Constant urge to pee. Burning at tip of penis. After bowel movement pee urgency increases. What is?

Hi there,

I'm a 23 year old male and I started having problems around 3 months ago.

It started after I finished an edging session (masturbating). I felt the constant urge to pee. I didn't give it much notice because something similar happened in the past, in a similar circumstance. Usually after a nights rest it will disappear. However, not this time around. I was visiting the toilet every 30-60 minutes. And always have the urge at the tip of the penile area.

I visited my local GP, they prescribed me antibiotics for a UTI as well as performing a urine test. I finished the course of antibiotics with no difference in my condition and test results coming back clean. No UTI or STD. (cephalexin 500mg).

My GP referred me to get an ultrasound done on my bladder and a blood test. And during the meantime prescribed me overactive bladder medication in hopes of reducing my symptoms.

The ultrasound was performed and nothing abnormal was found. No thickening of the bladder walls and prostate was normal walnut size. Blood test returned with everything normal. For OAB I was first given (oxybutynin) giving me heavy side effects, dry mouth, dry eyes, losing my voice, barely any saliva in throat, etc. Then alternatively given (solifenacin 5mg or Vesicare) giving me no side effects. However, neither of those medications gave me relief.

At this point I was referred to a urologist.

Seeing the urologist I explained to him exactly as above. That this started after my edging session. He dismissed how it could be linked with my current issues. He believed it was OAB. Giving me (mirabegron 50mg or Betmiga). He also put me on the waiting for a cystoscopy.

Still needing to visit the toilet every few minutes it was clear the OAB medications aren't effective.

At this stage I was really unsettled. I was really depressed about everything. 4 medications with no luck. I live a very active life. Doing cardio and resistance training for an hour each day. My BMI is optimal. My abdominal muscles are defined. I would perform core exercises and yoga as recovery. My nutrition is managed. No caffeine, no alcohol. Balanced diet. But with this issue I've had to stop exercising due to the discomfort.

So I went to a sexual health clinic. Providing them all the tests I've done beforehand to see what they believe could be the cause. Nonspecific Urethritis or NGU was a possibility. I was prescribed (doxycycline 100mg).

This also proved unsuccessful. Being 1 month and a half my symptoms sort of subsided some days. I was going every hour to 2 hours. But the burning and urge was still constant. Always at the tip of the penis.

I figured I would try some vitamins to see. I've had urinary tract support vitamins, hiprex for urinary tract infections. Still nothing.

After waiting what seemed an eternity (2 weeks) I was able to see the urologist again. He prescribed me (zithromax 500mg) 2 tablets at once. In hopes of getting rid of any infection or bacteria that could be causing me this discomfort.

This was also unsuccessful.

However, I noticed that during my bowel movement my penis felt burning. I would pee alittle while pooing and it would trigger my urge to pee even more. After I would finish pooing the urge to pee would be every 30 minutes. I believed it could be a prostate related problem.

I returned to my GP and explained what's been happening currently. She believed it could be prostatitis. She had me do a urine test again and blood test to measure the PSA levels. Prescribing me (trimethoprim 300mg) a 2 week treatment. I've currently entered my second week of treatment with no signs of improvement.

Now 3 months with this issue I'll explain my current condition.

The urge to pee is still constant however I can hold it for 3 hours or more sometimes. Going 5 - 6 times in a normal day.

I don't wake up at night to go, I can get 6 - 8 hours rest.

I've stopped masturbating for 2 months.

I can get erections and maintain them without issues. I feel no testicular pain or abdominal pain.

I've been performing pelvic based exercises every 2 days (kegel exercises), I average between 8000 steps daily (which is below my standard before this issue happened).

Cut out any foods that may trigger my bladder.

I've found the only times I get relief is after a hot shower.

When I'm seated, with my legs crossed over (sometimes).

When I'm laying down raising my knees to my chest.

Gently massaging the area between the testicles and anus.

These are the only times.

But now after I poo the urge is extreme. I do my bowel movement once a day. Sometimes I'll skip a day. And during that day I'll go 5 times to the toilet but have light burning & urgency. Bowel movement really triggers it.

Thank you for reading all this. I'll be happy to answer any questions.

Any help would be appreciated immensely.

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