Perineal descent is a condition in which the perineum prolapses (bulges down) or descends below the bony outlet of the pelvis. Perineal descent is often associated with chronic straining in patients with chronic constipation.

The flesh between the vaginal opening and the anus (not part of the vulva but often involved in vulvar skin problems) is the perineum.

perineum

The perineum is the region between the thighs, bounded by the scrotum and anus in males and by the opening of the vagina and the anus in females (Figure 22).

Prostatitis has several possible causes, including bacterial infections. But sometimes, there’s no clear cause. In addition to perineum pain, prostatitis can also cause: pain or burning during urination.

A burning feeling is usually a symptom of a problem somewhere in the urinary tract. Urethral stricture disease, prostatitis, and kidney stones are possible causes of this symptom, and they are all curable. Treatment can often relieve the symptoms of painful bladder syndrome if this is the underlying issue.

Most of the time, a perineum lump is harmless if it doesn’t come with any pain, swelling, or other unusual symptoms. See your doctor if you notice any abnormal symptoms or if your perineum lump is disrupting your life by making it hard to sit, go to the bathroom, or get by without pain and discomfort.

External hemorrhoids may bleed, itch, or cause pain. Some hemorrhoids put pressure on the perineum. This pressure can cause pain in the perineum that may radiate to the rectum. The pain may be worse during, or right after, a bowel movement.

A pilonidal cyst looks like a lump, swelling, or abscess at the cleft of the buttock with tenderness, and possibly a draining or bleeding area (sinus). The location of the cyst at the top of the buttocks makes it characteristic for a pilonidal cyst. If infection is severe, blood tests may be performed for diagnosis.

Perianal abscess can sometimes be treated at home with Sitz baths or warm water soaks with each bowel movement or at least 2-3 times a day. The abscess can drain pus on its own and then heal without needing any other treatment.

A pilonidal sinus is a small hole or “tunnel” in the skin. It usually develops in the cleft of the buttocks where the buttocks separate. More than one hole may develop, and often these are linked by tunnels under the skin.

When skin rubs against skin, it causes friction and creates a warm, moist environment that is ideal for fungal and bacterial growth. Intertrigo is common in the skin between the buttocks (butt crack), which can become very raw, itchy, and painful.

Excess Candida in the intestines can travel to the anal canal, which may result in an anal yeast infection. Although yeast infections can affect the genitals, doctors do not consider them to be sexually transmitted diseases.

A pilonidal cyst is almost always located near the tailbone at the top of the cleft of the buttocks. Pilonidal cysts usually occur when hair punctures the skin and then becomes embedded. If a pilonidal cyst becomes infected, the resulting abscess is often extremely painful.

Treatments

1. Wear breathable or moisture-wicking underwear. Share on Pinterest Breathable underwear may help prevent a sweaty butt while exercising.
2. Wipe down or mop up.
3. Change clothes often.
4. Use an antiperspirant.
5. Use starch powder.

Wipe backward from the perineum, toward and past the anus. “Wipe gently, and use additional toilet paper until the paper is clean and never scrub the skin around the perineum. If you cannot reach behind your back, reaching in between your legs from the front is fine as long as you wipe from front to back,” says Dr.