Constant Need To Pee, Advice Please!

Hi I have been having frequent urges to urinate for the last couple of months on and off. There is no pain or burning, just like persistent strong urges to pee even when not alot comes out. I have had two Urinealysis tests which came back fine. I also have tested negative for stds. My general practicioner felt my prostate and said it seemed ok to her. Basically my symptoms are  like a spasm like sensation, even more noticeable at night when I lie down. To clarify, I don't have any trouble controlling my bladder, just a constant urge to go, even when very little comes out..It just feels like a pressure sensation down there in my lower bladder.. At times I find myself getting up about 4 times before my bladder feels empty to fall asleep..I did have a colonoscopy recently and was told I have a small anal nodule about less than 1 cm...But I assume they would have found any prostate problems...Also, I saw a urologist and he said everything seemed okay and that there isn't much to do, although he gave me some Ditropan if I need it....Id just like a second opinion, what could cause urinary frequency in a 29 yo man like me? Could it be prostate? The urologist said it probably wasn't the anal nodule because something would have to be sizeable to cause any associated urinary symptoms. This is just driving me crazy and my quality of life is horrible with this problem..Thanks for any input!

[S. Kaul, MD]

Hi there!

All prostate related issues are not detected by colonoscopy. Your symptoms could relate to interstitial cystitis; however issues other than urinary tract infections, such as hormonal/ endocrinal abnormalities, neuro-muscular issues etc may need to be considered as well. I would suggest discussing the situation in detail with your urologist for further investigation to come to a conclusive diagnosis and appropriate management.
Hope this is helpful.

Take care!