

**Antibiotics:** These are given in cases of bacterial infection, such as bacterial urinary tract infection or bacterial prostatitis.

**Antidepressants:** These may be prescribed along with other medications to control the psychological and physical effects associated with chronic pelvic pain.

Muscle relaxants**: These are used to treat kidney stones.

Surgery**: Some cases may require surgery, such as large kidney stones that need to be broken up.

Ways to prevent pelvic pain in men:

Although it may be difficult to avoid pelvic pain at times, there are several strategies that can help reduce the likelihood of developing it:

1. **Practicing safe sex**: Sexually transmitted diseases are a common cause of pelvic pain in men. Therefore, it is important to take the necessary precautions to avoid infection during sexual intercourse, such as using protection, which is an effective method of prevention.

2. **Treat digestive problems**: Constipation and intestinal irritation can contribute to pelvic pain. If you have digestive problems, it is best to follow your healthcare provider’s advice on medications and proper diet.

3. **Drink enough fluids**: Dehydration can increase your risk of kidney stones and bladder infections. Therefore, it is important to drink enough fluids throughout the day to help with recovery.

4. **Get the necessary medical tests**: Make sure to get the recommended medical tests for your colon and prostate to ensure your health.Some serious diseases can cause pelvic pain, and the earlier they are detected, the better the chances of treatment.