if the prostate is on the outside of the urethra which is a toob like structer to carry the urine, then how can urine ever be refluxed into the prostate? I can see the urine being refluxed back up the urethra, but how would it pass through the urethra into the surrounding prostate, would it not have to somehow pass through the tube that is called the urethra.
I'm just asking because of the urinary/muscle lock ups/contraction I sometimes experience, I worry that they could cause urine to go into my prostate. But, this really doesnt make sense. Just trying to figure that out.
anatomy question - intraprostatic urethral reflux of urine
-
scoobysnacks
- Retired Mod
- Posts: 696
- Joined: Tue Jan 20, 2004 4:51 am
- Location: USA
- Contact:
anatomy question - intraprostatic urethral reflux of urine
Age:29 | Onset Age: 25.5 | Symptoms: Initially burning in prostate/perineum, burning in urethra, uncontrollable muscle contraction before urinating, dual ache in groin, left testicle pain, feeling of golf ball in rectum, soarness in rectum, and muscle spasms, now mainly very mild urinary tract inflammation, burning mildly after ejaculation, some days after physical activity involuntary mild muscle contraction before urinating | Helped By: .5 mg of Ativan, Aleve (naproxen), quercetin, alcohol in large quantities (vodka and soda), stretching, walking, internal massage the perineum area and levators. | Worsened By: sitting, weightraining, jogging, coffee, caffeine in general, alcohol bothered me at first, overdoing sex
-
webslave
- Maintenance
- Posts: 11429
- Joined: Wed Oct 30, 2002 3:18 pm
- Location: Please give your location so we can help better
- Contact:
It's called intraprostatic urethral reflux. Also search for the term urethral stricture. This is the abnormal passage of urine from the urethra into the prostate. Like all fluids, urine flows where pressure is lowest and finds it "convenient" to leave the urethra and flow into the prostate only under certain pathological conditions.
These include:
These problems are best rectified by a urologist.
These include:
- increased endourethral pressure due to urethral narrowing below the prostate, the most common causes being nerve-based periurethral and sphinteric musculature rigidity, congenital stenosis or stenotic outcome of previous episodes of urethritis;
- abnormalities in the first urethral tract due to a narrow or poorly elastic bladder neck i.e. bladder neck sclerosis or dysectasia, which may be congenital or develop early in life. This forces urine sideways into the prostate as it exits the bladder (alpha-blockers may help).
These problems are best rectified by a urologist.
| HAS THIS SITE HELPED YOU? Say Thanks by donating. Keep the Forum alive on the Internet! PayPal link at end of page ↓ Contact me at support at ucpps.men |  |
Re: anatomy question - intraprostatic urethral reflux of uri
Because the prostate gland has ducts opening into the prostatic portion of the urethra.scoobysnacks wrote:if the prostate is on the outside of the urethra which is a toob like structer to carry the urine, then how can urine ever be refluxed into the prostate?
This is not medical advice. Please consult your physician.
should peope with classic chronic prostatitis / chronic pelvic pain syndrome worry about this?.
my symptoms are completely muscular - 100%relief by Ativan.
my symptoms are completely muscular - 100%relief by Ativan.
34 yr consultant, suffering from intermittently past 2 yrs. Tried various prostate supplements, symptoms relieved by ejaculation.
Symptoms- pain at tip and base of penis, urge to urinate (can hold off for hrs), dribbling at end of urination
Symptoms- pain at tip and base of penis, urge to urinate (can hold off for hrs), dribbling at end of urination
urethritis
increased endourethral pressure due to urethral narrowing below the prostate, the most common causes being nerve-based periurethral and sphinteric musculature rigidity, congenital stenosis or stenotic outcome of previous episodes of urethritis;
I have been thru urethritis combined with prostatitis (complete hell). See in cases like above webslave a urologist can't really do anything right? My impression is they can only help if there is a stricture of some sort
Age:29 | Onset Age:19 | Symptoms: constant discomfort, dribbling | Helped By: Stanford/Wise-Anderson Protocol, jogging, taking it easy | Worsened By:
one doctor I had seen at the beginning of chronic prostatitis / chronic pelvic pain syndrome wanted to push his antibiotics, and explained to me that this could be the cause for infections. I don't know why I bought into that theory then..
34 yr consultant, suffering from intermittently past 2 yrs. Tried various prostate supplements, symptoms relieved by ejaculation.
Symptoms- pain at tip and base of penis, urge to urinate (can hold off for hrs), dribbling at end of urination
Symptoms- pain at tip and base of penis, urge to urinate (can hold off for hrs), dribbling at end of urination
-
scoobysnacks
- Retired Mod
- Posts: 696
- Joined: Tue Jan 20, 2004 4:51 am
- Location: USA
- Contact:
The only reason I have a concern over this is because when my levators, sphincer etc get tight in the rectum this causes my muscle upon urination to clench up. I can't tell if the urine actually then flows backward for a bit, or if its just merely stopping it for a split second from coming out.
My perineum never hurts, but sometimes I can't help but think my prostate is hurting, damn this thing, some days are good, other days I'm here worrying about shit.
I know it doesnt help to worry, but its hard not to.
Thanks for explaining. I never had any emptying problems until I got this tightening problem in the rectum.
Again thanks.
My perineum never hurts, but sometimes I can't help but think my prostate is hurting, damn this thing, some days are good, other days I'm here worrying about shit.
I know it doesnt help to worry, but its hard not to.
Thanks for explaining. I never had any emptying problems until I got this tightening problem in the rectum.
Again thanks.
Age:29 | Onset Age: 25.5 | Symptoms: Initially burning in prostate/perineum, burning in urethra, uncontrollable muscle contraction before urinating, dual ache in groin, left testicle pain, feeling of golf ball in rectum, soarness in rectum, and muscle spasms, now mainly very mild urinary tract inflammation, burning mildly after ejaculation, some days after physical activity involuntary mild muscle contraction before urinating | Helped By: .5 mg of Ativan, Aleve (naproxen), quercetin, alcohol in large quantities (vodka and soda), stretching, walking, internal massage the perineum area and levators. | Worsened By: sitting, weightraining, jogging, coffee, caffeine in general, alcohol bothered me at first, overdoing sex
-
Dj Smitty
- Veteran
- Posts: 164
- Joined: Tue Sep 27, 2005 12:59 am
- Location: London, Ontario, Canada
- Contact:
if you're just tightening during a pee, then no, it's likely not going into your prostate. Unless you have a stricture, that's medically impossible, or at least that's what my urologist said to me when I mentioned "back flow". He said that only happens when there is a stricture like Webslave mentioned above. But if you're involuntarily (or voluntarily as most men can do) clenching during a pee, that's not a good idea. It can mess up the strength of your muscles. It's best just to relax as much as you can....try sitting down on the toilet or squatting over it. Standing up to pee is actually very unnatural and is something human males have developed over time.
Age:23 | Onset Age:22 | Symptoms:Urinary hesitancy, moderate frequency, urgency and retention, slight perinneum, rectal and leg pain, frequent abdominal/bladder pain. Red/white spotty irritation on penis | Helped By:hot baths or showers, walking and moving around, pain medications | Worsened By: sitting for a long time, holding urine too long. I'd say I'm about 75% better naturally so far.
-
scoobysnacks
- Retired Mod
- Posts: 696
- Joined: Tue Jan 20, 2004 4:51 am
- Location: USA
- Contact:
Thanks DJ,
No I dont have a stricture, flow after the muscle contraction is completely normal as its always been.
And I in no way voluntarily clench, its totally out of my control. When its tight I can try to not let it happen, but in the end it contracts before flow begins. Luckily, this has become less of the norm. Usually I am peeing without it happening, or at least not as aggresively contracting as it once was.
No I dont have a stricture, flow after the muscle contraction is completely normal as its always been.
And I in no way voluntarily clench, its totally out of my control. When its tight I can try to not let it happen, but in the end it contracts before flow begins. Luckily, this has become less of the norm. Usually I am peeing without it happening, or at least not as aggresively contracting as it once was.
Age:29 | Onset Age: 25.5 | Symptoms: Initially burning in prostate/perineum, burning in urethra, uncontrollable muscle contraction before urinating, dual ache in groin, left testicle pain, feeling of golf ball in rectum, soarness in rectum, and muscle spasms, now mainly very mild urinary tract inflammation, burning mildly after ejaculation, some days after physical activity involuntary mild muscle contraction before urinating | Helped By: .5 mg of Ativan, Aleve (naproxen), quercetin, alcohol in large quantities (vodka and soda), stretching, walking, internal massage the perineum area and levators. | Worsened By: sitting, weightraining, jogging, coffee, caffeine in general, alcohol bothered me at first, overdoing sex
-
LightningTree
- Sage
- Posts: 623
- Joined: Sat Jul 03, 2004 6:50 pm
- Location: San Francisco, CA, USA
- Contact:
Believe it or not Scooby, you can learn to master those mucle contractions. I can even pee standing right next to my boss at a urinal where he can see me and I can't see him. I am the Zen Pee master.
This is not medical advice, and I am NOT a doctor of medicine or a related field.
* Age:33 Onset: February 2004.
* 99.9% IMPROVEMENT in 2.5 Years with the first year being the really hard part
* Current Symptoms: Mild irritation of perineal muscles on occasion. Relieved for days at a time by a specific stretch (see below).
* Initial Symptoms: Terrible penile, urethral, rectal, and perineal burning/aching with addition afferent sensations.
* Current Treatments: Deep stretching of the legs and pelvis. Most effective: Deep psoas and levitar ani stretch using the first phase of the "pigeon pose" from Yoga. When a deep pulling is felt in the middle of the pelvis next to the upper rectum, symptoms are completely alleviated for several days.
* Past Treatments Hyperprotection of the perineum for 1.7 years, Walking, Rectal biofeedback, Stanford/Wise-Anderson Protocol, Conditioned deep relaxation practice, Men's Multi-Vitamin and an Extra B-complex pill, all seemed to help.
-
Astrotitan
- Experienced
- Posts: 115
- Joined: Sun Oct 30, 2005 8:05 am
- Location: Australia
I've made a strange observation regarding a pee. If I go and have a pee while I have something on my mind like solving a problem I am working on or thinking about something else other than if I am going to pee ok, I pee well. But if I go and have a pee thinking if I am going to have a normal pee then I have problems!!
Age 43: Onset June 2005, Initially: perineal pain, discomfort in penis, very sensitive, sometimes burning. Red around the urethra on penis. Increased urination during night, problems with stream, sometimes constant urge to urinate. Exercise and moving around and laying down helps. Sitting down and squatting makes it worse. Improved to about 85-95%. Symptoms usually mild pain near belly button and slight urge to urinate.
-
LightningTree
- Sage
- Posts: 623
- Joined: Sat Jul 03, 2004 6:50 pm
- Location: San Francisco, CA, USA
- Contact:
Exactly, Astrotitan. So the question is, what part of your conscious processes is getting in the way of normal voiding muscle behavior? Can you identify it? Are there emotions connected with it? What if performance anxiety is so tightly coupled with every moment of your life that you aren't even aware that it is constantly fixed to your area of attention?
This is not medical advice, and I am NOT a doctor of medicine or a related field.
* Age:33 Onset: February 2004.
* 99.9% IMPROVEMENT in 2.5 Years with the first year being the really hard part
* Current Symptoms: Mild irritation of perineal muscles on occasion. Relieved for days at a time by a specific stretch (see below).
* Initial Symptoms: Terrible penile, urethral, rectal, and perineal burning/aching with addition afferent sensations.
* Current Treatments: Deep stretching of the legs and pelvis. Most effective: Deep psoas and levitar ani stretch using the first phase of the "pigeon pose" from Yoga. When a deep pulling is felt in the middle of the pelvis next to the upper rectum, symptoms are completely alleviated for several days.
* Past Treatments Hyperprotection of the perineum for 1.7 years, Walking, Rectal biofeedback, Stanford/Wise-Anderson Protocol, Conditioned deep relaxation practice, Men's Multi-Vitamin and an Extra B-complex pill, all seemed to help.