Quite strange, but during the last two weeks I had most of the days when I felt no abdominal aches at all, just the constant burning and tenderness in my tip of penis. Usually it tended to come back 1-3 hours after I go to sleep but in the last days only after 5-6 hours or so. I hope it will sustain itself. I've been taking alfuzosin (10mgX1/d) for more than 4 months and saw palmetto (450mgX2-4/d) for a month. Could have they been helping me with the pain?
This way or another, I plan to visit my urologist next month, any maybe also a psychiatrist, to consider another options (drug therapy - antidepressants/muscle relaxants/anticonvulsants - and other therapies).
I'll keep you updated.
Nocturia, frequency, hydrocele, hernia (Wolfcub's case)
-
Wolfcub
- Experienced
- Posts: 117
- Joined: Sat Oct 13, 2012 12:06 am
- Location: Israel
Re: Nocturia, frequency, hydrocele, hernia (Wolfcub's case)
Age: 30 | Onset Age: 19| Symptoms: Urinary frequency, Urinary urgency, constant 24/7 sensation in the penis (in the tip mainly - burning/pressure/discomfort/"wetness"), Nocturia, discomfort and pressure in the pelvic region radiating to the abdomen and becoming severe as time passes since last urination (resolved in 2014 by myofascial release), Stream velocity is somewhat slow and prolonged with an average velocity of ~13cc/min (and max 18cc/min) found in flowmetry test when bladder is filled with 500cc at age 25 (I always feel like I need to press my abdomen to urinate, improved later on when using alpha blockers)| Helped By: especially MYOFASCIAL RELEASE (especially in the areas of hips and abdomen) - generally resolved my abdominal aches, but penile symptoms remained the same| Worsened By: Coffee and possibly some other food as well| Other comments: Quercetin and acupuncture helped me no more than a placebo effect. Age 25-26: Diagnosed with indirect inguinal hernia and medium hydrocele at the same side. After operation many of the acute symptoms disappeared, but the chronic urinary and pelvic symptoms remained much the same.
-
webslave
- Maintenance
- Posts: 11432
- Joined: Wed Oct 30, 2002 3:18 pm
- Location: Please give your location so we can help better
Re: Nocturia, frequency, hydrocele, hernia (Wolfcub's case)
Alpha-blockers like alfuzosin (Uroxatral) can take a few months to kick in, so that could be what's helping. Doubt that the saw palmetto is helping. It's not useful for our condition, according to most reports.
Good News! The great ProstaQ is BACK at last! You must try it.
| 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 |  |
-
Wolfcub
- Experienced
- Posts: 117
- Joined: Sat Oct 13, 2012 12:06 am
- Location: Israel
Re: Nocturia, frequency, hydrocele, hernia (Wolfcub's case)
well, I got some bottles of Saw Palmetto for free, so I don't mind...
Age: 30 | Onset Age: 19| Symptoms: Urinary frequency, Urinary urgency, constant 24/7 sensation in the penis (in the tip mainly - burning/pressure/discomfort/"wetness"), Nocturia, discomfort and pressure in the pelvic region radiating to the abdomen and becoming severe as time passes since last urination (resolved in 2014 by myofascial release), Stream velocity is somewhat slow and prolonged with an average velocity of ~13cc/min (and max 18cc/min) found in flowmetry test when bladder is filled with 500cc at age 25 (I always feel like I need to press my abdomen to urinate, improved later on when using alpha blockers)| Helped By: especially MYOFASCIAL RELEASE (especially in the areas of hips and abdomen) - generally resolved my abdominal aches, but penile symptoms remained the same| Worsened By: Coffee and possibly some other food as well| Other comments: Quercetin and acupuncture helped me no more than a placebo effect. Age 25-26: Diagnosed with indirect inguinal hernia and medium hydrocele at the same side. After operation many of the acute symptoms disappeared, but the chronic urinary and pelvic symptoms remained much the same.
-
Wolfcub
- Experienced
- Posts: 117
- Joined: Sat Oct 13, 2012 12:06 am
- Location: Israel
Re: Nocturia, frequency, hydrocele, hernia (Wolfcub's case)
An update:
Stopped the Saw Palmetto as it seemed to made no difference. However, just recently I've started taking Quercetin in addition to alpha-1 blocker which I've already been taking (alfuzosin) on a daily basis and been noticing a further improvement in symptoms - abdominal aches gone completely, my sleeping is much less interrupted (~1-3 times per 7-8 hours of sleep compared to 3-6 times before drug therapy) and now when I press along the penis/urethra and perineal area it feels ALMOST NORMAL compared to having that strong irritating burning/stabbing sensations before taking Quercetin. (effect started to be felt within a week since onset). It seems to help me more than a placebo effect. My (almost) only symptom now is that penile constant discomfort (very "light" burning/irritating sensation). Maybe it could wear off with time... In a month I'll try to reassess using the NIH-Score,
Stopped the Saw Palmetto as it seemed to made no difference. However, just recently I've started taking Quercetin in addition to alpha-1 blocker which I've already been taking (alfuzosin) on a daily basis and been noticing a further improvement in symptoms - abdominal aches gone completely, my sleeping is much less interrupted (~1-3 times per 7-8 hours of sleep compared to 3-6 times before drug therapy) and now when I press along the penis/urethra and perineal area it feels ALMOST NORMAL compared to having that strong irritating burning/stabbing sensations before taking Quercetin. (effect started to be felt within a week since onset). It seems to help me more than a placebo effect. My (almost) only symptom now is that penile constant discomfort (very "light" burning/irritating sensation). Maybe it could wear off with time... In a month I'll try to reassess using the NIH-Score,
Age: 30 | Onset Age: 19| Symptoms: Urinary frequency, Urinary urgency, constant 24/7 sensation in the penis (in the tip mainly - burning/pressure/discomfort/"wetness"), Nocturia, discomfort and pressure in the pelvic region radiating to the abdomen and becoming severe as time passes since last urination (resolved in 2014 by myofascial release), Stream velocity is somewhat slow and prolonged with an average velocity of ~13cc/min (and max 18cc/min) found in flowmetry test when bladder is filled with 500cc at age 25 (I always feel like I need to press my abdomen to urinate, improved later on when using alpha blockers)| Helped By: especially MYOFASCIAL RELEASE (especially in the areas of hips and abdomen) - generally resolved my abdominal aches, but penile symptoms remained the same| Worsened By: Coffee and possibly some other food as well| Other comments: Quercetin and acupuncture helped me no more than a placebo effect. Age 25-26: Diagnosed with indirect inguinal hernia and medium hydrocele at the same side. After operation many of the acute symptoms disappeared, but the chronic urinary and pelvic symptoms remained much the same.
-
Wolfcub
- Experienced
- Posts: 117
- Joined: Sat Oct 13, 2012 12:06 am
- Location: Israel
Re: Nocturia, frequency, hydrocele, hernia (Wolfcub's case)
What do you think?
You do not have the required permissions to view the files attached to this post.
Age: 30 | Onset Age: 19| Symptoms: Urinary frequency, Urinary urgency, constant 24/7 sensation in the penis (in the tip mainly - burning/pressure/discomfort/"wetness"), Nocturia, discomfort and pressure in the pelvic region radiating to the abdomen and becoming severe as time passes since last urination (resolved in 2014 by myofascial release), Stream velocity is somewhat slow and prolonged with an average velocity of ~13cc/min (and max 18cc/min) found in flowmetry test when bladder is filled with 500cc at age 25 (I always feel like I need to press my abdomen to urinate, improved later on when using alpha blockers)| Helped By: especially MYOFASCIAL RELEASE (especially in the areas of hips and abdomen) - generally resolved my abdominal aches, but penile symptoms remained the same| Worsened By: Coffee and possibly some other food as well| Other comments: Quercetin and acupuncture helped me no more than a placebo effect. Age 25-26: Diagnosed with indirect inguinal hernia and medium hydrocele at the same side. After operation many of the acute symptoms disappeared, but the chronic urinary and pelvic symptoms remained much the same.
-
Wolfcub
- Experienced
- Posts: 117
- Joined: Sat Oct 13, 2012 12:06 am
- Location: Israel
Re: Nocturia, frequency, hydrocele, hernia (Wolfcub's case)
The "culprit":
I always answer "always" (=5 points) there, because I always have discomfort in the penis.
I always answer "always" (=5 points) there, because I always have discomfort in the penis.
You do not have the required permissions to view the files attached to this post.
Age: 30 | Onset Age: 19| Symptoms: Urinary frequency, Urinary urgency, constant 24/7 sensation in the penis (in the tip mainly - burning/pressure/discomfort/"wetness"), Nocturia, discomfort and pressure in the pelvic region radiating to the abdomen and becoming severe as time passes since last urination (resolved in 2014 by myofascial release), Stream velocity is somewhat slow and prolonged with an average velocity of ~13cc/min (and max 18cc/min) found in flowmetry test when bladder is filled with 500cc at age 25 (I always feel like I need to press my abdomen to urinate, improved later on when using alpha blockers)| Helped By: especially MYOFASCIAL RELEASE (especially in the areas of hips and abdomen) - generally resolved my abdominal aches, but penile symptoms remained the same| Worsened By: Coffee and possibly some other food as well| Other comments: Quercetin and acupuncture helped me no more than a placebo effect. Age 25-26: Diagnosed with indirect inguinal hernia and medium hydrocele at the same side. After operation many of the acute symptoms disappeared, but the chronic urinary and pelvic symptoms remained much the same.
-
webslave
- Maintenance
- Posts: 11432
- Joined: Wed Oct 30, 2002 3:18 pm
- Location: Please give your location so we can help better
Re: Nocturia, frequency, hydrocele, hernia (Wolfcub's case)
I think Quercetin is obviously having a positive effect.Wolfcub wrote:What do you think?
Good News! The great ProstaQ is BACK at last! You must try it.
| 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 | |
-
Caedar
- Old Hand
- Posts: 319
- Joined: Mon May 20, 2013 9:08 pm
- Location: Massachusetts, USA
Re: Nocturia, frequency, hydrocele, hernia (Wolfcub's case)
A quick question, Wolfcub. The symptoms you list in your signature and how you described them in jcacciat's thread instantly makes me think of interstitial cystitis / painful bladder syndrome. Have you been checked out for IC/PBS or tried taking an antihistamine and/or Elmiron?
Age: 26 | Onset Age: 23 | Symptoms: Neuropathic-like pain and hyperalgesia (lateral/anterior thighs mostly, but distributed throughout body); Pain (penis shaft, right side, when erect for long or excess masturbation) | Previous Symptoms: Pain (testicles; penis underside, mostly near base and running up urethra, sharp/burning; perennial region, dull; ejaculatory; post-ejaculatory); Urinary (moderate incomplete voiding; moderate frequency and pain on bladder filling); Sensations (cold in head of penis) | Helped By: Stretching (especially hip rotators and flexors); Yoga (especially lunges, warrior 2, and pigeon) Trigger point release (abdominals; iliopsoas; gluteus muscles and piriformis; bulbospongiosus & ischiocavernosus; thigh adductors); Meditation (mindfulness); Walking & Aerobic Exercise | Worsened By: Stress, anxiety, too much alcohol, lack of sleep, sitting at length | Current prescriptions: nortriptyline (10 mg, 1x at night; for CNS sensitization and IBS) Previous prescriptions: hydroxyzine (10 mg, 1x at night; for urinary symptoms/mast cell stabilization; useful), clonazepam (0.25-0.5 mg, 1x at night; for anxiety/CNS sensitization; useful for short time)
-
Wolfcub
- Experienced
- Posts: 117
- Joined: Sat Oct 13, 2012 12:06 am
- Location: Israel
Re: Nocturia, frequency, hydrocele, hernia (Wolfcub's case)
I asked the urologist who diagnosed me if it can also be attributed to IC/PBS... he said no. I didn't try those drugs.Have you been checked out for IC/PBS or tried taking an antihistamine and/or Elmiron?
Age: 30 | Onset Age: 19| Symptoms: Urinary frequency, Urinary urgency, constant 24/7 sensation in the penis (in the tip mainly - burning/pressure/discomfort/"wetness"), Nocturia, discomfort and pressure in the pelvic region radiating to the abdomen and becoming severe as time passes since last urination (resolved in 2014 by myofascial release), Stream velocity is somewhat slow and prolonged with an average velocity of ~13cc/min (and max 18cc/min) found in flowmetry test when bladder is filled with 500cc at age 25 (I always feel like I need to press my abdomen to urinate, improved later on when using alpha blockers)| Helped By: especially MYOFASCIAL RELEASE (especially in the areas of hips and abdomen) - generally resolved my abdominal aches, but penile symptoms remained the same| Worsened By: Coffee and possibly some other food as well| Other comments: Quercetin and acupuncture helped me no more than a placebo effect. Age 25-26: Diagnosed with indirect inguinal hernia and medium hydrocele at the same side. After operation many of the acute symptoms disappeared, but the chronic urinary and pelvic symptoms remained much the same.
-
Caedar
- Old Hand
- Posts: 319
- Joined: Mon May 20, 2013 9:08 pm
- Location: Massachusetts, USA
Re: Nocturia, frequency, hydrocele, hernia (Wolfcub's case)
Did he give a reason why it couldn't be attributed to IC/PBS? Nocturia, frequency, and pain on bladder filling are all prominent symptoms in IC, as is acidic foods/drinks (e.g., coffee, as stated in your signature) making your symptoms worse.
Age: 26 | Onset Age: 23 | Symptoms: Neuropathic-like pain and hyperalgesia (lateral/anterior thighs mostly, but distributed throughout body); Pain (penis shaft, right side, when erect for long or excess masturbation) | Previous Symptoms: Pain (testicles; penis underside, mostly near base and running up urethra, sharp/burning; perennial region, dull; ejaculatory; post-ejaculatory); Urinary (moderate incomplete voiding; moderate frequency and pain on bladder filling); Sensations (cold in head of penis) | Helped By: Stretching (especially hip rotators and flexors); Yoga (especially lunges, warrior 2, and pigeon) Trigger point release (abdominals; iliopsoas; gluteus muscles and piriformis; bulbospongiosus & ischiocavernosus; thigh adductors); Meditation (mindfulness); Walking & Aerobic Exercise | Worsened By: Stress, anxiety, too much alcohol, lack of sleep, sitting at length | Current prescriptions: nortriptyline (10 mg, 1x at night; for CNS sensitization and IBS) Previous prescriptions: hydroxyzine (10 mg, 1x at night; for urinary symptoms/mast cell stabilization; useful), clonazepam (0.25-0.5 mg, 1x at night; for anxiety/CNS sensitization; useful for short time)
-
Wolfcub
- Experienced
- Posts: 117
- Joined: Sat Oct 13, 2012 12:06 am
- Location: Israel
Re: Nocturia, frequency, hydrocele, hernia (Wolfcub's case)
a little update: I'm not sure if it's significant enough yet, but in the last two weeks I changed the Quercetin dose from 500mg per day to ~1gr per day, and I tend to feel less abdominal aches and less irritation in the tip of penis and perineal/urethra area (yet the latter is always there).
Is it possible Quercetin helping me too and I didn't reach its optimal effect for me?
Lately I've been thinking to try acupunctuire in addition, and another drugs such as SSRIs/SNRIs... My fantasy is still to get rid of that annoying sensation in the tip of penis.
Is it possible Quercetin helping me too and I didn't reach its optimal effect for me?
Lately I've been thinking to try acupunctuire in addition, and another drugs such as SSRIs/SNRIs... My fantasy is still to get rid of that annoying sensation in the tip of penis.
I have no other symptoms (my bowel habits and function for example are just fine, even excellent). About food - the only thing I found affecting is Caffeine... I also tested many other things such as citric acid and spicy food... those seemed to have no effect on my symptoms.Caedar wrote:Did he give a reason why it couldn't be attributed to IC/PBS? Nocturia, frequency, and pain on bladder filling are all prominent symptoms in IC, as is acidic foods/drinks (e.g., coffee, as stated in your signature) making your symptoms worse.
Age: 30 | Onset Age: 19| Symptoms: Urinary frequency, Urinary urgency, constant 24/7 sensation in the penis (in the tip mainly - burning/pressure/discomfort/"wetness"), Nocturia, discomfort and pressure in the pelvic region radiating to the abdomen and becoming severe as time passes since last urination (resolved in 2014 by myofascial release), Stream velocity is somewhat slow and prolonged with an average velocity of ~13cc/min (and max 18cc/min) found in flowmetry test when bladder is filled with 500cc at age 25 (I always feel like I need to press my abdomen to urinate, improved later on when using alpha blockers)| Helped By: especially MYOFASCIAL RELEASE (especially in the areas of hips and abdomen) - generally resolved my abdominal aches, but penile symptoms remained the same| Worsened By: Coffee and possibly some other food as well| Other comments: Quercetin and acupuncture helped me no more than a placebo effect. Age 25-26: Diagnosed with indirect inguinal hernia and medium hydrocele at the same side. After operation many of the acute symptoms disappeared, but the chronic urinary and pelvic symptoms remained much the same.
-
Caedar
- Old Hand
- Posts: 319
- Joined: Mon May 20, 2013 9:08 pm
- Location: Massachusetts, USA
Re: Nocturia, frequency, hydrocele, hernia (Wolfcub's case)
On quercetin: If you aren't taking quercetin with an absorption enhancer (bromelain, etc.), you may need a higher dose than normal to get the full effects, which is what you're seeing here.
On acupuncture and SSRI/SNRIs: I believe acupuncture is best for regional neuropathic pain. I'm not necessarily sure it would do much for you based on your symptoms, but I'm not a doctor. On the drugs, have you tried a low dose of a tricyclic (amitriptyline or nortriptyline)? Those are the first-line antidepressant treatments.
On IC/symptomatology: Bowel habits/functions aren't direct symptoms of IC, just bladder/urethral habits/function/pain. (Of course, as in any pain/chronic condition, things can overlap.) I would very seriously consider IC as an underlying cause, especially with the pain at the tip of your penis (urethra?) and the caffeine sensitivity. My primary chronic prostatitis / chronic pelvic pain syndrome doctor diagnosed me with IC as one underlying factor because of urethral pain along with serious changes in bladder habits with alcohol and caffeine. Now that I'm taking hydroxyzine and Prelief tablets, those symptoms have gone away almost completely, right in line with the IC diagnosis. I'll be going on Elmiron in a month to further relieve this issue.
On acupuncture and SSRI/SNRIs: I believe acupuncture is best for regional neuropathic pain. I'm not necessarily sure it would do much for you based on your symptoms, but I'm not a doctor. On the drugs, have you tried a low dose of a tricyclic (amitriptyline or nortriptyline)? Those are the first-line antidepressant treatments.
On IC/symptomatology: Bowel habits/functions aren't direct symptoms of IC, just bladder/urethral habits/function/pain. (Of course, as in any pain/chronic condition, things can overlap.) I would very seriously consider IC as an underlying cause, especially with the pain at the tip of your penis (urethra?) and the caffeine sensitivity. My primary chronic prostatitis / chronic pelvic pain syndrome doctor diagnosed me with IC as one underlying factor because of urethral pain along with serious changes in bladder habits with alcohol and caffeine. Now that I'm taking hydroxyzine and Prelief tablets, those symptoms have gone away almost completely, right in line with the IC diagnosis. I'll be going on Elmiron in a month to further relieve this issue.
Age: 26 | Onset Age: 23 | Symptoms: Neuropathic-like pain and hyperalgesia (lateral/anterior thighs mostly, but distributed throughout body); Pain (penis shaft, right side, when erect for long or excess masturbation) | Previous Symptoms: Pain (testicles; penis underside, mostly near base and running up urethra, sharp/burning; perennial region, dull; ejaculatory; post-ejaculatory); Urinary (moderate incomplete voiding; moderate frequency and pain on bladder filling); Sensations (cold in head of penis) | Helped By: Stretching (especially hip rotators and flexors); Yoga (especially lunges, warrior 2, and pigeon) Trigger point release (abdominals; iliopsoas; gluteus muscles and piriformis; bulbospongiosus & ischiocavernosus; thigh adductors); Meditation (mindfulness); Walking & Aerobic Exercise | Worsened By: Stress, anxiety, too much alcohol, lack of sleep, sitting at length | Current prescriptions: nortriptyline (10 mg, 1x at night; for CNS sensitization and IBS) Previous prescriptions: hydroxyzine (10 mg, 1x at night; for urinary symptoms/mast cell stabilization; useful), clonazepam (0.25-0.5 mg, 1x at night; for anxiety/CNS sensitization; useful for short time)
-
Wolfcub
- Experienced
- Posts: 117
- Joined: Sat Oct 13, 2012 12:06 am
- Location: Israel
Re: Nocturia, frequency, hydrocele, hernia (Wolfcub's case)
Thanks for your feedback and thoughts. I haven't seen him (the urologist) for almost 10 months.
I'm very happy for you, and amazed, that your urethral symptoms are relieved! It also gives me hope.
I'm very happy for you, and amazed, that your urethral symptoms are relieved! It also gives me hope.
Age: 30 | Onset Age: 19| Symptoms: Urinary frequency, Urinary urgency, constant 24/7 sensation in the penis (in the tip mainly - burning/pressure/discomfort/"wetness"), Nocturia, discomfort and pressure in the pelvic region radiating to the abdomen and becoming severe as time passes since last urination (resolved in 2014 by myofascial release), Stream velocity is somewhat slow and prolonged with an average velocity of ~13cc/min (and max 18cc/min) found in flowmetry test when bladder is filled with 500cc at age 25 (I always feel like I need to press my abdomen to urinate, improved later on when using alpha blockers)| Helped By: especially MYOFASCIAL RELEASE (especially in the areas of hips and abdomen) - generally resolved my abdominal aches, but penile symptoms remained the same| Worsened By: Coffee and possibly some other food as well| Other comments: Quercetin and acupuncture helped me no more than a placebo effect. Age 25-26: Diagnosed with indirect inguinal hernia and medium hydrocele at the same side. After operation many of the acute symptoms disappeared, but the chronic urinary and pelvic symptoms remained much the same.
-
Wolfcub
- Experienced
- Posts: 117
- Joined: Sat Oct 13, 2012 12:06 am
- Location: Israel
Re: Nocturia, frequency, hydrocele, hernia (Wolfcub's case)
By the way, in addition to the abdomen I have trigger points in the areas under my both armpits (region of Subscapularis) and on the sides of the rib cage... When it hurts it feels much like the perineal and penile pain... I wonder if this is all linked somehow.
Age: 30 | Onset Age: 19| Symptoms: Urinary frequency, Urinary urgency, constant 24/7 sensation in the penis (in the tip mainly - burning/pressure/discomfort/"wetness"), Nocturia, discomfort and pressure in the pelvic region radiating to the abdomen and becoming severe as time passes since last urination (resolved in 2014 by myofascial release), Stream velocity is somewhat slow and prolonged with an average velocity of ~13cc/min (and max 18cc/min) found in flowmetry test when bladder is filled with 500cc at age 25 (I always feel like I need to press my abdomen to urinate, improved later on when using alpha blockers)| Helped By: especially MYOFASCIAL RELEASE (especially in the areas of hips and abdomen) - generally resolved my abdominal aches, but penile symptoms remained the same| Worsened By: Coffee and possibly some other food as well| Other comments: Quercetin and acupuncture helped me no more than a placebo effect. Age 25-26: Diagnosed with indirect inguinal hernia and medium hydrocele at the same side. After operation many of the acute symptoms disappeared, but the chronic urinary and pelvic symptoms remained much the same.
-
Wolfcub
- Experienced
- Posts: 117
- Joined: Sat Oct 13, 2012 12:06 am
- Location: Israel
Re: Nocturia, frequency, hydrocele, hernia (Wolfcub's case)
I've been feeling like I'm on the edge of developing fibromyalgia or some kind of myofascial pain syndrome...
Now found this report:
Now found this report:
The likelihood of developing fibromyalgia and chronic fatigue syndrome increases over time in patients with urologic chronic pelvic pain syndromes (UCPPS), but only men seem to experience worsening of their urologic symptoms the longer the symptoms exist, according to analyses of the baseline characteristics of the Multidisciplinary Approach to Pelvic Pain (MAPP) study cohort.
Publish date: SEP 01, 2013
By: Cheryl Guttman Krader
Age: 30 | Onset Age: 19| Symptoms: Urinary frequency, Urinary urgency, constant 24/7 sensation in the penis (in the tip mainly - burning/pressure/discomfort/"wetness"), Nocturia, discomfort and pressure in the pelvic region radiating to the abdomen and becoming severe as time passes since last urination (resolved in 2014 by myofascial release), Stream velocity is somewhat slow and prolonged with an average velocity of ~13cc/min (and max 18cc/min) found in flowmetry test when bladder is filled with 500cc at age 25 (I always feel like I need to press my abdomen to urinate, improved later on when using alpha blockers)| Helped By: especially MYOFASCIAL RELEASE (especially in the areas of hips and abdomen) - generally resolved my abdominal aches, but penile symptoms remained the same| Worsened By: Coffee and possibly some other food as well| Other comments: Quercetin and acupuncture helped me no more than a placebo effect. Age 25-26: Diagnosed with indirect inguinal hernia and medium hydrocele at the same side. After operation many of the acute symptoms disappeared, but the chronic urinary and pelvic symptoms remained much the same.