23 year old male, lifelong incontinence issue

Don't think any posts are quite like mine. I'm a 23 year old male, and have been dealing with this issue my entire life. When younger, I would have very frequent bed-wettings. And by younger, I mean almost up through high teens. Even through college, any time I would drink anything from water to gatorade to energy drinks, if it was close to bed time, guaranteed I would have to get up a few times through the middle of the night, and the waking up part was only if lucky.. Any time I drink water or really any liquid in quantities greater than maybe 2 glasses, I will get urges to pee several times an hour. Almost always, there's less than 10 ounces, unless I've drank a LOT of liquid, then quite a bit more.  There's never any pain associated, just extremely high urgency (small leakage normal), and extremely high frequency. Going from not having an urge to needing to go IMMEDIATELY is a constant. Sometimes a small amount of relief is felt when position is changed. IE I'll have to pee really bad when seated at my desk, but when I get up to go to the bathroom, the urge will completely subside. I've tried many different overactive bladder medications, such as Detrol LA. I am now on Desmotabs, which I thank the world that I found, as this has all but stopped the night-time issue. Still, I wonder if there's anyone out there with my symptoms, that has found a way to best it. The D tabs are fantastic, and I can usually take a couple before going out with friends, and not have to make the usual 100 trips to the bathroom in a night, so it has greatly reduced my anxiety and embarrassment. I'm just hoping for a more permanent fix. One note I forgot to mention is that it is not a prostate problem, have had it checked more times than I care to admit, especially since that shouldn't have had to happen for another 20 years.
Sincerely.

[needtopee]

Oh yeah. And I've also seen a urologist that performed a cystoscopy, which found everything to be fine, normal.

[Dr J Singh]

Hello,
This wetting of bed is called adult urinary incontinence. It can be due to overtaking the fluids at night, urge incontinence, inappropriate bladder contractions.  constipation, infection ,a stone in the bladder  and use of diuretics ("water pills).

Regarding the incontinence it can be due to incontinence or overflow incontinence. If bladder muscles become too active, you may feel a strong urge to go to the bathroom when you have little urine in your bladder. This is urge incontinence or overactive bladder. There are other causes of incontinence, such as prostate problems and nerve damage. Treatment depends on the type of problem you have. so please get it evaluated from a urologist. Hope it helps. Take care and please do keep me posted on how you are doing. Kind regards.

[needtopee]

Is there a fix specifically for the bladder muscles being too strong, or too active, or the inappropriate bladder contractions? This sounds like my condition, as it seems like no matter how strong of Pelvic floor muscles I have,(which the urologist said I had very strong contraction strength) the bladder muscles always win. As mentioned, it isn't a prostate issue, as I have had multiple prostate exams. I have seen a urologist, who tried a few different medications, to no avail (until the desmotabs.) The urologist did a flow exam and then the cystoscopy, which he found everything to be normal, this is when he asked me to contract (as if I am trying to hold in the urge) and told me those contraction muscles are very strong. He gave an explanation something to that effect as well. Saying that there might be a neurological issue, that my brain is telling me to pee, and therefore enacting my bladder muscles, and when I counter that action by holding it in, the bladder muscles have become stronger and stronger.

[rmprdl1964]

Hi,

Your problem can definitely be of neurological cause.
After having had surgery my problems with urinary retention returned. I was then schedule for a urodynamics test and was diagnosed as having a neurogenic bladder. I self cath for that.

There are several drugs that they should try first. To minimize bladder spasms that I experience, they prescribed Detrol LA for me. It used to work well, but currently having an indwelling catheter, it does not work as well as it used to.

One of the latest thing that I have heard about is Botox. I have no further information on this, but perhaps you should aproach your urologist about this.

For myself I also seem to have a small bladder that adds to the problem. I have had the urodynamics tests at least four times all coming up with the same diagnosis. Another procedure involves stretching the bladder. Very uncomfortable and no long term success.

God bless,

RR