Treatment of Perineal Pain in NYC: Specialized Urological Care


If you have any questions, to schedule a consultation or if you need a second opinion, please contact us or call  1-(646) 663-5747

Dr. Alex Shteynshlyuger at New York Urology Specialists has extensive experience treating perineal and pelvic pain in men and women.


What is Perineal Pain?

Life pain free from perineal pain.

Life pain free from perineal pain.

Perineal pain occurs adjacent to the anus.  Typically the pain or discomfort is located in the area between the anus and vagina in women, and between the anus and the scrotum or penis in men.

Perineal pain is related to peri-anal pain, and sometimes they are used interchangeably.  Peri-anal pain is more often caused by gastrointestinal issues such as anal fissures, hemorrhoids, etc.

Perineal pain can vary in severity. Perineal pain can be severe or felt as mild perineal discomfort or soreness.

The common causes of chronic perineal pain in men  include prostatitis / pelvic pain syndrome and urinary tract obstruction in men.

Perineal pain in women is often related to interstitial cystitis / pelvic pain syndrome in women.  It may also be caused by neuropathic pain.

Treatment for Pain in the Perineum and Pelvic Pain

Through individualized assessment at New York Urology Specialists, the likely cause of your pain symptoms are established.  Treatment options appropriate to your individual situation are selected.  These may be oral or injectable medications, physical therapy, or surgical treatment as needed.

Experienced Urologist for Treatment of Perineal and Pelvic Pain

If you experience pelvic and perineal pain, you need a highly trained and experienced urologist. As one of the most experienced urologists, Dr. Alex Shteynshlyuger treats men and women with perineal and pelvic pain.

Many men and women with perineal pain see multiple physicians before a diagnosis and treatment plan is found. Because of the complexity of the pelvic region where perineal and pelvic pain occurs, few physicians are skilled at diagnosis and treatment of perineal pain in men and women.

Dr. Alex Shteynshlyuger was trained at some of the top hospitals in the United States for Urology. He is fellowship trained and uses medical, minimally invasive and when necessary surgical treatment for men and women with perineal and pelvic pain.

We have successfully treated numerous men and women with pelvic and perineal pain who have failed prior treatment methods.  Pain in perineum and pelvic pain can overlap.  Pelvic pain can be in the lower abdomen, bladder area, around urethra, vagina and anus in women.  In men, pelvic pain can be in the lower abdomen, groin, testis, penis, perineum or peri-anally.  Often, patients have pain in more than one location. 

Causes of perineal pain vary.  Treatment is individualized to each patient based on history, physical exam and prior treatment failure. Some patients are better in 3-5 visits while others require a longer treatment course and may need to try a few different approaches before finding treatment that works for them.

Can My Perineal Pain be Treated if It has Been Present for more than 5 years?

We see many patients who have had pelvic or perineal pain for many years and who have tried numerous treatments in the past.  While there are no guarantees, we have been able to help many patients who have not benefit from multiple approaches to treatment and who have been suffering from pain for many years. 

Treatment for pelvic and perineal pain may require trying a few different treatment approaches sequentially or in combination to determine what works best for you.  Because the causes of perineal pain are so numerous, treatment approaches vary and depend on individual patient’s symptoms and coexisting medical problems as well as surgical history.




New!  Read RealStories of real patients with perineal pain treated at New York Urology Specialists.

Causes of Perineal Pain in Men:

Read more about Perineal Pain in Men including causes and treatment approach.

Causes of Perineal Pain in Women:

  • Vulvodynia
  • UTI
  • Trauma from delivery
  • Neuropathic pain
  • Musculoskeletal or referred pain
  • Pelvic floor dysfunction
  • Urinary tract dysfunction

Causes Common to Men and Women:

  • Pain syndromes such as urethral syndrome, levator ani syndrome, Perineal pain syndrome
  • Interstitial cystitis
  • Anal fissures
  • Pudendal nerve entrapment syndrome
  • Ischiorectal abscess

What You Need to Know

What is the Perineum?

Perineum is the area located between anus and vaginal opening in women and between anus and scrotum in men. The anus, scrotum and vagina are included in perineum. The lateral or side to side extent is formed by two bony prominences under the buttocks called ischial tuberosities.

Pain can arise from almost all pelvic organs, muscles, ligaments and nerves.  Since each of the pelvic organs itself can be affected by innumerable disorders, there are a large number of causes of perineal pain.

Schedule an Appointment with Dr. Shteynshlyuger:

Call today: (646) 926-3068 or make an appointment online

Dr. Alex Shteynshlyuger is a fellowship trained board certified urologist with expertise in evaluation and treatment of urological problems in men and women using modern effective and proven treatment methods.  He is highly recommended by top primary care physicians in New York area. If you or someone you know has been experiencing urological symptoms, make an appointment to take advantage of Dr. Shteynshlyuger’s expert advice. Please feel free to Contact Us with any questions.


If you have any questions, to schedule a consultation or if you need a second opinion, please contact us or call 1-(646) 663-5747

Dr. Alex Shteynshlyuger is a board certified urologist who treats men and women with urological pain syndromes.



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