Back to the Uro..

Male pelvic pain, prostatitis, IC
Tufnel
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Back to the Uro..

Post by Tufnel »

I went to my GP yesterday, because I had trouble urinating. Usually I go all the time, but for a couple of days I just didn`t really even have to go, which was weird. And when I went the flow wasn`t good, which I have been through before. So eventually I started panicking about bursting... :roll: He fixed me up with a Uro as I have not really had anything other than an MR of the bladder done before. Then the GP said that we could try a catheter now. It would be a quick in and out and we would see how much urine was in the bladder, it was mildly painful, but mostly just scary. Anyway he coudn`t get it up there, he said it curled up. Don`t know if he stopped at the prostate or before. He gave me proscar and sent me home. And I urinated, the rest of the day I had some good urinations! Not using the proscar.. It felt like razor blades going through, which he said it would. Evening time the burning had gone somewhat but it felt like one razor blade had got stuck about the same place as the catheter had stopped and knocked the walls a few times. The Gp also said to not be afraid if I see some blood after this, which I didn`t, until the next morning. It was dark orange. Is that normal that the blood comes five urinations and 10hrs of sleep later?

Afraid to go to the Uro now, and any possible cystoscopies and what not.. It would be good to know for sure to rule out cancer, but being 20, bladder cancer would be somewhat of a rarity. And I feel very much at home in the words of the other people here on the boards, so I do feel certain that it is CPPS...
Age: 20 Onset: May05 Symptoms Frequency/Urgency, lower ab-bladder pain, perineum pressure, pain in tip and center of penis, sudden shooting pains from lower abdomen to prostate and thighs. Some lower back-pain.Makes worse: stress and worries-usually about health, swimming. Sitting on hard seats. Makes better: Forgetting about it. (Never happens)
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Astrotitan
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Post by Astrotitan »

Tufnel, don't worry, this is normal. Give it two to three days after the procedure, it will subside. Do go to a Uro and get things checked out for peace of mind if anything. Its no big deal.

Tom
Age 43: Onset June 2005, Initially: perineal pain, discomfort in penis, very sensitive, sometimes burning. Red around the urethra on penis. Increased urination during night, problems with stream, sometimes constant urge to urinate. Exercise and moving around and laying down helps. Sitting down and squatting makes it worse. Improved to about 85-95%. Symptoms usually mild pain near belly button and slight urge to urinate.
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treynor33
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Post by treynor33 »

Has any of the doctors suggested you try an alpha blocker yet? If not, suggest it to them. They can help immensely with the urination troubles.
Age: 45 Onset: 43. | Symptoms: Tightness, spasms, burning and pain in the perineum. Occassional mild pain after urination in the perineum. Helped by: Cardura, quitting caffiene, relaxation, fiber, stand up workstation and some PT a year ago. Makes Worse: ANXIETY, ULTRAM, going to work, sitting or squatting too long, constipation (big problems), stress, and sometimes unexplainable.
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Tufnel
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Post by Tufnel »

Thank you Tom and treynor!

My Uro gave me something called Omnic. (tamsulosin) about a year ago, I then had very weak urin flow. I took two tablets of that and was down for a week with nausea. They did work wonders with the urin flow, though, and that sort of lasted for a while after I stopped taking them.. Nowadays the flow usually is pretty strong, the problem is that I just suddenly stop and have to go again soon after.. I have not really been taking any medication since then, no painkillers no nothing. Been seing an acupuncturist for 8 months, getting some natural vitamin supplements and such.
Last edited by Tufnel on Thu Apr 06, 2006 6:02 pm, edited 1 time in total.
Age: 20 Onset: May05 Symptoms Frequency/Urgency, lower ab-bladder pain, perineum pressure, pain in tip and center of penis, sudden shooting pains from lower abdomen to prostate and thighs. Some lower back-pain.Makes worse: stress and worries-usually about health, swimming. Sitting on hard seats. Makes better: Forgetting about it. (Never happens)
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treynor33
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Post by treynor33 »

He gave you Flomax...it can be tough to get used to as all alpha blockers are. The older ones, Cardura and Hytrin provide urinary relief and even some studies show overall pain relief. Cardura helps my overall chronic prostatitis / chronic pelvic pain syndrome quite a bit.

Try Uroxatral or one of the ones mentioned above, it is newer and has less side effects....it will take a few days to get used to it...but if it made things that much better, I wouldn't hesitate to try another one.
Age: 45 Onset: 43. | Symptoms: Tightness, spasms, burning and pain in the perineum. Occassional mild pain after urination in the perineum. Helped by: Cardura, quitting caffiene, relaxation, fiber, stand up workstation and some PT a year ago. Makes Worse: ANXIETY, ULTRAM, going to work, sitting or squatting too long, constipation (big problems), stress, and sometimes unexplainable.
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Dj Smitty
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Post by Dj Smitty »

do not be afraid of having a cystoscopy. It is indeed quite scary at first, but I have had two (last one two weeks ago in a follow-up) and they are quick and the effects subside completely within a day or two. It does hurt a bit when the uro pushes past the bladder sphincter but I made such a huge deal of it beforehand only to realise it was a simple procedure if you're uro has a deft touch. Just to note, my recent cysto revealed minor irritation of the prostate and bladder which he cannot explain, but he did say it looked massively better than my first in August.

It is his conclusion that after my bout with Mononucleosis back in April, my immune system was very weak and somehow I either caught a bacterial or viral infection that affected my urinary region and as a result of the major irritation, damaged my muscles and nerves all over the area. I'm not sure if I buy it, but I have been feeling much better since January.
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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robertpagen
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Cystoscopy is often unnecessary

Post by robertpagen »

I respectfully disagree with your assessment of cystoscopies. People with chronic prostatitis / chronic pelvic pain syndrome have already severely taxed the small urethral sphincter and related muscles for years. The trauma of an invasive push past these muscles only exacerbates this situation and offers no useful information. This procedure is done entirely too often. Even more absurd, it is often repeated by each new uro who does not know what else to do.

EACH OF MY 3 CYSTOSCOPIES (1999, 2000,2002) was painful for 6 weeks after and yielded no useful info. When I asked the second and third uro why it was done they both used the stock answer, to make sure there is no bladder cancer.

Knowing what we know now since 2003, I can't see why a man would consent to this procedure.

I remain well and wish you the same,

Robert
Age: 43 | Onset Age: 17 | Symptoms: previously: constant urgency, premature ejaculation, burning at tip of penis, pelvic ache current: semi annual flares. | Helped By: PT, yoga, stretch, keeping warm(long johns) boxer briefs, regular sleep routine | Worsened By: cystoscopy, antibiotics (fluoroquinolones) alcohol, coffee, stress, masturbation, cold
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Dj Smitty
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Post by Dj Smitty »

but it is useful for detecting other problems that may contribute to symptoms that parade as CPPS/prostatitis, no? My urologist says he will not perform one on me again as there is no need and to be honest, I don't want another one. But personally I feel it is a simple enough procedure (the flex scope, not rigid!) that is justified early on in the beginning of a urinary/pelvic condition to rule out some very serious problems. Even though they are somewhat rare, it can detect strictures too.

I'm not sure how it works in the USA, but I have only seen one urologist (we have only 3 or 4 in a town of 400,000 people). We Canadians cannot just go employ any urologist we choose so the doctors here may not be a "cystocopy happy" but as I understand it, the procedure is the most effective way of getting a good look in the beginning of treatment.
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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