Prostatitis with zero pain, just horrible 24/7 urge to urinate/frequency

I'm feeling the same as you, this has been going on for almost 2 weeks and it's driving me crazy. I went 3 days after the sensation started to the ER and they did an urine test and didn't find a bacteria or anything, they told me to just drink a lot of water. The feeing didn't go away so I went to a clinic and the doctor thought it was an UTI so he gave me "Sulfamethoxazole"  but it didn't work, I took it for like 4 days and the feeling was the same, so I did an urine culture and he didn't find any bacteria so he gave me "Doxycycline" I took it for 7 days and nothing changed,I still have the same feeling of having pee in the tip of my penis and it is so annoying, I pee and 30 seconds letter the urge comes back. I have already waste so much money. I have an appointment with an urologist in 3 days. does any one know any medicine to cure this.

Hi guys, I felt I should share my story with you as it may help someone. I am a mother of a 16 years old boy who suffered from the same thing you are describing here. This is why I was following this discussion.

For him it all started 2 years ago, one night after defecation, he felt a terrible pain in the perineum area, he managed to fall asleep but when he woke up next morning there was no pain, or burning, just a horrible 24/7 day urge to urinate, nothing else. We went to a couple of urologists, they performed all types of lab tests, have tried different antibiotic therapies, Ditropan to relax the bladder and urinary tract and several similar new drugs, nothing helped, he was then send to a psychologist but nothing was really effective....no one (even me) could not understand what is happening and how awful this is for him as there was nothing wrong in the results, I am a pharmacist and I was aware that some  small number of bacteria that was found sometimes (over those 3 months) could not give these type of sensation. But after about 3 months it calmed a little bit,  for him it became bearable, it was better during the day, worse during evenings and he had problems to fall asleep, but anyway much better than before.

And then in February 2018, we moved to the UK a year before, and one Sunday (that was particularly relaxed family day) out of the blue, it all started again, and it was worse than ever, again no pain no burning nothing but a constant feeling that he needs to urinate. And the agony started, he spent the first 7 days in bed, refusing to communicate, we were seeing urologist, again the same drugs, antibiotics, ditropan and similar, with absolutely no effects, then they suggested the cystoscopy (awful thing for a teenager, but he agreed)..and again everything came clear, we were referred to the neurologist, MRI of the brain, spine, sampling spinal liquid,  everything came clear, and the whole time psychological support....on the other side we have tried acupuncture, Bowen therapy, restriction diet for interstitial cystitis, gluten free, dairy free diet, bioresonance, chiropractice, everything and no effects at all. He was not able to go to school and after 6 months of agony and not even one meaningful result or opinion, he started to lose his hope.And then in June we moved to Dublin, as I got a job here. I was still trying to find how to help him and I googled a physiotherapy clinic here in Dublin that is specialized in both male and female pelvic pain. After the initial consultation for the first time after 7 months I had a feeling that someone really knows what we are talking about, you could clearly see that they do have patients like that all the time. We were told that although those urinary symptoms are not specific, and they can be caused by various things, the fact that doctors could not identify anything pathological supports the notion that pelvic floor muscles are causing the problem. So we were told at the beginning that this is a long process and it can last for months, that in men you can reach and treat those muscles only internally (through the rectum) but before they start with the internal treatment, other muscles need to be treated too (abdominal gluteal and inner thigh muscles)  because if they are contracted and spastic they will not allow the pelvic floor muscles to relax (they are pooling the pelvic floor muscles as according to the newest theory there are no individual muscles they are all connected with something called fascia)... Anyway, he started his therapy, they have showed some stretches that he was doing 2 times a day and some breeding exercises, and he was seeing a therapist once a week for treating abdominal gluteal and inner thigh muscles, after 4 weeks they concluded that these external muscles are in better condition and that they can start with the internal treatment, again once a week, he was advised to continue with his stretches and breeding at home, he could include yoga if he wanted (and he was doing that) but to avoid anything that would put more pressure on those muscles (abdominal, gluteal and inner thigh) including running.  But after almost 6 weeks he could still not see any improvement, he was more elastic the abdominal, gluteal and inner thigh muscles were not so painful as at the beginning, but the urinary symptoms were still the same. However, the therapist was supportive, telling him that he needs to be patient as it does not work like that, it is not a gradual improvement, those inner, pelvic floor muscles will release the tension at one point and then the improvement will come almost instantly. But when that will happen is an individual thing. And we both trusted them. And it really happened like that, after about 7 weeks of therapy in total, and after 3rd internal treatment it just improved drastically, just like that, something happened inside and the relief came, the feeling is not gone totally, well he still feels it mostly after defecation, but since than it is going better and it has been 11 weeks now since the beginning. There is still a lot of work and it will last for couple of months we were told, but he is a different child now, he goes to school, he does not mention this at all, stretching became his routine, he goes to PT once a week but other than that he is just a normal happy teenager like he was 2 years ago. Well, this is just our story and even if the problem is with the pelvic floor it is probably individual, but I strongly suggest to consider this type of treatment. If this is a case, and I think that as a pharmacist I have the right to say this, there is no pill that will help, the only way to help yourself is with PT and most importantly with exercises and breading techniques at home.  I can also suggest a book that I was recommended at the clinic: Ending Male Pelvic Pain, A Man's Manual by Issa Herrera, it is a very good book. 

And at the end my son was obsessed why this happened to him, as I was honestly, and I think no one could answer this, but I realize now that it is more important for him to understand that his body does react like this and that he needs to have an active approach and change his life style to prevent this to happen again, to exercise, do yoga (which is mostly stretching), to learn how to relax and I believe this is the way to live a normal life....and it is all part of healthy living anyway...

At the end ...I wish you all the best...and I hope you will all  find the solution that will work... 

Would u mind telling who was your PT

So to update on my current situation, I've been pretty much feeling normal for the past couple of days. Very little sensation, no real urgency issues to speak of unless bladder is full or fairly full, and I'm definitely not having much in the way of frequency, I maybe pee about 4-6 times a day. The way my bladder feels when it's full is a bit different than what I'm used to, but I'm thinking this is apart of the anxiety portion of this, or perhaps just a new normal, or pelvic issue or dysfunction that thankfully has drastically improved over the past week or two. I was on Cipro 500mg for 5 days, and even before then, my symptoms had lessened a bit. I'm hoping mine is an extremely temporary case and it clears up, but I do have weird inconsistent aches and pains in my groin area, some pain in the lower back, and around the thighs, and that weird rash (thrush or jock itch) resurfaced for a few days but I'm trying my best to battle it back. 

I still get a slight sensation in the tip of my penis that makes me feel like I have to pee, like right now... but it's not nearly as horrible as it was from the start, and there's sort of a fluid sensation in the tubing, but it dissipates, and when I kegel, I feel nothing in there (usually), so I think it's just a matter of retraining my brain. I don't know if I stated this in earlier replies, but I've experienced this sensation before, and it made me a depressed mess when I first had it which was right after I had a testicle removed due to cancer. It eventually went away, but the first few days, or weeks, or however long I experienced it were tough. I thought my genitals were falling apart. It did recede or go away almost to the point of no issues, but I've had post-urination dribble since... which is apparently common, and referred to as the "shilling spot" when it leaks out. Just requires some extra shaking. I have a feeling it's linked to the scar left from surgery on my abdomen since everything down there works harmoniously.

I've found that the sensation is the most apparent when I'm laying on my back, so I'm assuming this is some sort of impacted nerve or minor spinal injury maybe. If I sit up more, the sensation usually leaves. I don't have constant pain however, but I do feel some lower back pain from time to time as mentioned, and maybe on the front of the pelvis above the penis, but nothing constant, or super severe. I chalk it up to my posture mostly. I'm hoping I can eventually shake this sensation altogether, but if I had to give a percentage rate comparing normalcy to how I feel now, it's probably about 85-95%. Keep in mind, my only active treatment was the 5 days of Cipro, but given that there's no consistent pain in the pelvis, or blood in the urine or semen, I feel like this probably isn't the bacterial form of prostatitis if any form at all, so I doubt Cipro did much to help really. I have been walking a bit more at night, and I went to the gym yesterday... not going to train legs and glutes for a while to see how this works out, but I'm  hoping to feel normal in a few weeks. Keep praying for me, and I'll say some for you guys as well but hopefully this disappears completely. 

Hi all,

Just another update here. I'm still about 90% back to normal. It varies day to day. some days a little better and some worse. I feel like I'm almost there. I wrote a post earlier mentioning that It seemed to be going away fully however since my uro highly recommended PT for the pelvic floor I've decided to go to a specialist for that even though I'm feeling better. I figure if anything it will be preventative in the future. I never really did much PT work but I figure I might as well.  

First off - to the poster who said something like "It is impossible to commicate to a doctor that I am feeling an itching / urge to go, but it is in the top of my penis... NOT in my bladder". This has never felt like simply an urge to go bathroom. I've seen it described on forums and google as "urine stuck in the tip of my penis" because the sensation is in the urethra, and not with a matching feeling in my bladder.

I am 40 year old male, and I have had this on and off since I was young, but now with very increased frequency. When I was younger ( 16-30 or so ) I would have an episode maybe once or twice a year. I would usually notied it when trying to fall asleep, but I also remember it happening in the middle of the day. It was annoying, but I found early on that sitting on the toilet and just drinking glass after glass after glass of water would relieve my symptoms. It would usually take an hour or two, and I would just sit there and read a book.

In my late 20s I spoke to my GP about it - he didn't run any tests, but suggested it was happening because the muscles were spasming, or fired "out of order" during an orgasm, or maybe something else - I don't remember it's been a while. But that reinforced my idea that drinking lots of water would either flush out, or retrain/relax my bladder muscles so would work properly again and quit sending "you are about to pee" signals to my brain.

At 30, I started having erection/ejaculation problems, which lead to a round of doctor visits. This was most likely as a result of increasing my antidepressant, Effexor ( venlafaxine ). I had never had sexual issues on lower doses. I started having semen discharge sometimes when I had a bowel movement. I suspected this was due to not ejaculating as much ( went from masturbating daily, to maybe once a week ). I saw a urologist about this change, but he brushed me off, saying I was too young to have prostrate issues. It didn't occur to me to mention the peeing issue, for some reason. Just bringing it up, because I've wondered if there is a connection between my Effexor, and increased occurrence of this peeing urge problem.

Over the last 10 years, the peeing itch has gotten more common, and less treatable - and lasts MUCH longer. I had this happen one time, and no amount of water relieved the symptoms. It lasted an entire weekend, most of which I spent on the toilet. At this point I started looking for ANY type of relief. Pyridium tablets, cranberry, etc did not help. Urine tests all came back negative. I received medicine for overactive bladder Tolterodine. The first time I took this, it worked like a miracle. I was so happy! However the second time I tried using ( months later ) it did not relieve the symptoms.

I saw a urologist 5 years ago, and we found that I had several symptoms of prostatitis. I had weak urine stream. The doctor said I had "urgency", even though I tried to explain it isn't urgency like I have to rush to the bathroom. I guess technically it is "frequency", but its not that I have to empty my bladder 10 times day - it is that it feels constantly need to pee to relieve the itching. It feels more like I have already started peeing or something. It's in my penis, not in my bladder. He gave me the usual "don't drink caffeine, no spicy foods, lose weight" and put me on Filofax. I did not change my habits, and quickly found that the Flomax was very uncomfortable when I ejaculated. So I stopped using it.

I was fine for several months, and after that my episodes were relatively short - so I didn't bother seeing a doctor about it. I felt that I was not really being listened to, and just rubber stamped with a BPH diagnosis, even though my prostate has never appeared swollen or enlarged.

So I'm going to try the flomax again I guess. The frustrating part is the flomax could be doing nothing, and my episodes are so far apart it is hard to tell if something specific is working. I have been having this for a week now though, so I gotta do something.

I suspect that I've always had some underlying physical condition, which is why I was affected early on in life. And now that I'm getting older the relentless growth of the prostrate ( BPH ) is making it worse.

If you want to search more on this issue, try "pee stuck in tip of penis". lots of other people with these symptoms.

yes. many of the above symptoms i have... every night every hour im up to p**s like 5 drops. but it feels like i really have to go. way worse if i eat lots (i guess less room down there if large intenstine full). the pain comes and goes- this started 2 years ago when i moved to nyc. it started with some pain here and there. then progressed to dribble after peeing. now finally the increased frquency is destroying my quality of life. i have way less energy and am getting sick easily because of the chronic sleep loss, which means even less energy. trying to make it in music in nyc is incredibly stressful- so maybe that contributed, is contributing- but I'm not giving up my dream because of this B*******. no way.

so far i have tried abstaining from masturbation (a week), which seems to help. so i'm gonna try to keep going. i switched to vegan for a week also seemed to help but i'm thinking it may just have been that i was eating less so there was less in the intestines prrssing up against prostate and bladder, bc i ate a lot more of the same stuff and it's as bad as always.

it all just seems to be getting worse at a terrifying rate, no matter what i try. i'm seeing urplogist tuesday...but am skeptical. there are so many possible causes and treatments...tons on this thread. gonna try some and see what works.