I'm a 33 year old male with a very frustrating issue that I'm hoping y'all can help me diagnose. I've been to several urologists who have not helped me very much (the list of things that have been done is included below).
History Not sure when it started (at least a year ago) possibly after riding bike after a long time
General - frequent clenching of pelvic muscules (kegels). have to consciously relax them, frequently - tip of urethra is often tender - also feels like the urethral sphincter is not letting fluid out completely, (not opening all the way to let everything out?) - occasional "burning" sensation after bladder is emptied (as i'm "finishing up"
Urinary frequent urination (more than before... 4-5 times a day?), small amounts of fluid (other than standard urination), sometimes clear, but always watery consistency Frequent need for urination, sometimes unconsciously "holding it in"... doesn't seem to be as much of a 'urgency requirement' as before
Sexual: Ejaculatory difficulty - muscles out of sync, not everything comes out (have to "milk" it out afterward), generally uncomfortable and painful, feels like i have a cock ring on or something.
Feels like the muscles are out of sync / not doing their correct thing during the orgasm/ejaculation cycle, or being blocked by the urethral sphincter somehow.
Diagnostic Procedures i've had done Cystoscopy: clean bladder, clean urethra Prostate check (2x): normal UTI test (2x): clean Voiding test: bladder gets emptied (apparently)
Things that seem to help: Heat/Hot water (muscles relax more in the shower), but not 100%
Things i've been told it is Non-Bacterial Prostatitis Chronic Prostatitis Pelvic Floor Syndrome
Treatments that have been suggested: Anti-inflammatories Alpha blockers (with the caveat that it would cause retrograde ejaculation...not an ideal solution)
Lifestyle: geek. mostly sedentary .a lot of sititng.View Thread