I have/had bladder issues very much like yours. My PSA(?) blood test was neg and my doctor found no problems whatsoever with my prostrate. I am 55 years old, so the prostrate was the first place to look.
My neuro had prescribed me detrol LA. I went from getting up 6-8 times a night down to 1-2 times, sometimes 3. It took about 2 months for the meds to make a difference. It really helped with the urgency issue too.
This needs to be dealt with ASAP, especially if it's prostrate related.
Mike
It sounds like a prostate issue to me...I suffer from some urinary hesitancy but not enough for me to be treated for it...I have several friends that have prostate issues but they suffer from urinary urgency....(always having to go but nothing to empty) Kind of like what you are describing...If if is effecting you and it is becoming a problem, you need to make an appointment and see your doctor...Even if you can live with it, you still should tell your doctor at your next visit...I'm finding out that telling your doctor as much information will benefit you more...In other words, even if you find it insignificant you need to let them know...I'm lucky and have excellent doctors....
Michael
I think because you are male and in your 40's you should make sure its not a prostrate issue or uninary track infection. Sure its a common sx of MS but not everything is MS, dont put up with until you understand it or its so bad it cant be ignored. Make an appointment with your doctor!
Cheers........JJ