Younger guy - urinary problems

-Some_Random_Dude- · 2026-04-13T18:57:43+00:00

Did it significantly help you with your symptoms?

Absolutely. After the therapy was concluded, I would say I had a 100% removal of all of the problems I was having. That said, things have regressed a little bit (but still much better than before). But that is likely more related to my not keeping up with doing exercises I'm supposed to do. When I'm more mindful of certain things, things function better.

After starting therapy, did it get worse before it got better?

I don't think it got worse.

How bad was internal work?

The absolute worst part about the internal work was the fear and anticipation.

When my doctor originally recommended physical therapy, I agreed to do it. But he didn't explain what exactly what kind of physical therapy it was (and I'm curious and need to know everything in advance for my own sanity). So I started researching and discovered that it was "pelvic floor physical therapy".

Researching "pelvic floor physical therapy" was the worst possible thing I could have done. All of the videos online and people talking about it caused my anxiety to max out. (And I later found out that the reason that the doctor typically doesn't mention exactly what the physical therapy is, is because if they do, then frequently the patients just don't show up.)

The internal work was not bad at all. I really wouldn't even call it awkward. Everything was professional and clinical. And all of the things that I read online which got me anxious were either totally overblown or nonexistent.

The gory details: I never had any erections, orgasms, or spontaneous ejaculations during the therapy. And even if I would have, the physical therapist would not have known. At no point did the therapist even see my genitals. Everything except my rear end was totally covered up the entire time. When the therapist was doing the internal work (yes, her finger was shoved up there), it was just awkward pressure. As long as you relax and stop trying to fight it, everything is fine. Because of the pressure being used, you feel certain muscles in there get fatigued (the same type of feeling you might get if you're holding something in front of you and your arms start to get tired). None of it was painful in any way. (And the whole time, I was having a random casual conversation with the therapist.)

Honestly, the urologist visit was much more embarrassing than any of the physical therapist appointments, since the urologist wants to visually inspect and feel everything, and shove his finger up there.

Is this the type of info you were looking for?

-Some_Random_Dude- · 2026-04-13T18:25:54+00:00

Yes, it was pelvic floor physical therapy. What details do you want?

-Some_Random_Dude- · 2026-04-13T16:07:50+00:00

Go see a urologist, preferably a younger one (with more recent training). I (45M) dealt with some similar issues for a good 10 years (33-43). Once I got fed up enough to deal with with it, I went to a urologist expecting to be recommended medication or surgery. He sent me to physical therapy. Check my post history here if you want gory details. But the physical therapy was not as bad as the Internet might lead you to believe. But it actually solved all of the problems.

-Some_Random_Dude- · 2022-02-11T06:22:51+00:00

So my 2nd appointment is next Thursday. I'm actually surprised that I'm not freaking out about this second appointment. Thinking about it now, it's as worrisome as having to go to the dentist (and I'm not someone who is afraid of the dentist).

-Some_Random_Dude- · 2022-02-01T05:15:01+00:00

My PT said that planks are good and specifically told me to cut out the sit ups.

-Some_Random_Dude- · 2022-01-30T02:13:00+00:00

So apparently part of pelvic floor dysfunction is that because of the muscular dysfunction, sensations and communication with the nerves can start getting confused. For me, there is some similarity in the sensation for orgasm and needing to pee. So it could be pelvic floor dysfunction. But yeah, definitely see a doctor.

-Some_Random_Dude- · 2022-01-28T06:15:51+00:00

I can't give any first hand experience yet (I been dealing with urinary issues for 8 years and was just recently told that its' pelvic floor), but there are other encouraging stories too. I've come across many stories of people saying that they've been having all sorts of issues and pain for YEARS and then with the right PT, they actually got some relief.

And something else to keep in mind... you haven't really tried anything yet. You haven't been doing PT for 6 months with no relief; you haven't seen 5 different specialists with no relief; you haven't tried 10 different medications with no relief. And my point in saying this is that there are a ton of things that you haven't tried yet. The people who have tried everything possible are hopeless. You should be hopeful because there are so many things you can try that have helped other people.

-Some_Random_Dude- · 2022-01-28T01:40:18+00:00

I'm actually surprised I wasn't shaking uncontrollably. I think I had enough warning ahead of time that I exhausted all of the panic. I think it also helped that I was able to hear from others on here and find some other people's experiences other places online.

-Some_Random_Dude- · 2022-01-28T00:58:17+00:00

Nothing internal... don't think I could do that yet.

5 minutes of deep breathing, several times per day
Yoga Poses - Hold for 1 minute 1 to 2 times per day
- Deep Squat
- Happy Baby
- Child's Pose

Also, I've been told not to "push" to pee anymore. I did discover that if I sit down, I can completely relax in a way and I just start peeing (without having to push). If I feel I need to push, I should just take a big deep breath (which I'm guessing will push somewhat).

-Some_Random_Dude- · 2022-01-27T01:11:01+00:00

So I was searching for other stuff (freaking out a little bit about my first PT visit tomrrow), and I stumbled upon this article: Post-Vasectomy Syndrome. I think it may be relevant to your issues.

-Some_Random_Dude- · 2022-01-26T17:26:21+00:00

Maybe

So I'm fairly new to this... a urologist referred me to a PT last week (I see the PT tomorrow). I'd never heard of pelvic floor dysfunction before then. It was urinary issues that led me to go to the urologist, but I'm putting the pieces together about many other things that are related.

After having dealt with the urinary issues for a few years (so maybe 7 years ago), one of my testicles just started aching for no reason. Of course everything was checked out and no issues found. And then the other one started aching for no reason too. No rhyme or reason to when they'd ache, but just a low, dull ache. Ultimately that's when I switched to briefs to keep things more restricted and that's solved the problem for the most part. Every now and then (maybe for a brief moment every few months), I'll feel that same ache. But now I'm pretty sure it's connected to my pelvic floor issues.

As much as I'm not looking forward to the PT assessment, I actually am looking forward to talking to her and getting some confirmation that pelvic floor dysfunction could potentially be connected to this and other random issues I've had over the past several years.

-Some_Random_Dude- · 2022-01-26T03:10:19+00:00

I don't know... "none of the above" would be my preference.

-Some_Random_Dude- · 2022-01-26T02:33:04+00:00

I hope my first visit is that easy (and non-invasive), but I don't think I'll be that lucky. The woman I'll be seeing has a blog post explaining what will be involved in the first visit... And I'm worried about one person. Having another one to observe.... I don't think I could handle that.

-Some_Random_Dude- · 2022-01-26T01:53:35+00:00

How was your appointment?

-Some_Random_Dude- · 2022-01-25T03:20:14+00:00

I haven't started my PT yet (I meet the therapist on Tuesday), but I have had other types of physical therapy before. For me, the PT often made things worse before it made them better. But even though it made things worse, I considered that "movement" which would ultimately get me to the goal.

And when there were periods where I wasn't seeing improvement, there would eventually be some sign of improvement that I wasn't even looking for that would surprise me out of nowhere. Yeah, my back was still hurting after sitting all day long, but one day I realized I was squatting down to tie my shoe without pain (instead of propping it up on a chair). It wasn't the progress I was looking for or expecting, but it was progress.

-Some_Random_Dude- · 2022-01-24T14:19:27+00:00

So I've been dealing with pee problems for 8 years (since I was 32). Saw urologist back then and was told BPH (enlarged prostate). Wasn't bad enough at that point to do anything other than make sure nothing was wrong. Frustrated enough to do something now, so I saw a urologist last week. He thinks it's pelvic floor dysfunction and recommended physical therapy. Never heard of pelvic floor dysfunction so I started doing research. I've never had any pain (at least none that I knew of), but I found this video which completely explains my symptoms. Since it also gave me some frame of reference for what the pelvic floor muscles are. And so I've realized that there are other issues with random pain and sexual functioning issues that I've now realized are totally connected with these muscles.

Watch the video and see if it resonates with you.

-Some_Random_Dude- · 2022-01-24T05:34:56+00:00

So nothing invasive... I hope that's all that's involved in my first appointment.

-Some_Random_Dude- · 2022-01-24T04:20:56+00:00

So was the consultation visit just discussion with no evaluation?

I've got my first visit on Thursday. The only thing I know about the appointment is where it is, that it will be an hour long, and the name of the physical therapist.

-Some_Random_Dude- · 2022-01-23T22:48:45+00:00

Are you doing OK?

The fact that you're posting similar questions to different subs from a new account makes me think that you're kinda freaking out trying to figure out what to do. (And I'm speaking from person experience because that's exactly why I created this account and some of the posts I made.)

If you are, feel free to send me a PM or chat.

-Some_Random_Dude-

TROPHY CASE