I understand how frustrating and exhausting it must be to deal with these ongoing symptoms, especially when medications like Soliten, Contiflo, and Urotone haven't brought relief. In young men, this combination of urinary symptoms and chronic pelvic, genital, or lower back pain is often associated with Chronic Prostatitis or Chronic Pelvic Pain Syndrome (CP/CPPS). This condition involves inflammation or muscle spasms in the pelvis rather than a simple infection, which is why standard bladder or prostate medications might not fully work. Please don't lose hope. I highly recommend discussing CP/CPPS with a urologist, who can explore targeted therapies like pelvic floor physical therapy to help you find relief.