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It is also distinctive because it is gland that continues to grow as a man ages. The growth of the prostate, as well as its location, can make it a source of pain and discomfort, especially for men over the age of 60. chronic prostatitis, also called chronic pelvic pain syndrome, is a common prostate problem. It can cause pain in the lower back, in the groin, or at the tip of the penis. Treatment may require a combination of medicines, surgery, and lifestyle changes. List of 24 causes for prostate pain and rectum pain, alternative diagnoses, rare causes, misdiagnoses, patient stories, and much more. The perineum pain between the genitals and anus can be commonly caused by anal fissures. Pain in the area between the scrotum and the anus can be caused by chronic or acute prostatitis. Read below for more information on causes and treatment options. prostate pain can sometimes be associated with advanced prostate cancer. Prostate pain that is related to acute prostatitis can be life threatening. Seek immediate medical care (call 911) for serious symptoms, such as high fever (higher than 101 degrees fahrenheit), the inability to urinate, or severe pain in the lower back and genital area.