Introduction

Genital discomfort and pain associated with ejaculation are common presenting symptoms at a genitourinary clinic. We present a patient with such symptoms arising from a congenital pelvic arteriovenous malformation.

Case report

A 22 year old man presented with severe suprapubic pain on ejaculation. The pain lasted several hours after sexual intercourse and at times occurred spontaneously. Penile erection was accompanied by throbbing pelvic pain. Defaecation was occasionally painful. There was no haematuria, haematospermia, or dysuria.

Physical examination revealed a lower abdominal bruit. A pulsatile mass was felt at the left lateral border of the prostate gland. There were no …