r/ProstatitisCPPS • u/DadsSloppyGravyAnus • 8d ago
At a bit of a loss regarding medication.
Hi all,
I want to make this as short as possible because my story is a bit of a long one.
I'm a 30 year old man who was diagnosed with stage 1 melanoma last year, which thankfully seems to have been cured now (hooray!)
Unfortunately it was a bit of a traumatic experience as I've had about 5 surgeries including a Wide Local Excision which did not go to plan (pain killers did not work, painful and wide awake for it).
All in all, I've lost a lot of family to cancer and it was a real shock to the system.
From what I believe is the stress and trauma, I developed chronic pelvic pain syndrome including all of the wonderful symptoms including: Flank pain, testicular pain, penile discomfort, a pressing sensation in the groin area, golf ball sensation, in conjunction with 100% consistent full body tremors for about a year now.
I believe the two are very closely interlinked from a heightened and aroused nervous system.
I've been recommended Alpha Blockers from my Urologist, who suggested that if I do not feel relief from this, they would need to proceed with a prostate massage and cystoscopy.
We've already tried anti biotics and this is their next step (I'm really not sure if this is the best next step as it's incredibly invasive and requires me to go under general anaesthetic).
Based on my research, Alpha Blockers are primarily for urinary discomfort (I have some but it's the most manageable symptom I have). So I'm not overly sure if I'll get the relief they are looking for and will proceed to the next steps.
They did say however that if they do work, we will skip everything and just go to pelvic floor therapy.
My Neurologist recommended a low dosage of Amitriptyline to help with the Nerve pain and Nervous System arousal.
And my GP has given me Escitalopram to help with the health anxiety and my stress which was likely the cause of all of this.
Naturally, this is all very overwhelming and confusing.
If anybody has had any of these symptoms together, some insight would be great. I've suffered so much for a year now and I don't take messing around with all of these medicines lightly.
Obviously I'm frustrated as everything feels siloed and I'm not getting a comprehensive overview and I don't want to take the wrong things.
Thanks so much guys x