Chronic Pelvic & Perineal Pain or Discomfort

Harley Street, London

Persistent or recurring pain in the pelvic or perineal region can be complex and distressing. It may be associated with chronic prostatitis, pelvic floor dysfunction, or bladder pain syndrome, and often requires a broad, patient-centred approach to diagnosis and management. Mr Raison runs a tertiary practice in managing chronic pelvic pain with a focus on holistic care combining diet, physiotherapy, medical and surgical interventions and advocates latest treatments such as neuromodulation1.

How Mr Raison Can Help:

  • Detailed clinical evaluation including history, examination, and appropriate investigations to exclude underlying pathology
  • Diagnosis of chronic pelvic pain syndromes such as chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) or bladder pain syndrome
  • Holistic management plans that address physical, neurological, and emotional contributors to pain
  • Close collaboration with specialist pelvic physiotherapists to support pelvic floor relaxation and rehabilitation
  • Use of medical therapies (e.g. anti-inflammatories, neuropathic pain agents, intravesical instillations) and surgical treatments including neuromodulation1
  • Guidance on lifestyle modifications, bladder habits, and stress reduction techniques to aid symptom control
  • Long-term follow-up and support to adapt treatment plans based on symptom response

References

  1. Sacral neuromodulation in the management of chronic pelvic pain: A systematic review and meta-analysis. Greig J, Mak Q, Furrer MA, Sahai A, Raison N.Neurourol Urodyn. 2023 Apr;42(4):822-836. doi: 10.1002/nau.25167. Epub 2023 Mar 6.PMID: 36877182

Mr Raison is available for private urology consultations, treatments, and surgical procedures at The London Clinic, Harley Street.

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