13 months ago I started having chronic penis tip pain with more pain when rubbed. Its really concentrated at the tip on the inside of the urethra and sometimes around the outside. It feels like a constant burning and more burning when touched. There is also occasional pain in the perineum area. The pain us reduced but not gone when I am naked for longer periods of time.
I remember having oral with some jaw clenching around the circumcision line around that time but I cannot remember exactly when. Was prescribed fungal creams then bactrim and cipro then doxy. These did not help. Also had a cystoscopy and blood tests for all stds or other related issues that all came back negative. I also tried physio and that has seemed to helped the most with controlling things but the pain on touch still always hurts the same. I find that sitting makes it worse and sex and masturbation is bearable but to much concentration on the tip causes the same pain. Also wearing underwear hurts. I bought a softer more compressive pair to hold everything in place.
Recently I have received a pudendal nerve block as one doctor guessed it could be nerve entrapment. The doctor said this guess was due to my pain profile and because my penis went completely numb recently when riding a bike for about 30 minutes. The block failed since the genitals never went numb. I will be receiving a penile block soon as a second attempt.
I posted this in another thread but realized that most of the peoples pain there was along the urethra. Mine is really concentrated at the tip. I am wondering if anyone else has had a similar experience and if anyone has any possible solutions?
I am also wondering if this could be a psychophysiological issue since I have had other chronic pains in the passed which have mostly resolved with some physical intervention and lots of psychophysiological work. This is a very difficult condition to live with and I am trying to stay as happy and positive as possible. I appreciate any help