What might be causing pain under the scrotum after urination?

Q: What might be causing pain under the scrotum after urination?

Pain under the scrotum after urination is often linked to **prostatodynia**, a condition marked by chronic discomfort in the prostate area without signs of infection. Symptoms can include pelvic pressure, pain during or after urination, and discomfort in the perineum (the area between the scrotum and anus). Other possible causes include prostatitis, urinary tract infections, or epididymitis, so an accurate assessment is essential. Because scrotal and pelvic pain can stem from several overlapping conditions, self-diagnosis is difficult and delaying care may allow the underlying issue to worsen. Taking a free, instant, online symptom check can help you identify likely causes based on your specific symptoms, understand urgency, and decide on the right next steps—whether that's home care, seeing a urologist, or seeking urgent evaluation. Reviewed for medical accuracy: 07/15/2026

Reviewed by Yoshinori Abe, MD

Internal Medicine

Pain under the scrotum after urination is often linked to prostatodynia, a condition marked by chronic discomfort in the prostate area without signs of infection. Symptoms can include pelvic pressure, pain during or after urination, and discomfort in the perineum (the area between the scrotum and anus). Other possible causes include prostatitis, urinary tract infections, or epididymitis, so an accurate assessment is essential.

Because scrotal and pelvic pain can stem from several overlapping conditions, self-diagnosis is difficult and delaying care may allow the underlying issue to worsen. Taking a free, instant, online symptom check can help you identify likely causes based on your specific symptoms, understand urgency, and decide on the right next steps—whether that's home care, seeing a urologist, or seeking urgent evaluation.

Reviewed for medical accuracy: 07/15/2026

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Explanation

Pain under the scrotum after urination might be due to a condition called prostatodynia.

What is Prostatodynia?

Prostatodynia is a condition that causes pain in the prostate area, which is located near the scrotum.
It is not caused by an infection, but by muscle or nerve issues in the pelvic area.

Symptoms

People with prostatodynia might feel pain or discomfort in the area below the scrotum, especially after urination.
Other symptoms can include difficulty urinating or a feeling of fullness in the bladder.

Why It Happens

The exact reasons for prostatodynia are not fully understood, but it might involve stress or physical activity that affects the muscles and nerves in the pelvis.

If you experience these symptoms, you can check your symptoms with our free AI-powered tool and talk to a healthcare provider for a proper diagnosis and treatment plan.

(References)

Murakami M, Okamura K, Hayashi M, Minoh S, Morishige I, & Hamano K. (2006). Fournier's gangrene treated by simultaneously using .... The Journal of infection, 16278018.
Hartoyo E, & Felicia FV. (2022). A 30-Day-Old Infant with Necrotizing Fasciitis of the .... The American journal of case reports, 36168215.
Drabick JJ, Gambel JM, & Mackey JF. (1997). Prostatodynia in United Nations peacekeeping forces in Haiti. Military medicine, 9183157.

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