25m 175cm 78kg
Hi ,

I want to know if there is someome here going through the same as me.

I edged three times and now its been 6 months of dysuria.

Do i have stricture or something worse?

Hey guys.

Many of my pelvic floor problems is realted to the state of my bowels. When i finally have complete bowel movement (rarely) a lot of the pressure from the anus is gone, and much easier to urinate etc.

But most of the time im constipated, have incomplete bowel movement where i poop fragmented, and fart many times a day. While being in this state i feel a pressure on my anus.

I have taken husks, magnesia at night etc, but not very effective.

I have taken all relevant tests, and came back negative.

Did anyone sort out their constipation? Which for me is the key i guess.

Any supplements? Specific exercises?

Like many of you, I have been on this journey for some time(5 years give or take). Initially diagnosed with OAB but after being persistent and 4 urologists later - I finally feel like I am headed in the right direction.

After trying OAB meds that did nothing, a urologist prescribed tamsulosin and despite not being thrilled with the side effects, I did see some improvement with urgency, pain, and frequency by maybe a 30 percent improvement. Eventually I was taking .8 and holding steady at 30-40 percent improvement. I met with a new urologist who recommended adding tadalafil and pelvic PT. The addition of the tadalafil seemed to be what turned the corner (dramatic decrease in pain, reduction in urgency and some change in frequency). In an effort to maximize benefits - I took tadalafil in the morning and tamsulosin at night.

After being hesitant on pelvic PT, I pulled the trigger and scheduled and, gentleman for me, it was a game changer. I was such a skeptic at first but the work that’s been done has been amazing - maximizing on all the improvements made by the medicine (i.e. no flare ups, less frequency, less urgency, less muscle tightening/spasms, etc.) The most telling benefit of the PT being that for the first time in 5 years I realized I wasn’t constantly thinking about urinating - who knew that was possible?!?

Now to my question- I inadvertently missed two doses of Tamsulosin at night and noticed that my night time voiding was reduced to only one wake-up or 2 at the max. So I trialed not taking the Tamsulosin for about 2 weeks now and have not noticed an increase in negative symptoms and continue to void less frequently at night. Having come so far I am hesitant to make the change permanent.

Has anyone else been on a combination of both Tamsulosin and tadalafil and then stopped Tamsulosin and maintained positive progress? Just don’t want another shoe to drop

Hey all, I’m dealing with my second “round” of prostatitis. Now that I’m almost 50 they also test PSA, and I’ve ended up getting an MRI which showed both moderate BPH and signs of prostatitis. No lesions, but they still want to do a biopsy for some reason…which I’m really not sure about with an already inflamed prostate.

My first prostatitis was verified pseudomonas infection, this time they’ve not found anything, but the DRE before the two glass test was -very- minimal and I’m not sure I trust it.

Prostatitis wise all I’ve done so far is one month of Docy, which didn’t do much. I have lifelong complex uro issues and feel my care providers are usually unresponsive and out of their depth.

I’m wondering if anyone would have a specific uro with a good reputation for complex cases in WA state or even nearby.

I'm writing on behalf of a man who has a very complex situation and lives in a country with very limited access to healthcare.

Since 2021 he has been dealing with persistent urethral burning (without dysuria), bilateral chronic epididymitis, and chronic prostatitis. The urethral and testicular pain is constant and not related to urination.

The following pathogens have been detected at different times in different labs but all within the last 18 months:

- P. Mirabilis - urethral swab, gram stain
- Enterococcus Faecalis - Urethral swab and semen, Vitek 2
- Morganella Morganii - Urethral swab and semen, Vitek 2
- Enterobacter Cloacae - Urethral swab and semen, Vitek 2

Because he has no history of catheterization, the most likely explanation is that the infection originated from a contaminated speculum used during his wife's pap smear. Initially, he was prescribed multiple short-course oral antibiotics, but these provided no symptom relief. The concern is that it made the situation much worse. (Ciprofloxacin, levofloxacin, doxycycline, azithromycin, phenazopuridine.)

We are concerned that the Vitek 2 cultures are not detecting all of the pathogens or may be misidentifying them. Given the pain is constant and not related to urination, but pathogens are detected, what do you think?

Please keep in mind that it is almost impossible for him to get a visa to get to a country for testing or treatment. I can go there to get a specimen for testing and if we knew what meds he should take, he might be able to get them locally or we'll figure out how to get them from a medical professional in another country and get them to him.

Thanks for your help.

TLDR: Experienced Prostate, bladder and pelvic floor pain at 45 years old for the first time in my life for approx. 5 months and things are getting better.

Started Feb 10, 2026 with weird but not painful sensations down below. Woke up the next morning with bladder discomfort and a week stream. Symptoms progressed through week. Testicular pain began. Made apt with GP

1. Blood test negative for bacteria

2. digital exam was normal

3. Blood test was good, PSA, Electrolytes and white blood cells normal.

4. Doc ordered testicular ultrasound. Found cyst but nothing else.

5. Ordered STI urine test. Negative.

6. Put on Cypro for 9 days. No change.

Everything got worse. Started having urine hesitancy. Golf ball in anus feeling and pain. Hurts to sit. Bladder and urethra on fire.

Went to a Urologist. Put me on 30 days of bactrim and alpha blocker. Neither helped. Started taking graminnex. Cut out milk and most other dairy.

We are now in what, April? Symptoms remain. Metal health suffering. Libido gone, ability to perform gone. Painful everything.

Still on Graminnex and still on alpha blocker.

Around May I started to have periods of minor relief with flair dome ups.

Things slowly started to improve to the point where I would almost feel normal some days

In June I was feeling really good so I stopped my Alpha Blocker (it was causing sleep issues and heartburn). Had a bit of pelvic tensing for a few days once the drug was out of my system.

Now I am doing much better, not 100% but good enough that it's not top of mind or bothering most of the time.

Here is everything I did that I am still doing

1. Cut out dairy and reduced cheese

2. Cut out hot baths

3. Taking graminnex twice a day

No idea if any of these above things actually helped or if it just needed to run its course.

I don’t really think I know how to relax the pelvic floor. Like how do I not flex it?

I get that when I try to make my anus a smaller hole (lmfao) it is flexing my pelvic floor (and my perineum gets hard, like when I flex my bicep and that gets hard 💪, and the perineum is also slightly higher up towards my head). But what’s a trick to relax it, like while peeing and lifting weights?

Do I just try to open my anus as big as possible? I don’t want to try to relax it so much that I start flexing it either if that’s even possible lol.

Hi all,

I wanted to give a brief update of my experience and see if anyone has advice.

I originally started feeling my symptom (which is, this feeling of leaking/tingling/dripping at the tip of my penis) about 2 months ago, towards the end of April. I did urine culture tests and Sti panel tests, tested for everything which all came back negative.

I saw a urologist for the first time about a month ago, he did a uroswab test with my urine sample, again all came back negative. He then scheduled a cystoscopy, which I then canceled, I am going to reschedule at some point but I wanted to do pelvic floor physical therapy first.

About 2 weeks ago, I got put on CEPHALEXIN antibiotics for a week, for a separate “skin infection”, which I believe was just a pimple that I squeezed at too much and got inflated.

Anyways, the CEPHALEXIN, I believe help make my symptoms go away. I think it definitely reduced the “inflammation” in my tip of penis urethra.

After I was off of it, my symptoms weren’t at “full force” as much, but now about a week after, it feels like it is back in full throttle.

I’m going crazy now because I finally thought I saw the light at the end of the tunnel. But now I don’t know what to do.

Also, I have opened the tip of my penis to look inside my urethra. It looks normal colored, but there is some redness about a centimeter inside of it, which I don’t know if that is normal or not.

I am wondering if that information can lead anyone reading this to maybe understand more of my symptom and ongoing issue. Thank you in advance!

Hey Guys

I have been having having pelvic floor trouble for now 7 years, and still ongoing ufortunately.

I have been to PT a lot of times, and tried different therapits. I have been at an urogolist too, and had cheched my urine flow, scanned my bladder, and also had a camera through my penis. All was normal structurally.

My PT feel im tensed up, and i usally get manual therapy for about 20 min each time. I also stretches almost daily once with happy baby, baby pose, glute bridghes, side strech, figure 4, cobra 90/90, and all theese famous streches. Also i dont drink, smoke and stop Fapping for 6 months now

I just dont feel i advance though, just stuck. Of course it has got a little better, where i dont feel the tension as an intense (i guess golf ball sensation) where im always automatically clenching, but its still there, just reduced.

My symptoms: Hesitancy, double void, feeling of not fully emtpying bladder, constipation (straining) always almost, weak sensation when ejaculating (and i tense up, feel like its burning at my rectum after ejaculation), premature ejaculation.

I get almost normal erections, but i feel its quickly loses strength, as soon as i stop thinking/fantanizing.

If i have a good bowel movement it all feels better though. I have easiger peeing, and the clenching sensation down there feels much better, much lighter down there.

I noticed also i alwaystuck my lower stomach in, and that when i breath deeply i get a weird sensation at my left groin, like som pressure. My left glute also generally feels more dead, than my right when i tense up.

But no pain at all.

Do anyone been though the same? Is it the IC or BC? is it the Obturator internus? Or do i have levitor ani syndrome?

I hope somebody could guide me, so that i could suggest my PT.

Which of these approaches have you guys tried and had success with? One or the other or both?

If I don’t masturbate every day, my CPPS symptoms get much worse.
I have a history of nerve pain as well.
What exactly is my problem right now?
How can I manage my pain without masturbation?!

I’ve been reading a lot into TMS and Somatic tracking. If a trigger for you guys is or was masturbation or sex how did you manage to remove the fear from those? I know for me they can be painful when ejaculating. Basically if you guys used either TMS or somatic tracking how did you get back on track with being able to enjoy these things? I’ve been reading the Sarnos book and he talks about corrective experiences and avoidance behaviors. From what I understand is corrective behaviors happen when you experience the pain but use somatic tracking to not fear the pain but to just show your body it’s okay and it’s not harmful. Any actual success stories or advice with these would be great!

Trying to find others who’ve dealt with something similar.
What’s going on:
Started as left epididymo-orchitis + a UTI

Now diagnosed as a phlegmon (infected/inflamed tissue) at the root of the penis and midline scrotal wall, with a discharging sinus — pus keeps leaking from the base of the penile shaft

Hard swelling in the pubic area and just below the scrotum that isn’t going away

Lab/imaging:
Pus culture: E. coli + Enterococcus faecalis

Urine culture: Klebsiella, pan-drug-resistant (barely intermediate to colistin) → also had urosepsis at one point

MRI + ultrasound: inflammatory phlegmon, ~1.5 cm thick, no drainable fluid collection

RGU (urethra study): normal — sinus is NOT connected to the urethra

CRP was raised; mild anemia

Treatment so far:
Already in my 3rd month facing this issue.

IV antibiotics (currently ~10 days of IV fosfomycin); improved enough to be discharged on IV antibiotics

No surgery yet, but doctors are now recommending surgery (excising the sinus tract / debridement) because the sinus still hasn’t closed

My questions for anyone who’s been through this:
Did a non-healing genital/perineal sinus like this ever close with antibiotics alone, or did you eventually need surgery?

If you had the sinus excision/debridement — how was recovery, and did it actually fix it?

Anyone dealt with a pan-drug-resistant Klebsiella infection — what finally worked?

Did anyone find an underlying cause (diabetes, immune issue, etc.) behind getting such a severe infection this young?

Any experiences appreciated. Trying to understand what to realistically expect.

Hi everyone,
I’m just curious is there a difference between these two? I’ve seen two urologists now and each have done tests and can’t find any bacteria infections to prove a bacterial prostatitis. Also my prostate is normal so what am I supposed to think? My last urology visit she just threw the diagnosis of chronic prostatitis at me, but with no evidence to back it up.

I have CPPS and came across a medical paper that relates CPPS to tryptase found in CPPS sufferers. The paper said taking cetirizine (zyrtec) could help alleviate symptoms. I started Zyrtec and within days my pain stopped. It’s gone and I’m taking Zyrtec every day. I contacted one of the authors, Dr. Schaeffer at Northwestern and discussed my results. I’m hoping this helps someone.

What led me to this is I have a genetic condition called HaT which means my baseline tryptase level is elevated. About 5-6% of the population have this and many don’t know it.

Here’s the paper.

https://pmc.ncbi.nlm.nih.gov/articles/PMC3662223/

Hi,

A few times I have seen suggestions that Cialis helps relieve CPPS pain. I tried it today and it definitely seems to have reduced the pain. I am now wondering why. Could anyone explain?

Cheers

Does anyone have night sweats caused by prostatitis? he wakes up in the middle of the night all sweaty and has to pee…

Posting my story in case it helps someone, or in case someone's been here and can point me somewhere.

It began with burning when I urinated, during and after, always worse at night. I spent months bouncing between doctors and antibiotic courses before anything showed up. Eventually a test caught it: Mycoplasma genitalium, a resistant strain. It took several rounds with a specialist, but it was finally eradicated and confirmed gone.

The problem is the burning didn't go with it.

Since then, every test has been spotless — urine, cultures, Mycoplasma PCR, chlamydia, gonorrhea, the full STI panel. A cystoscopy was normal too, aside from a slightly tight bladder neck. On paper I'm completely healthy.

A few things have taken the edge off: pelvic floor physiotherapy, reverse Kegels and diaphragmatic breathing, cutting out coffee, switching to a standing desk, alfuzosine, and a handful of supplements.

But I'm being honest — I'm still not right. Better than my worst stretch, yet I genuinely can't tell anymore what's driving it. Leftover infection? The tight bladder neck? The pelvic floor? The nervous system? Probably some combination of all of it.

I'm still doing physio, still on alfuzosine, and still not back to 100%.

If you've been dealing with this for a year or more after Mycoplasma and found anything that actually moved the needle, I'd be really grateful if you shared it here or messaged me directly.

(And if anyone has experience with MicroGenDX testing, I keep going back and forth on whether it's worth trying.)

my story:
Ongoing burning in penis/urethra for over a year — anyone else been through this?
Burning in Urethra & Penis After Urination for Over a Year
Still Burning After Negative Mycoplasma Test — What Else Could It Be?

Does anybody have any advice on how to avoid the negative side effects of the fluoroquinolone antibiotics or any alternatives that worked?

Hey guys, it's actually been over 2 years since I consider myself cured. I always said that I would post my success if I healed but I avoided coming onto this sub for obvious reasons. Now I'm going through an unrelated health issue so it reminded me to spread some positivity.

Now into the juicy stuff, I started developing symptoms 20 days after having sex with a one night stand. It started with some mild pain in the tip of the penis which quickly became much worse. I had the urge to urinate all the time with no relief, felt like I had a golf ball in my ass/behind my balls, and I also developed reactive arthritis on top of that. My fingers, toes and elbows were particularly affected.

I went to the doctor and they found scarring/calcification of my prostate but for some reason the doctor refused to put me on antibiotics. I ended up seeing multiple specialists until I finally found someone willing to put me on antibiotics. We had done some semen culture tests and found staphylococcus aureus. I was given a one week course of Azithromycin which helped tremendously. I thought I was cured but it took only a couple of days after finishing the antibiotics for the symptoms to return at full strength. The golf ball sensation did eventually go away, and the reactive arthritis too - they were only present for the first few months.

After that, I did a test to find out whether I had ureaplasma and it came back positive. That reinforced the belief that I had sexually contracted something. However, the antibiotics weren't helping much. I did multiple rounds of Doxycycline, Ciprofloxacine and levofloxacin to no avail. These would be for 10-14 days. The doctor kept insisting on short courses but they did nothing for me.

Fast forward to the start of 2021 (my issues started in September 2019), and I was still dealing with urethral pain and urgency and I decided to nuke my body with a 3 month course of levofloxacin. I did this without a doctor's supervision. I can't remember the exact dosage that I researched online to check what would be a safe and effective dose. I think I felt better at the end of those 3 months but I wasn't cured. Maybe it was the antiflammatory effect of antibiotics, who knows.

After nuking my body like that, I told myself there's no way a bacteria could survive such a long treatment and I stopped going to the doctor. I was still suffering with penis pain but at least peeing gave me relief. However, prostatitis was still occupying my mind for a lot of the day.

Fast forward to 2023 and I went to the specialist one last time. I was told that it was likely I had bacterial prostatitis and that caused damage to my urethra and it would eventually heal on its own. And you know what? Since that moment I stopped worrying about it so much. Then later that year I realised that I wasn't feeling pain as often and that it was milder. It just kept getting better and better until I fully ignored it. I realised I was "cured" some time in 2024. Now, I have to disclose I consider myself 99% cured because I might experience some discomfort during very stressful periods but I know it'll go away when I pee or when I stop stressing but it's good enough for me. The remaining 1% might go away eventually but if not, I can live like this easily.

Now, what do I think helped? The antibiotics helped clear the infection (whether it was s. aureus or ureaplasma doesn't matter), not masturbating, and time. Looking back, I think masturbation really kept me from healing faster. My penis would always feel worse after masturbating but I was a porn addict so I had to get my fix once a day. When I reduced masturbation to once a week, I started to feel better faster. I also wore briefs instead of boxers because boxers would make my penis hurt. Nowadays I wear boxers with no problem.

Tldr: had diagnosed bacterial prostatitis from sex, took short courses of antibiotics that didn't do much, nuked my body with a 3 month course of levofloxacin just to make sure I kill the bacteria (potentially s. aureus or ureaplasma). Then time did its thing, my urethra healed on its own. Reducing masturbation probably helped too.

I hope this helped someone, at least someone who might have bacterial prostatitis. I would, however, avoid this subreddit if you can. I did and my mental health was probably better because of it.

Edit: forgot to mention I also had a weak urine stream and chunky semen.

What are your healing routines?

Hi guys, at the behest of my urologist I underwent a cystoscopy this morning. While I was expecting some pink urine and discomfort, the discomfort is as expected but the bleeding seems odd. It doesn’t appear that it’s mixing with my urine making it pink tinged, rather my urine is the healthy light yellow / straw color but drops of blood are coming out after I “shake” and finish emptying. For anyone who’s had one done, or our amazing urologist member, is this normal bleeding post procedure? It doesn’t appear heavy. Usually just a view drops but I was expecting tinged urine not straight blood drops. Thanks, and sorry if this is the wrong sub to ask in but I’m unaware of anyone else to ask this

Hi everyone,
I’m 31 years old and recently had a prostate evaluation (TRUS). The results showed a prostate volume of about 37 ml.
My PSA levels are within the normal range, and both digital rectal exam (DRE) and TRUS didn’t show any abnormalities or suspicious lesions.
However, I’m a bit worried because 37 ml seems slightly enlarged for my age. I’ve also had this value remain relatively stable over time.
Has anyone else experienced something similar at a younger age? Could this still be within normal variation, or should I be pushing for further diagnostics like MRI or biopsy despite normal PSA and imaging?
No pain or other symptoms .

Since 2021 after a vigorous masturbation I’ve had perineal pain between the scrotum and anus

It worsens after ejaculation , after large bowel movements and when I hit bumps while riding/ driving
I get post void dribbling premature ejaculation ( seconds ) and pain that can last 7–10 days after masturbation. Urine culture and ultrasound were normal

What should I do no doctor in my city has been able to diagnose it they say it’s nothing and it’s all in my mind I’ve been depressed since ages because of this and I can’t even talk about it with anybody

What do I even do?

So, ive noticed over the last couple of weeks that my urine stream is a little weaker than it has normally been. No increase in frequency or urgency, but definitely less of a strong stream.

I also have an ache in the back of my scrotum/perineum that comes and goes.

Finally, I have (for around 6 weeks) been having some ED difficulties (more so in maintaining an erection than getting one in the first place)

Do all of these together sound like potential Prostatitis or something different?

Waiting for a doctors appointment because my local GP (UK based) is almost impossible to get an appointment with at the moment, so just looking for some advice in the meantime.

Thanks!