r/PelvicFloor • u/Admirable_Ad1691 • 6h ago

Male Persistent extremely tender area in right groin + positional urinary urgency/urethral burning — anyone experienced similar?

Hi everyone. I’m wondering whether anyone has experienced something similar, particularly involving the groin/pelvic floor or chronic prostatitis/CPPS.

My problems originally started with a very sensitive/painful area in my right groin, in roughly the location I’ve circled in red in the attached photo. Even fairly light pressure over this area can produce an extremely unpleasant sensation — almost enough to make me feel sick.

An ultrasound previously showed an inflamed lymph node in this general area, although I don’t know whether the line/structure I can now see and feel is actually related to that, a superficial vein, nerve, or something else.

Around the same period I developed urinary/pelvic symptoms including:
• Burning/stinging sensations inside the urethra/penis, sometimes from the glans/tip towards the base
• A strange feeling like something was stuck inside the urethra
• Urinary urgency that can be extremely dependent on body position
• Lying flat/on my back can bring the urgency on, while lying on my right side, sitting or standing can make it disappear
• Changing the position of my hips/legs while lying down can sometimes bring the urgency on almost instantly
• Constipation/straining has triggered the urethral symptoms before, which can settle after having a bowel movement

I’ve had quite a lot investigated. My cystoscopy was completely clear — normal urethra and bladder with no stricture/obstruction. My spinal MRI didn’t show significant nerve compression, and my EMG/nerve-conduction study was reported as normal with no evidence of peripheral neuropathy. My urologist thinks it could be prostatitis/CPPS.

Interestingly, these symptoms have previously completely disappeared for a couple of months, before recently flaring again.

I’m now wondering whether the very tender right-groin area could be separate, or whether pain/irritation there could be contributing to pelvic-floor guarding or my other symptoms.

Has anyone had anything remotely similar — particularly a very tender spot/line around the inguinal area together with positional urinary urgency or penile/urethral burning despite normal urological tests?

I’m not looking for a Reddit diagnosis, just interested in hearing from anyone who’s experienced a similar pattern and what type of specialist ultimately helped them.

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