First time poster need some advice

[husseinfatal]

Hi All,

First time poster - and very scared!

I am a 36 year old male, and my symptoms started Feb 2017. I was masturbating and noticed my urethra was hurting so i stopped. The next morning i noticed a tiny bit of blood my underwear so went to the doctors. They found a bit of blood in my urine, so i was sent off for flexible cystoscopy. The surgeon said my bladder was normal, but my urethra was inflamed. I was brought back in for a rigid cystoscopy one month later, and still there was inflammation, so they took a biopsy. The end result they said was a urethral polyp, but actually i probably just had chronic prostatitis they said.

In between the cystoscopies, i noticed i needed to urinate a lot when drinking fluids, and a slight weird feeling in my perenium. Not really painful, just a weird sensation. This went away and was fine for rest of the year. No other issues with body apart from a weak right hip.

In March this year, the problem came back that i was feeling a bit strange in my perenium, not really bad and i also needed to urinate a lot, so did some stretches daily and the problem went away within a week or so.

The problem came back again middle of October(coincided with some heavy lifting i wonder?) , this time was below symptoms:

1. A constant need to urinate when intake of normal fluids. No problems at night - sleep like a baby.
2. Have to sit down to pee as always takes a while to empty, and get a few dribbles at end.
3. Slight burning pain on occasion when finished urinating, but not many times and not been for a few weeks.
4. Slight stabbing pain in my rectum, but only rarely.

Main issues are:

1. Feeling of 'fullness' in urethra, like a tingling which is mainly when sitting down, and usually relieved for a bit of time by urinating. Never painful just annoying! This is daily but not too bad if not drinking fluids. Dont really get it when standing.
2. When i massage the area of skin just outside the anus, (along where the transverse perenial muscles are) i get sometimes a sharp tingling in my penis head. Not painful just a sharp tingling.

This second one i am scared out of wits about, as this google search brought me here! I dont notice it all the time if i look for it, but last night i noticed it in the bath, and today again. Now i feel that the feeling i get when sitting is caused by this area being irritated, and if i rub it then later i get a more of a sharp needle like pain in my perineum.


I am petrified that i have PN, and didnt sleep at all last night.

I have had no recent traumas, dont really ever cycle and no surgeries. I cant imagine it being PNE, as there have been long periods in between with no issues (even with daily sexual practices).

I went to chiropractor two weeks ago as had a problem in my right hip flexor, and he said the xrays they took showed Femoroacetabular Impingement (FAI), both hips, and also some sacrum bone degradation due to a previously slipped disc about 6 years ago. They noticed my hips, and other muscles around my pelvis (back, SI joint, buttocks) were really tight and they are working with me to try and release them a bit, and this might cause nerve issues.

My symptoms disappeared two weeks ago and i was happy to carry on with life but now are back and i am so scared the problems will get worse!

Since Feb last year i developed health anxiety, and have had a very stressful last year and half with other life stuff, and so wonder if i am just chronically tight and this is causing my issues.

So far i have never had to take any drugs, and i cant take ibuprofen really anyway as have gastritis flare ups. What i am deadly scared about however is that it will now get worse and worse. I have tried the pelvic release exercises from various books over past two months, and although they have not made the problem worse, they have not made them better yet. I am still really stiff in muscles around my pelvic lower back so hoping if i keep on that will improve.

I live in Dorset and saw that there is a specialist Dr Ruth Jones in Southampton, so maybe i best go and see her. My doctor last week said that inflamation in the urethra has nothing to do with PN, and the fact that the problems went away for such a long period of time is a good indicator.

Any thoughts? My health anxiety is going mental the last few days. People tell me its in my head, and i know stress is making it so much worse, but when i try to pinch the area just outside the anus and i get that reaction...that sets me off!

So glad to get my story out there at least!

Thanks for reading!

[Violet M]

For information on femoral acetabular impingement you can read Lernica's posts from awhile back on this forum. She has moved on with her life and doesn't post here anymore but her posts are still very relevant if you want to do a search on them.

The pudendal nerve innervates the bladder sphincter so it's not uncommon to have urinary symptoms with PN but that doesn't mean you have PNE necessarily. It could also be that your primary problems are musculoskeletal and that the PN is just irritated related to the musculoskeletal problems. I think you are on the right track going to see Ruth Jones as she is very knowledgeable and has helped other people.

Violet