Hi, I am a male 41, 190 lbs, 5'10" , My symptoms are below.
-pain in the perineum, scrotum and inner thigh.
-5 MRIs, some of them 3T - all showing no abnormality or anything untoward on the pudendal nerve. MRIs have shown labral tears in both hips.
-scrotal ultrasound - varicocele
-pain in penis tip while seated
-pain in the tailbone and buttocks after sitting. Can sit on soft surfaces but can't sit for long on hard surfaces. burning while urinating after sitting for a while.
-really tight and retracted scrotum and penis at times... really uncomfortable. Penis feels really light and lifeless when flaccid. I can get erections and they are firm. When flaccid, seems like the scotum hangs a lot lower than it used to.
-no pain in perineum while driving.
-stools used to be really narrow and compressed but they are now normal. I used to have perineum pain after bowel movements but now, the pain is moderate.
-pain in the buttocks when doing anything physical such as shovelling snow, carrying groceries or anything moderately heavy. pain in the buttocks and perineum when kneeling or doing anything on my knees or all fours.
Are any of these symptoms have a semblance of pudendal issues. I am currently undergoing pelvic pain physiotherapy and my PT doesn't think it's PNE. Could my symptoms would be more in line with labral tear issues?