The perineum is the area extending from the anus to the vaginal orifice in women and from the anus to the back of the scrotum in men. Rich in nerve endings, the strip of skin between the anus and testicles is an area in which men may feel discomfort for a variety of reasons, particularly during physical activity such as walking. Pain resulting from prostatitis, or inflammation of the prostate, may be felt in the lower back, the genitals or the perineum. Prostatitis has a variety of causes, but is most often the result of bacterial infection.
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Prostatitis is pain and swelling, inflammation, or both of the prostate gland. Men feel a frequent, urgent need to urinate, and urination, erection, ejaculation, and defecation may be painful. Symptoms of prostatitis, regardless of the cause, may be treated with warm sitz baths, relaxation techniques, and drugs. The gland, along with the nearby seminal vesicles, produces much of the fluid that makes up a man's ejaculate semen. The prostate is walnut-sized in young men but enlarges with age.