Originally Posted by
rsbob
I never found a saddle, and I have Selle Italia cutouts, that helped with the issue. What did help was getting on two prescription meds which took care of the stream and urgency issues. Sitting on non-cutouts back in my 40s exacerbated the situation. Nothing like the urgency thing happening with no bathrooms insight with no recourse.
I am taking Tamsulosin twice daily. After riding I do feel a little residual pressure in the perineum, which isn't painful or anything, but starting the next day I can feel that there is more resistance to my urine stream. May I ask what medications you are taking?
Does the Selle Italia saddle in the photo work well for you? I've come to the conclusion that saddles with firm padding are best for keeping the perineum pressure low.