by Nathan123 » 19 Mar 2017, 10:45
Jimmy7223,
I have had very similar issues but wanted to check with you to seem if this sounds right. I am 29 year old male straight male. Bear with me because this is somewhat long of an explanation. As a child I was diagnosed by doctor with an anal fissure due to large BM's. And growing up into adulthood I believe I would get anal fissures (blood on tp and occasional pain but not enough to send me to doctor) and sadly it just became some type of normalcy. A few years ago in my mid 20s I would get these 45 minute long episodes of the constant need to urinate and more minor urge to defecate (pressure in rectum feeling). I have probably had about 18 of these episodes over the last few years it is like torture and causes me to pace back and forth. Initially, I never went to the doctor because I thought well, whatever it was, it's done. For the first year these episode happened a few times and it was randomly but as I recall the AF would be bleeding during these times or I would have an episode of blood on TP shortly before the constant urge to pee episode. Then two years ago, I had an episode of the spasm except this time I really strained/pushed to urinate after urinating about 5 times in a 30 minute period. I ended up urinating blood clots after urinating normal urine about 5 times in a row (smaller amounts each time). I went to the quick care doctor immediately. Then years worth of tests began but I stayed silent on the AF as I did not connect the dots yet. The first urologists had diagnosed me with prostatitis as well. I had cystoscopies done, STD, bacteria tests, MRI's, and other tests. The results showed no stones, no bacteria, and some minor irritation to the bladder (doc didn't think this would cause my symptoms tho). I have continued to get these episodes but I never had blood in urine since that time two years ago. I have a very good urologist now who thinks it is muscle related because he mentioned that my sphincter or muscles surrounding it were going into severe spasm was the cause of these episodes. He did not think it was prostatitis either. I have never told him about my AF (or what I think is an AF). After he mentioned that this could be related to the sphincter spasms, I eventually connected the dots and feel like the chronic fissure is to blame for this. I do not think I had the symptoms as bad as you did (I could not imagine having the constant urge to urinate longer than an hour, it must have drove you to the brink of insanity). My urologist is a good guy and communicates via e-mail so I sent him an e-mail this morning asking if the AF could have anything to do with this.
Anyway, besides the episodes of needing to pee, I occasionally have very low urine flow in the morning and hesitancy. After BM this clears up. I do get sharp pains occasionally that feel deep into rectum which will cause a sensation at the tip of my penis. Again, I never place these two things together and still waiting to hear back from the doctor but I wanted to run this by you. As your symptoms became less frequent would you get similar episodes as I did? Does my explanation of my symptoms seem similar to yours? Lastly, how have you been doing... has this cleared up for you?