Second Breakthrough!

Male pelvic pain, prostatitis, IC
kevin
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Second Breakthrough!

Post by kevin »

After a year and a half of having nothing that helps except for Sudafed, It looks like I've scored another one against my condition!

A little while ago, my urinary frequency got so bad that I decided to just sit on the toilet and read a book there. Surprisingly, when I was on the toilet, my feeling of having to urinate went down significantly. It's as if allowing myself to urinate made me not have to. I then tried to sit at my desk with a urinal container (plastic bottle with a wide opening) between my legs. This helped just as much. Just by having a urinal there all the time I can reduce my frequency from around 35 times a day to 8!

Now I've got to figure out why this is. It must have some connection to my mind, since nothing is physically changing (I'm still sitting at my desk in the same position). These are my two hunches:

(a) This is mental. I have become so attuned to sensation in that area that even the slightest sensation is magnified immensely by my mind. Having a urinal between my legs gives me a feeling of comfort and reassurance.

(b) The reduction in symptoms comes from my bladder muscles being more relaxed. An acquaintance who knows about bladder conditions said that when one is ready to urinate, one's bladder is in a more relaxed state. She said I should consider taking an antispasmodic like hyoscyamine.

Does either of these sound like a full explanation? Any additional thoughts?

Very excited to have made some progress after so long! :smile: I now feel I have some hope!

Kevin
Started: Spring 2003; high urinary frequency and pain associated with bladder filling; urinary hesitancy; pubic/prostate/perineal discomfort; Helped by: trigger point therapy, Afrin nasal spray, Cymbalta, hydrocodone (small doses), distraction. Makes worse: sex.

Not medical advice. Consult your doctor.
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MastCells
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Re: Second Breakthrough!

Post by MastCells »

kevin814 wrote:The reduction in symptoms comes from my bladder muscles being more relaxed. An acquaintance who knows about bladder conditions said that when one is ready to urinate, one's bladder is in a more relaxed state.
Actually, during urination the bladder contracts as the urethral sphincter relaxes.
This is not medical advice. Please consult your physician.
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Dj Smitty
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Post by Dj Smitty »

hesitancy and poor stream is due to what then......the urethral stricture not relaxing properly? I"ve learned, for the most part, to relax as much as possible when peeing. If I know I'm going to stand there for a minute or two (it's odd because I can feel a tight pee coming :o ) I just sit down on the toilet and boom, almost instant relaxation and out she goes.
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.
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LightningTree
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Post by LightningTree »

Its hard to draw conclusions, but I think you should try to look for differences in your body between sitting there with and without the urinal. What differences do you notice, or are their no apparent differences?

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.
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kevin
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Post by kevin »

There are absolutely no physical changes as far as I am aware. Maybe something changes inside my body (e.g. how much a certain muscle is unconsciously tensed), but the effect has nothing to do with the way I'm sitting. It's really amazing.
Started: Spring 2003; high urinary frequency and pain associated with bladder filling; urinary hesitancy; pubic/prostate/perineal discomfort; Helped by: trigger point therapy, Afrin nasal spray, Cymbalta, hydrocodone (small doses), distraction. Makes worse: sex.

Not medical advice. Consult your doctor.
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LightningTree
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Post by LightningTree »

Personally, I carry around a toilet seat in a pillow case. I only sit on that. I find it much more comfortable than regular chairs, and especially more comfortable than bucket seats in cars.

know for a fact that when you 'let yourself urinate' there is significant changes in the positions of the muscles on the pelvic floor. If you can't feel this, I would take a second "look". :P

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.
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