Health Organization for Pudendal Education

I have had Levator Spasms of the rectal muscles for 20 years. I also have burning before and after urinating. I have seen a urologist and he said I had no infection. I have heard that Pudendal Nerve Entrapment can cause these spasms and urinary problems.I heard that weight lifting, biking(long distance), child birth (females),chronic constipation,and long distance driving, and high stress can cause Levator Spasms(or PNE).I have never done any of these things.I woke up one night with this pressure or "golf ball " feeling in my rectum.Since it didn't go away I thought I had a bad case of the hemorrhoids. I made an appointment Gastroenterologist and had a colonoscopy. The colonoscopy was normal. I don't think the Gastroenterologist knew what was wrong with me . I made a appointment with a colon-rectal specialist and he diagnosed me with Levator spasms. I tried EGS and a lot of different medications, but nothing worked. I was just wondering what could have caused these Spasms or PNE?

Often it is simply speculation, some people may never actually 'know ' their own cause.After listening to Dr Andrews blog talk interview it could be something as innocuous as posture or a build up of different things,almost unnoticed slight injuries, strains, stance, congenital 'defects', one thing on top of another and even a sporting healthy lifestyle could trigger the problem.
Dr Hibner has just added another cause to the list Can't remember exactly where I read it (in a recent pudlication here) but I thought NO!!! we can do without that being levelled at us with everything else we need to deal with. . . .I may be too much of a prude to 'say' it but it has been said to make you blind. OOOps better not go there eh? As if it was a possibility anyway Have had another look but couldn't see it at all (very bad attempt at humour)
Helen

helen, I was also wondering, and almost thought that this is how my problems started
In 2009-2010 I had episodes of bad pain (7-10 days) after ANY sexual activity, so there must be some interlinkage...Pain was always delayed (2-3 days) and always faded away before in autumn 2010 become chronic.
The best remedy was rest and sleep and avoid sex (which you obviously cannot practice for the whole life being a man in the middle of his 30-ties...)
Anyhow, there must be some underlying predesposition (tight canal, imunological disorders etc.) which are magnified by mechanical action (sex, masturbation).
Later my pain was aggravated after any phisycal labour, which might indicate that also some vascular aspects are in play.
Maybe we will never know what was the decisive trigger point.
M.