P– Pelvic Structural Health

There are a wide variety of reasons men suffer pelvic pain. Prostatitis, epididymytis, and testicular pain, amongst many other different structural problems, can lead to pain and discomfort in the pelvis.

At the HOPE Protocol we first examine for optimal pelvic structure, whether you suffer these conditions or not a healthy pelvic floor is essential for good organ function in that part of your body. Through treatment programs that involve the use of Platelet Rich Plasma (PRP) injections to the lumbar and sacral ligaments, we can rejuvenate the tissue in your lower back and pelvis and having you moving pain free for the first time in years.

These conditions can occur by themselves, or a patient may have several of them at once. Successful treatment depends upon proper assessment of symptoms and a deep understanding the interconnected pathology between each symptom.

Epididymitis & Testicular Pain

Epididymitis causes scrotal and testicular pain due to an inflammation/infection of the epididymis: a tiny tube that connects each testicle to the body. The epididymis connects to the vas deferens, which travels up to the prostate, where it connects with the urethra. The epididymus is the place where sperm maturation occurs.

Epididymitis is similar to prostatitis in that the acute form of both conditions is usually caused by an infection (predominantly bacterial) and the chronic form is often the result of lower urinary track obstruction, such as BPH, urethral strictures, neuro-psychogenic issues, as well as pelvic floor dysfunction or other musculoskeletal imbalances of the pelvis (lumbosacral, sacroiliac, and others).

Referred pain from renal colic (a kidney stone lodged in lower part of the ureter), biomechanical problems with the L5-S1 joint (where the base of the spine meets the sacrum), or the Iliolumbar ligament can also mimic Epididymitis.

As with acute prostatitis, acute epididymitis is usually a bacterial infection that develops over the course of several days. In acute epididymitis, the pain and swelling are frequently in only one testicle, which will hang lower in the scrotum. Acute epididymitis is most common in young men ages 18 – 35 and is usually treated with antibiotics; however, acute epididymitis can also be caused by bladder outlet obstruction.

Like all fluids, urine follows the path of least resistance. If the pelvic floor/urinary sphincter is tightly constricted, it can cause urine to back up into the ejaculatory ducts that connect the vas deferens with the urethra. The urine then travels down the vas deferens to the epididymis, where it causes a lot of irritation and possibly infection.

Chronic epididymis typically occurs in older patients (50 and older). The average length of symptoms is just under five years, and the pain is close to a 5 out of 10 (with 10 being excruciating), which obviously has a huge impact on patients’ quality of life.