Any suggestions to the cause of my condition?

[pedroslittlefriend1]

I have had minor chronic prostatitis symptoms for the past few months and I am only 18. It started out with an itching in the rectum that I had after walking for a certain distance and after bowel movements. After a couple weeks of this pain I developed stinging in the genitals after orgasm, painful erection, urinary frequency and voiding problems, and a sensitive penis tip, (sensitive to clothing/friction that was made worse after sexual activity).
I still have that strange sensation of itching/minor stabbing pain in the rectum after physical activity or taking a crap. Antibiotics helped for the worst of the pain, but it doesn't feel right down there.
I think this may be a side effect of taking a lot of antibiotics that caused constipation and upset stomach. I was under stress from a bad sinus infection.

What should I do?

[kevin]

I'm sorry to hear that you're having these symptoms so early on. The itching in the rectum aspect doesn't sound like part of the standard list of chronic prostatitis / chronic pelvic pain syndrome symptoms, but the rest (especially the connection to stress) does. If you haven't read A Headache in the Pelvis by David Wise, it's worth a shot. Maybe some of the more experienced pelvic myoneuropathy sufferers can fill you in. Best of luck.

Kevin

[chewymix]

I'm pretty sure I had the itchy ass thing earlier on - Seemed to feel like I had the classic 'Ring of Fire' type feeling - But I seem to rarely get that now - I'm pretty sure that is something i've felt though

[scotsman]

Have a read through this page and the various links leading from it for some practical advice.

Richard.

[pedroslittlefriend1]

thanks for the help.

chewymix, how long did it take for this symptom to disappear? What symptoms do you have now and how long have you had spasms?

[chewymix]

Hi -

The 'Ring of Fire' for want of a better word lasted for 6 months or so - I still do get it occasionally but its not a symptom that springs to mind that often. I still get the occasional 'pinch' though - Just a muscular spasm I guess.

thanks

[Northernspy]

I have had minor chronic prostatitis symptoms for the past few months and I am only 18. It started out with an itching in the rectum that I had after walking for a certain distance and after bowel movements. After a couple weeks of this pain I developed stinging in the genitals after orgasm, painful erection, urinary frequency and voiding problems, and a sensitive penis tip, (sensitive to clothing/friction that was made worse after sexual activity)

That sounds neurological -- the sensitivity to clothing thing is called allodynia (which doesn't mean anything --- just a nice word).

When your pudendal nerve is irritated, you can have nerve sensations anywhere along the nerve -- which includes prostate, tailbone, "sit bones" (ischial tuberosities), epididymis (something inside your testicular sack), rectum, and the tip. Pressure in one of those things can be felt somewhere else. Itching, especially intense itching, is a neurological response not too different from pain. I get it sometimes.

(no doubt there are other causes of itching -- local irritation, or yeast overgrowth especially after antibiotics and who knows what).

What should I do?

That, of course, is the million dollar question, and if knew how to answer it I wouldn't be here. There are, however, a lot things to get checked out. Your symptoms could be from an infection (the prostate can be a source of pain that inflames the pudendal nerve and causes those other things) or from... well, check out the list below. Better yet, get your doctor to check it out.

- Carlos

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Examples of the MANY things doctors ought to check
If you got nothing but an antibiotic that was picked by guesswork, you haven't STARTED.

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CDC Guidlines for Epididymitis
http://www.epididymitisfoundation.org/cdcguidelines.php

Failure to improve within 3 days of the initiation of [antibiotic] treatment requires reevaluation of both the diagnosis and therapy. Swelling and tenderness that persist after completion of antimicrobial therapy should be evaluated comprehensively. The differential diagnosis includes tumor, abscess, infarction, testicular cancer, tuberculosis, and fungal epididymitis.

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There are a variety of nerve disorders that can radiate to the scrotum. The diseases that may cause referred scrotal pain are diverse, reflecting the somatic nerves that travel to the scrotum: the
genitofemoral, ilioinguinal, or posterior scrotal nerves. Reported causes of referred pain include abdominal aortic aneurysm, urolithiasis, lower lumbar or sacral nerve root impingement, retrocecal appendicitis, retroperitoneal tumor, and postherniorrhaphy pain.

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http://herkules.oulu.fi/isbn9514265068/html/x552.html
The usefulness of transrectal ultrasound (TRUS) lies in determining the volume of prostate gland, changes in the volume being related to inflammation, and in finding possible ejaculatory duct cysts and ruling out possible hypoechoic lesions in the periphery of the gland

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http://www.emedicine.com/med/topic2845.htm

A prostatic abscess should be suspected when worsening clinical symptoms follow an initial favorable response to treatment of ABP or a fluctuant mass is developing in the prostate gland. The presence of the abscess is confirmed by transrectal ultrasound.

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[the onoline poster writes:] I've had a great recovery since surgery but I've battled this for two years so I'm afraid to get my hopes too high. Nothing showed on the many ultrasounds that have been performed since I was first diagnosed but when they opened me up they found three lesions on the testicle and the entire area was highly overvascularized. They burned off the lesions and stripped out most of the veins. The good news is I got to keep the testicle and the great news is that I have been pain free for three months. It is the best I've felt in two years. Hope this helps and contact me if I can help with anything else.

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http://maelstrom.stjohns.edu/CGI/wa.exe ... S=&P=18968

In a young men a good reason to ask a CT scan of the lumbar and sacral spine, is to watch about a spinal hernia. It can give the same symptoms as prostatitis or a perineal muscles spasm.
Federico Guercini MD PhD

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http://www.perineology.com/files/pudendal_nerve.htm
RULE OUT
Pain in this area is not always a pudendal neuralgia. Some other causes:
coccygodynia
piriformis syndrome
interstitial cystitis or
puborectalis overload.
Radiculopathy produced by disco or vertebro-radicular conflict in L4-L5 and/or L5-S1 can also induce or favor pain at this level. Read the contribution of Eric de Bisshop M.D. to learn more.

[bti20]

[the onoline poster writes:] I've had a great recovery since surgery but I've battled this for two years so I'm afraid to get my hopes too high. Nothing showed on the many ultrasounds that have been performed since I was first diagnosed but when they opened me up they found three lesions on the testicle and the entire area was highly overvascularized. They burned off the lesions and stripped out most of the veins. The good news is I got to keep the testicle and the great news is that I have been pain free for three months. It is the best I've felt in two years. Hope this helps and contact me if I can help with anything else.

What's this? Where's it from?

[Northernspy]

[the online poster writes:] Nothing showed on the many ultrasounds that have been performed since I was first diagnosed but when they opened me up they found three lesions on the testicle and the entire area was highly overvascularized. They burned off the lesions and stripped out most of the veins. The good news is I got to keep the testicle and the great news is that I have been pain free for three months. It is the best I've felt in two years. Hope this helps and contact me if I can help with anything else.

What's this? Where's it from?

Unfortunately, I'm not sure.

As you can guess from the other quotes, I'm a mad Googler, scrounging for any post or website that appears to indicate (1) an explanation for our symptoms, and (2) a successful cure. One problem I find is that just about everyone is fanatically selling their favorite theory -- and only that theory. But as my previous post suggest, there are many causes -- and some wholly curable.

But as to that quote? I can't find the pointer, so I don't know who's experience it reflects, or whether the relief continued after 3 months.

I might have gotten it by searching one of these:

http://www.epididymitisfoundation.org/anyboard9/forum/

http://maelstrom.stjohns.edu/archives/p-atitis.html

- Charles