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JENKYNS: The pelvic floor is the whole bony container that surrounds the organs in the pelvis.
Again, he diagnosed pelvic floor syndrome and suggested that I try biofeedback.
They include the levator ani, bulbospongiosus, ischiocavernosus, and superficial transverse perineus.
Pelvic floor syndrome means that these muscles aren’t working properly, causing problems with bowel, bladder, or sexual function.
One day, he suddenly experienced severe testicular pain.
It was as if someone grabbed both testicles and kept tightening his grip.
And when James found a job at another hospital, the stress went away, too.
James forgot all about the problem until 2004, when he developed testicular pain again.
It’s quite frightening when pain and other problems affect this part of the body because information about it isn’t readily available, and it’s not talked about openly.
You’re not going to walk up to your next-door neighbor and say, “I’ve got this terrible pain in my scrotum.” So people often feel anxious, alone, and helpless.
The lorazepam worked best — just 1 milligram a day relieved James’ pain. The lorazepam seemed to have stopped working, and urinating was uncomfortable at best.
James underwent an ultrasound, an MRI scan, and a cystoscopy, a procedure during which a doctor inserts a device called a cystoscope into the urethra to examine the urinary tract. The doctor said that James’ pelvic muscles weren’t working properly, a condition he called pelvic floor syndrome. He also resumed having sex with his wife, which he had been avoiding. And for two years, he managed to keep the symptoms at bay.
JENKYNS: I started specializing in pelvic floor dysfunction in 1984 with Elizabeth Noble, an Australian physical therapist who formed the Section on Women’s Health of the American Physical Therapy Association in 1977.