I have taut bands in pelvic floor muscles. Only able to pass stools or urine. Foreign body sensation like something is tied up with weird structure . Muscle feels like plastic, steel, id dry needling is temporary, botox is temporary, tpi injection is temporary. Exactly what is the treatment for this.
Doctor, I’ve been dealing with a distressing issue that I’m struggling to understand, and I’m not sure if it’s physical or psychological. As an adult, I am experiencing involuntary bedwetting whenever I fall asleep at night. For some reason, my brain just doesn't get the message about urine at night, and I don't feel the sensation of needing to urinate while I'm sleeping. Because of this, I've developed a strong anxiety around bedtime, and I actively try to stay awake at night to avoid sleeping just so it won't happen. It's affecting me every single day, and I'd like to figure out what might be causing this—whether it's an underlying physical condition with my bladder, nerves, or sleep, or if it's connected to stress—and what we can do to treat it.
I recently had a semen analysis showing a sperm concentration of 45 million/mL, progressive motility of 25%, and normal morphology of 1%. I would appreciate your advice on what these results mean and guidance on the next steps. What could be the possible reasons and solution
I have taut bands or taut muscle in pelvic floor Mainly levator ani, puborectalis muscle. Left and right both. More towards 5 to 8 clock. Psyio not helping much. I hv pulled this muscle aggressively during my sons vaginal birth. I have problem in passing urine nd stools. Rest all test are normal. I feel something moving in pelvic. Muscles don't feel soft. It feels foreign like steel, metal. Folded. I just keeping pushing it down unconsciously nd releasing it. I am comfortable doing daily activities, wearing tight clothes or sit comfortably. Pelvic don't feel normal like before . Pls suggest whether I shuld go for dry needling, or botox or tpi as I don't hv much pain.
I am facing erection problems from past 1 yr and premature ejaculation both together . taking tadalafil 5 mg daily only slight improvement
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