The struggle is real

[tosh]

Hello everyone,
I feel like I need to share my situation. I have been struggling with Chronic Prostatitis for about 7 years. The symptoms that I have are mainly urinary frequency and weak urine flow (it also usually takes me 5-10 seconds to start the flow), and sometimes dull pain in my lower abdomen. Also sometimes after ejaculation I can get a strange feeling within my urinary tract which usually goes away after couple of hours.

The things that I noticed and that bother me the most is that when I am nervous I get even more frequency to piss and its a never ending circle, especially if I switch places, for example go on a holiday or to visit relatives. The tip of my penis so called meatus is red constantly, sometimes its less but I don't remember seeing it without any red shade for a long time.

Did tests for bacteria 2 or 3 times, and every time results were negative. Doctor has prescribed couple of antibiotics but they didn't really help. Other than that I didn't try any medicine for which you need prescriptions. Right now I am taking Quercetin and Saw Palmetto supplements and also I have decided to cut down the sugar just to see how my body will react. It's been like 3 weeks and nothing really happened yet, I don't see any changes.

Physically I am very active, I go to swimming and to the gym like 4 days a week, plus I try to walk as much as I can and I am in a pretty good shape for 34 year old guy but still this problem is kinda ruining me. can't fully relax because of it. Also I am a programmer who sits a lot but I got a standing desk and I try to stand at least 1 hour a day while working and I am doing stretching exercises 2 times a day, mainly for my pelvic area (I read Headache in the Pelvis book). From time to time I am also practising meditation, for about 20 minutes.

Is there anything else I could try?

This is probably redundant to may posts and if it is I apologize.

Any kinds of suggestions or help are highly appreciated

[Sleeper Service]

Get a cystoscopy to rule out any physical obstruction if you haven't already done so.

[webslave]

Lots going on with you, Tosh. Programmers often have UCPPS because of the tense sitting (that's how I got it). And the difficulty starting flow is a sure sign of a hypertonic pelvic floor.

What can you try? Work through this list:
https://ucpps.men/viewtopic.php?f=53&t=9338

[tosh]

Thanks, I will check this thoroughly.

One thing which is maybe important to mention is, right after I empty my bowels I have an urge to pee but that time, flow starts almost immediately. Does that has anything to do with tight pelvic floor muscles?

Also @webslave, how did you cope with stress during the work?

[webslave]

I coped with the stress by quitting programming. And yes, the easy urination after defecation is a result of the temporary stretching of the pelvic muscles from a full rectum.

[tosh]

Unfortunately I can not do that.

From your experience so far, can scoliosis cause pelvic pain issues? And can it be treated?

[webslave]

Scoliosis is not a known risk factor for UCPPS. However, spinal issues can cause pelvic pain. And anything that causes you to stand unevenly and distribute weight unevenly to your hip joints could be triggers. But I would only look at factors like that once I were sure that you are not sitting there programming with a tightly clenched pelvic floor, like many programmers do.

[tosh]

I did clench my belly but I wasn't even aware if that. Right now I am trying to "drop" my belly as much as I can.

One more question, can prostate calculi safely be removed with a shockwave or a laser? And could that also have an impact on the symptoms?

[webslave]

Calculi are common and not seen as a cause of this condition. Ignore them unless very large, in which case removal is easy with transurethral electroresection loop or holmium laser.