Cyclist’s Syndrome / Pudendal Neuralgia, recovery advise and how to move forward?

Hi all,
This post is a like a light for me, especially since I’m going through some difficult times, physically and mentally.

A month ago I started having a feeling to urinate like every 30 minutes. And a burning/electrifying pain right at the top of the penis. After a trip to an urologist, some blood tests and an exam his conclusion was that I had some sort of nerve irritation from cycling/sitting. I had 2 sessions with an osteopath, than I went in vacation and so my symptoms went away. 2 weeks ago I did one quick session, no problems. Then 2 days later, it was so hot that I couldn’t sleep so at 4 am I went for a 40 min ride during which I had a big pain in my right sitbone. During the day I was so busy that I forgot to drink water and in the evening I suddenly collapsed do a pain in my lower abdomen and going to the toilet felt like pissing glass so I went to ER. An urine test showed an infection with E.Coli so the diagnosis was bacterial prostitis.

I’m currently in the middle of a 3 weeks antibiotic treatment but I really don’t feel like it’s just an infection. The symptoms are identical, although greater, to the episode just 4 weeks ago. At the osteopath my hip flexors were so tight, they hurt like hell. I know my pelvis is tilted. And before these episodes I felt my position on the saddle was different.

I have the same bike, saddle and equipment for the last 3 years and used to ride 2-3 hours without any issue. And never had I felt any pain or numbness in the area. After our first child was born, I could hardly find any time to ride 1-2 hours per week.

But this year with the lockdown, I was sitting at the home desk for 4 hours, then went out riding 45 minutes, then back sitting, most of the times no warm up or stretching, since I was thinking it was just a short ride. I guess all my frontal area is all tight and closed.

Having a possible UTI makes things also worse because all doctors now focus only on this. But I feel that it’s something more, for example, in stressful situations the pain in the scrotum is worse. Actually the night I went to ER, I had received some bad news at work. I also have pain in my lower abdomen, which is hard to pinpoint if it’s my intestines due to antibiotics or the pelvis. I also feel a faint pain/heat in the inner thigh and when I press the area I can swear I can feel the pressure in the pubic area.

Anyway, now I know I’m not crazy, that the pain is not just in my head. But I’m really anxious that it is so difficult to diagnose and treat, especially that I have a situation in my family which requires all my time, besides having a full time job. Until now cycling has been my escape from stress and anxiety. I always said that as long as I have my bike, I can push through anything. And now, that it’s the bike which I have to stay away from, feel like, well, a very dark situation