To Violet: No, dr, Michael Urban is an urologist and can be found at
www.androgeos.cz, which is a private urological clinic.
I spoke with him personally and he made some basic exams. He said, that my problem is basically the chronic pelvic pain, high tension of pelvic muscles,
especially bulbocavernosis and ischiocavernosis. My pain at the base of penis is reffered pain from those muscles.
During the palpation, my Alcock canal was sensitive and painful, but he thinks that it is not classical PNE. Pudendal is clearly involved as a consequence of pelvic tension (my pain is rather dull and aching, not stabbing or like elecrtic shock). There is no difference when I am standing, laying or sitting, however prolonged sitting makes my condition worse.
He suggested physickal therapy, biofeedback, relax and some myorelaxants. If this will not be succesful, he suggested to try injections into Alcock canal. He said the he considers that not only diagnostic but also therapeutic tool.
I decided to follow his instruction, but will ask dr. Aszmann to do 3T MRI of my pelvis. This tool is not directly displaying possible entrapment, but might provide a lot of additional info.
Matt
