Men's Lower Abdominal Pain Without Clear Cause – Which Department to Visit?

When men experience unexplained lower abdominal pain, it is recommended to seek care from a urology or andrology department. Here are some common conditions associated with this symptom:

Chronic Prostatitis

Chronic prostatitis occurs when infectious bacteria irritate the urethral mucosa of the prostate area, leading to swelling and erosion of the mucous membrane. This condition may also cause inflammatory enlargement of the prostate gland, resulting in inflammation at the opening of the ejaculatory duct and infection along the vas deferens. Patients often feel a dull ache or heaviness along the path of the vas deferens.

Bladder Stones

Bladder stones can cause irritation at the urethral opening, which may lead to interrupted urination or a sudden stoppage of the urine stream. Additionally, individuals may experience a sensation of fullness or pain in the lower abdomen.

Distal Ureteral Stones

When stones are present at the end of the ureter, patients commonly report a feeling of pressure or mild pain in the lower abdomen. These symptoms are often accompanied by signs of urinary tract irritation such as frequent urination, urgency, and painful urination. In some cases, microscopic blood in the urine may also be observed.

If you are experiencing any of the above symptoms, it's important to consult a urologist promptly. A color Doppler ultrasound of the urinary system can help identify whether the prostate is enlarged and detect other abnormalities such as uneven echoes or inflammatory calcifications. Early diagnosis and treatment are key to managing these conditions effectively.