My story...What can I do?

[webslave]

Do not put any other medications on the area. That's all part of stressing and obsessing and over-focusing on the issue, which is exactly what you do not want to do if you are going to get better.

I have never heard of anyone injuring themselves during penetration other than a penile fracture, which is not what happened to you. You can Google that to see how serious it can be (it's associated with a popping or cracking sound and a rapid loss of erection, and requires surgery to correct).

You are showing many signs of anxiety disorder. I hope you can get that treated.

[User-CPPS]

Dear webslave. Thank you very much.

I will do so.
Yes anxiety is killing me.

To put this topic for me to the shelves, there is one detail that is bothering me and I forgot to mention:

After all those chemicals (dexpanthenol ointment,
Octenidindihydrochlorid Spray) I used glycerin cream (which states it is ok for children) on the penis including urethra opening. As before, I did not know better about leaving this area in peace and about glycerine in particular to be harmful.

So with this last detail (putting on glycering cream) would still all what you said before count (chemicals stressed the area, leave it be, I will pass) or does it make a difference?

Ingredients :

Aqua
Glycerin
Patagonia liquidum
Caprilic tryglycerids
Ceateryl alcohol
Sodium ceateryl sulfate
Citric acidic petrolatum
Phenoxyethanol
Ethylhexylglycerin

[webslave]

No, it will pass. It may take a week or two, so just try to be calm about it. Stop putting things on that area, things whose side-effects you do not understand.

[User-CPPS]

Thank you, webslave. I will do my best.

Right now I have a complete fall back to UCPPS.

I wake up noticing that my pelvis clenched due to my anxieties that I suffer from while sleeping.

I start with Duloxetine 30 mg today after being with my psychiatrist yesterday. Hope this helps.

I don’t have pain while urinating but after it I feel a burning or itching or simple pain in the urethra in the glans area.

Sometimes I feel the pain in the whole pelvic area.

I also had some issues to urinate: I peed and then I thought it stopped but then it continued. Then I am left with a dull feeling of discomfort which lasts at least 10 minutes and stress in the area until the next time I have to go the bathroom.

Having a burning skin in that area aggravates that feelings.

My mind catastrophes that I could live with that my whole life from now on or at least will suffer for a long time though it is all „been there done that“.

I will go to uro today to give a urine sample just for peace of mind. If it is just UCPPS I would be more relaxed as ironic it sounds. Without medication I am a hypochondriac and I am always in fear of being harmed in the genital area.

The only time I had real bacteria was in 2012 and felt different. I woke up with fever and fell on the floor when I went to the bathroom. Urinating was painful. Uro found bacteria. In that part of my life I was heart broken by someone I was dating. Other than that I don’t know what caused my immune system to get those bacteria.

If I know for sure that I don’t have bacteria I can focus 100% to relaxing my pelvis and my mind. I meditate every night for 7 minutes since weekend.

[User-CPPS]

Have you heard from latent or small fractures? You don’t have the symptoms that you have with the emergency case. This is what I fear. They can lead to penis deviation and erectile dysfunction in the worst case. In best case it heals on its own. I hope the duloxetine kicks in fast so I can get over things faster.

[webslave]

In order to have any kind of fracture, a traumatic event has to take place, a violent event in which the penis is severely deformed and bent. This is not what happened to you. You are indulging in catastrophizing. You have to control your mind, not surrender to it.

[User-CPPS]

Ok, I just come from uro. I had residual urine seen in ultra sound and a hematoma on the right side of the penis shank which probably comes from sex. I cannot remember what happened on this area.

Yes I am panicking. If I do a uro flow metric next time and there is still residual urine he will recommend a cystoscopy.

About the hematoma he said I should not worry. It is nothing like a penile fracture. Just don’t have sex for two weeks.

About my skin:
He said it looks ok, I should not worry, but I could use a certain ointment for that area just in case there was fungus or bacteria:
I should use it for a week three times a day.

Active ingredients
1 mg Dexamethason
100000 I.E. Nystatin
11.5 mg Chlorhexidin dihydrochlorid
other:
Dinatrium edetat-2-water
Macrogol 400
Macrogol 4000

What do you say? Don’t use it and just use it if it does not become better in some weeks?

I also have been with my dermatologist today who I saw because of toe nail fungus and he told me not to do anything just to wait.

[webslave]

Whoa, stay calm! A hematoma is a bruise, totally insignificant. Residual urine is something many men over 40 have. I have it all the time, which is why I patiently sit to pee and keep peeing little amounts until no more comes out. I do that because if you leave a little pool of always-present urine in the bladder, it can act as a reservoir for a bladder infection to get going.

Personally I would not bother with a cystoscopy. Beware uros, they are always trying to line men up for (a) billable procedures and (b) surgery, often unnecessarily.

That ointment is just a steroid cream and yes, it's safe to use, but keep it away from the entrance to the urethra.

[User-CPPS]

About the ointment:
It is safe, but should I use it or just let the skin be for a two weeks and use it then if necessary?
And if I use it, just until the glans begins so there is enough space until the urethra.
It states it is safe for mucosa but I understand you that it will be irritating nevertheless.

About the bruise
I will stop thinking about it and let it heal.

About the residual urine
Should I go there this week again to do the uro flow metric and another ultrasound of the bladder?
Can the pelvic floor lead to residual urine? The uro denied it.
This uro is not my regular uro, my regular uro has closed because of holidays.

About my new drug duloxetine
Up to one of 100 can get urinary retention of reduced flow.
Is this something to worry with our condition or try and stop it if I see I can’t urinate??

[webslave]

1. Use it. It's harmless. Keep off the opening.
2. Good
3. The residual urine could be caused by the minor inflammation of prostate typical of UCPPS, and at your age you may even have some BPH. None of it is important. I have told you to avoid the uro from now on, or you will end up paying for a lot of unnecessary tests and procedures.
4. Please stop with the catastrophizing.

[User-CPPS]

Dear webslave and all,

I am in a terrible position in my life.

Duloxetine does not work for me. I need to stop after three days since I had no sleep and suffer from hot flashes.

I need to return to Prozac with the next chance to combat my depression and OCD.

I suffer from a full return of UCPPS. I have pain while sitting in the right side of my body: penis tip, right testicle, bladder strain, right abdomen, exactly as in the bad days.

Also I have urethral burning in the penis tip. Since my head is sick and two doctors already told me that my skin of the penis looks ok I still feel it burning and hot. When I sit or lay it is worse.

About the cream: webslave, my Uro who gave me the cream three times a day for a week told me I could use the cream also in the glans and the urethral opening. Could you please explain to me why you don’t recommend it in the opening because my ocd is getting me crazy. Still, I did not apply anything on the skin but water from a shower because I don’t know what to do. The burning skin feeling did not leave me yet.

At least the uro calmed me down about the octenisept spray I mentioned earlier: he uses it before cystoscopy and my body will tolerate the irritation.

My plans: Tadalafil is not enough. I need to add an Alfuzosin in the new year and pray that it will give me relief. There is a local pelvic floor center where I live where my uro sends me. Hopefully they know this sickness and don’t just treat women. Hopefully they can do internal trigger points. Getting better with meditation. Returning to stretches. Returning to Prozac.

I think that the fact that I don’t take any OCD meds at the moment don’t let me heal earlier.

Please, this burning inside and outside the penis takes my will to live. I lose all hope because I can’t take it anymore. I also have other body pain: shoulders and neck. In the cold weather I am “guarding” all the time and it does not help with CPPS.

[User-CPPS]

PS:

It is a week I did not have ejaculation. I fear to check if it is painless. Should I dare to try?

Also, I used to care the dry skin of my penis with “baby oil”.
My brand contains:

• Brassica Campestris Seed Oil,

• Ethylhexy. Stearate,

• Prunus Amygdalus Dulcis Oil,

• Tocopherol,

• Helianthus Annuus Seed Oil.

Is it safe for the complete penis including glans and urethral opening?
Before I suffer from burning skin it was safe for me.

“Interesting” info about my UCPPS return of 2004:
I was a frustrated young man without a girl friend.
I tried to shave my pubic hair and the hair on my penis.
One time I had burning after shaving and the dermatologists told me they don’t see a problem. So I had this burning for months and then I started all the UCPPS symptoms because of guarding, discomfort and over focussing on this area.

Before that in 1996, I was a 14 year old boy who got kicked in the nuts in a basketball game on my birthday. Nobody saw it. I felt the sitting discomfort directly after that game and my birthday was ruined. Fortunately I recovered within six months but got a cystoscopy because nobody knew about UCPPS back then and they had to rule out cancer.

So I am deeply traumatized and without the meds I remember so much of my past.

[webslave]

1. Ejaculation is fine, but remember to follow the relaxation rule
2. Your injury at age 14 may be completely unrelated to your UCPPS
3. Burning sensation after shaving, as well as the pain escalation from OCD, both point to central sensitization and neuronal windup. So you have a psychologically and neurologically mediated condition that you already partially understand.
4. Your baby oil is harmless
5. Cold weather is a major trigger, as you have correctly identified. Do you have access to saunas in your location, perhaps via a gym?

[User-CPPS]

Thanks webslave,

1. ok
2. ok, but it was the first time I had the UCPPS symptoms after having this injury. My psychologist thinks this got me retraumatized because of a circumcision I had directly after being born. I tended do guard the genitals growing up a lot and feel shame. Hitting puberty I had a lot of self esteem issues down under. And that accident at age 14 was the start in my opinion but I also respect yours that it could not be related.
3. good. Prozac is the best medication for OCD there. I need to get back to it.
4. great
5. sauna is a problem because my wife and I still want to get a baby and that temperature is bad for the sperm and I already take too much medication and die to CPPS I am already worse of in terms of sperm. So this has to wait.

What is your position to add Alfuzosin to my therapy?

Also, I hope not to anger you because I keep asking about this:
Active ingredients
1 mg Dexamethason
100000 I.E. Nystatin
11.5 mg Chlorhexidin dihydrochlorid
other:
Dinatrium edetat-2-water
Macrogol 400
Macrogol 4000

About the cream: webslave, my Uro who gave me the cream three times a day for a week told me I could use the cream also in the glans and the urethral opening. Could you please explain to me why you don’t recommend it in the opening because my ocd is getting me crazy.

[webslave]

The alpha-blocker is worth trying for 3 months at least, and if it does not help after that time, discontinue.

The cream in the opening (meatus): that cream is probably alright, all except for the chlorhexidine. This is what Mayo Clinic says about it:

Chlorhexidine should only be used on the skin. Do not swallow it or get it in the eyes, ears, mouth, or nose. Do not use it on the genital area (sex organs) or anal area. If it does get on these areas, rinse it off right away.