My doctor recently prescribed Flomax for me to take, after I had issues with urgency and frequency. It took a while to work (more than 3 weeks), but now seems to be doing a good job. I go less often, and in higher volume. I can get through the night without urinating.
However, I have noticed some othe weird things going on. I have a slight discomfort on the tip of the penis and about 1/4 on an inch inside. Almost a slight itching or burning. Interestingly enough, this didn't start until AFTER the Flomax took full effect and my urgency/frequency went down. It's almost like one issue was replaced with another.
Is it the Flomax? I'm also taking saw palmetto, prostatonin, clorophyll, and Vitamin C with Quercetin.
Flomax side effects
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reality2day
Re: Flomax side effects
IMHO Flomax probably isn't the cause of your "weird" symptoms. It sounds like continued activity of the syndrome. I also think it's likely your lower urinary irritative symptoms (urgency/frequency) didn't go away due to Flomax, as this medicine generally a)works promptly b)works more on obstructive symptoms (slow flow, etc.). Hope that helps.Carlton Higgins wrote:My doctor recently prescribed Flomax for me to take, after I had issues with urgency and frequency. It took a while to work (more than 3 weeks), but now seems to be doing a good job. I go less often, and in higher volume. I can get through the night without urinating.
However, I have noticed some othe weird things going on. I have a slight discomfort on the tip of the penis and about 1/4 on an inch inside. Almost a slight itching or burning. Interestingly enough, this didn't start until AFTER the Flomax took full effect and my urgency/frequency went down. It's almost like one issue was replaced with another.
Is it the Flomax? I'm also taking saw palmetto, prostatonin, clorophyll, and Vitamin C with Quercetin.
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webslave
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Hi SG, thanks for posting here. It's good to have yet another urologist monitoring this board. 
The more, the merrier! I know that there are quite a few urologists reading the board as well. This is a good environment for them to post into (civil and moderated), and if they wish to conceal their identities, as you do, that's fine by me. 
The more, the merrier! I know that there are quite a few urologists reading the board as well. This is a good environment for them to post into (civil and moderated), and if they wish to conceal their identities, as you do, that's fine by me. Good News! The great ProstaQ is BACK at last! You must try it.
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faceinthecrowd
Carlton, what a breath of fresh air it is to read this post! I missed it before, but I had the exact same experience. My prostatitis began with extreme urine retention, which Flomax promptly relieved. Indeed, for two weeks I thought I was cured - I felt entirely back to normal. Then, the exact kind of sensation you describe began, and has never gone away. It is an incredibly frustrating feeling that has since ruined my life! Also I experience new urgency and frequency. But it is good to know that at least someone else has had a similar experience. I have been wondering what to do about it because it is not really a painful sensation, just an intensely annoying and irritating one.
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Carlton Higgins
faceinthecrowd,
the good news is that for me, this sensation has gone away. For about 5 days or so, I have had no strange pain/tingling in the penis. I had this strange feeling for about a month at least, and thought it would never go away!
Here is what happened... After getting the frequency/urgency under control through diet (no alcohol/caffeine/spicy food), Flomax, and exercise (stretching/running/swimming), I thought I better leave the penis alone, so I avoided sex with the wife. Meanwhile, these weird sensations kept up, until finally, I said "the hell with it" and had sex one night. The next morning, the penis pain/sensation was gone. The moral of this story is that regular ejaculation is critical. Every 4 days minimum.
Now there is no guarantee that the pain won't come back, but so far so good!
the good news is that for me, this sensation has gone away. For about 5 days or so, I have had no strange pain/tingling in the penis. I had this strange feeling for about a month at least, and thought it would never go away!
Here is what happened... After getting the frequency/urgency under control through diet (no alcohol/caffeine/spicy food), Flomax, and exercise (stretching/running/swimming), I thought I better leave the penis alone, so I avoided sex with the wife. Meanwhile, these weird sensations kept up, until finally, I said "the hell with it" and had sex one night. The next morning, the penis pain/sensation was gone. The moral of this story is that regular ejaculation is critical. Every 4 days minimum.
Now there is no guarantee that the pain won't come back, but so far so good!
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Hepcat
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I also have this 'sensation' near the tip of my penis. I actually think it acts as a constant micturation signal as I'm inclined to void when it gets more intense.
I've never had bladder pain and need to go quite a while actually before I get a bladder sensation signalling the need to go.
For now I've ignored the penile signal to void and waited for the bladder to be noticed. I think Dr D. suggested this might not be such a good idea, but I'm disinclined to condition myself to a new a reflex only to have try to extinct it later.
At any rate, this seems to be a classic symptom of this syndrome. It would be interesting to trace back the source. Suggesting any lower urinary inflammation/irritation may cause the sensation is helpful, but I'd be curious to know whether this has been empirically demonstrated or is just an educated guess based on the neurophysiology of the region.
I'm willing to bet some further investigation will lead to a specific location(s) that elicit this sensation as opposed to it simply indicating a problem anywhere along the path. I hate to quote Occam's Razor, but....
I've never had bladder pain and need to go quite a while actually before I get a bladder sensation signalling the need to go.
For now I've ignored the penile signal to void and waited for the bladder to be noticed. I think Dr D. suggested this might not be such a good idea, but I'm disinclined to condition myself to a new a reflex only to have try to extinct it later.
At any rate, this seems to be a classic symptom of this syndrome. It would be interesting to trace back the source. Suggesting any lower urinary inflammation/irritation may cause the sensation is helpful, but I'd be curious to know whether this has been empirically demonstrated or is just an educated guess based on the neurophysiology of the region.
I'm willing to bet some further investigation will lead to a specific location(s) that elicit this sensation as opposed to it simply indicating a problem anywhere along the path. I hate to quote Occam's Razor, but....
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faceinthecrowd
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webslave
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Botox may be the sort of strength required, with its strong local effects.
Good News! The great ProstaQ is BACK at last! You must try it.
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Hepcat
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FITC:
Unfortunately, pharmacology isn't one of my strong points.
I think I could safely say, however, that a particular insult (inflammation, irritation, ect) may not be primary in nature, but may be secondary (or even tertiary, ect) to another condition. Often analgesic/anti-inflammatory drugs may fail because they address the wrong problem.
Case in point, notice the WIDE variety of drugs thrown at the variety of conditions seen with CP/CPPS. Even some of the strongest drugs in our arsenal (Neurontin, opiates) fail to ammeliorate the pain or odd sensations.
A compound like Botox is interesting because it approaches the problem from a completely new way. In fact, from what I've read it may even serve to correct the initial problem (assuming a neuropathic primary cause).
I must say, IMHO, I'm amazed at how resilient this condition is. I can really see a cognitive element emerging as a possibility for the maintainence of the pain ie. phantom pain by homologous analogy. This may also account how many people feel no pain while sleeping. It may even correlate somehow with diurnal cortisol levels and anxiety as they share close ties via the autonomic system.
So, Who knows?
Unfortunately, pharmacology isn't one of my strong points.
I think I could safely say, however, that a particular insult (inflammation, irritation, ect) may not be primary in nature, but may be secondary (or even tertiary, ect) to another condition. Often analgesic/anti-inflammatory drugs may fail because they address the wrong problem.
Case in point, notice the WIDE variety of drugs thrown at the variety of conditions seen with CP/CPPS. Even some of the strongest drugs in our arsenal (Neurontin, opiates) fail to ammeliorate the pain or odd sensations.
A compound like Botox is interesting because it approaches the problem from a completely new way. In fact, from what I've read it may even serve to correct the initial problem (assuming a neuropathic primary cause).
I must say, IMHO, I'm amazed at how resilient this condition is. I can really see a cognitive element emerging as a possibility for the maintainence of the pain ie. phantom pain by homologous analogy. This may also account how many people feel no pain while sleeping. It may even correlate somehow with diurnal cortisol levels and anxiety as they share close ties via the autonomic system.
So, Who knows?
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faceinthecrowd
I agree, Hepcat, this disease is so amazingly stubborn, I cannot believe it. By the way, I experience the sensation the same as you - a feeling as if I have to void, but not a genuine feeling of having to void, that is, I feel no sensation from the bladder. What it feels most like to me is when, after voiding, there are those last few spurts of urine that come out (I believe it is a contraction of the bulbocavernosus muscle that does this, I could be wrong). It is as if I have to do that few more times, but I can't. Then, if enough heat is applied, I can coax that last bit of urine out. A very strange feeling. That's why my hope is that if I nuke the thing with enough drugs maybe I can just numb it. I'm very confused. Do you think maybe it's akin to overactive bladder, like the brain is sending signals to void when it doesn't really have to? I have been taking Ditropan XL without much effect. Or maybe it's a nerve problem - for some reason, towards the end of voiding, the nerves "short out" and can't expel the last of the urine? I'm not a doctor, just throwing some ideas around.
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Hepcat
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In my opinion I doubt your brain is responsible for sending signals to micturate. Micturation is a reflex and as such is moderated mostly at the spinal cord and bladder wall recepter levels as part of the neuro/sensory pathway between the brain, spinal cord and bladder.
For the most part the brain is only responsible for the conscious release of urine. Left to it's own devices, the micturation reflex would have you urinate on the spot. The brain imposes a higher level processing message that holds this at bay. Certain types of brain damage (tumors, trauma, and conditions such as Parkinson's) occur that affect can cause loss of bladder control but I think as a general rule the only circumstances under which a healthy person might have overactive bladder-type problems if they had a concious/subconcious persevance on frequency (ie. a psychiatric issue).
As to why that last little bit of urine remains, I must admit I don't know all that much about the anatomy of that region. It could be that peristalisis or hydrodynamic pressure clears most of the urine out when you void, but I suspect that the urethra is simply more sensitive (inflammation? as discussed previously) to the presence of the small volume urine that always remains within the penis and sends the signal that voiding isn't complete. I suggest this because you suggest that when you do finally 'squeeze' out the rest, the sensation goes away.
Yet more reading for me to do
Keep in mind, this is a bit afar of my usual medical context, but it's my $0.02 for what it's worth.
Btw, how do you apply heat to coax urine out
[webmaster's note - see thread on heating pads here
viewtopic.php?t=192 ]
For the most part the brain is only responsible for the conscious release of urine. Left to it's own devices, the micturation reflex would have you urinate on the spot. The brain imposes a higher level processing message that holds this at bay. Certain types of brain damage (tumors, trauma, and conditions such as Parkinson's) occur that affect can cause loss of bladder control but I think as a general rule the only circumstances under which a healthy person might have overactive bladder-type problems if they had a concious/subconcious persevance on frequency (ie. a psychiatric issue).
As to why that last little bit of urine remains, I must admit I don't know all that much about the anatomy of that region. It could be that peristalisis or hydrodynamic pressure clears most of the urine out when you void, but I suspect that the urethra is simply more sensitive (inflammation? as discussed previously) to the presence of the small volume urine that always remains within the penis and sends the signal that voiding isn't complete. I suggest this because you suggest that when you do finally 'squeeze' out the rest, the sensation goes away.
Yet more reading for me to do
Keep in mind, this is a bit afar of my usual medical context, but it's my $0.02 for what it's worth.
Btw, how do you apply heat to coax urine out
[webmaster's note - see thread on heating pads here
viewtopic.php?t=192 ]
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