I am a 59 YO male who was discovered to have a PSA of 13.4 during a routine physical.  DRE identified bilateral induration and an ER biopsy (2 cores - yes, I know) was negative for malignancy. The doctor made a mistake of some sort during the cores and actually took three, though one was unusable. A second DRE 6 months later was normal and my PSA was 9.7 (different labs). I have since had an increasing level of pain following those cores.  The pain moves around and is mainly a function of my sitting or laying posture, and rarely occurs during standing and is gone during walking.  The pains might be described as sacrum-in-a-vice, gunshot-to-the-pelvis, hot-nail-in-the-rectum, balloon-in-my-perineum and needle-in-the-scrotum. Usually only one at a time and mainly right sided.  I feel OK when I wake up but the pains begin soon after.  All this is consistent with pudendal nerve stimulation of some sort, almost certainly a result of those cores. I tried this:  I bought a sunburn lotion containing lidocaine and menthol.  Rubbing this mainly around the anus, but also from the sacrum to the scrotum creates a distracting and pleasant feeling of cold which counters and overrides the sense of hot pain.  The lidocaine may also contribute.  The effect lasts for about 4 hours or longer.  I don't use it internally.  It is simple, non-invasive and safe. I am hoping that the pain provokes pain, that I don't acclimatize to it, and that interrupting the cycle may have long term benefit.  I just began this and it has been working for four days now. I also hope that the long term use of menthol does not aggravate the problem, and that the lidocaine does not make me test positive on some cocaine drug test (unlikely-it is topical). Good luck.

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