Cannot void all pee at once, and feel urgency all the time
by TIKA66, May 19, 2003
First of all, I am female, so I hope I am not in an all-male site.  I had a really bad bladder infection a couple of months ago, so that might have something to do with what I am going through.  I am not experiencing any pain, but I feel like I have to pee all the time.  And I will pee, void all I can, stand up, wait a few seconds, sit back down, and be able to pee quite a stream again.  Actually, I can repeat this a few times.  So, it is not only the feeling like I have to pee ALL the time, I really am peeing a lot too.  I guess I need to go to the Doctor, but I decided to surf the net and came across this forum.  I guess the only really embarrassing part is that I am worried that this is my fault due to having too rough of sex with my boyfriend.  It is really interfering with my life, and besides that, I am a little worried, but I don't have health insurance, so I don't go to the doctor just to make myself feel better like I used to when I had insurance.  How awful to admit you squeeze the dime when it is your dime.  So I hope I can get some help, I just peed ten minutes ago, and already I feel like I am going to pee my pants.  So, like I said, I am a little scared and would just like some possible hints as to what might be wrong.  All my life, being a girl and afraid of bladder infections, I have always visited the restroom very frequently in an effort to prevent bladder infections.  Could I have weakened my muscles by not using them to "hold it"?  Thanks in advance
by Kevin Pho, MDBlank, May 20, 2003
Hello - thanks for asking your question.

Welcome to the forum.  This is certainly not an all-male site - there have been many urological questions asked by women here.  

With a description that you feel the need to constantly urinate, it may be a form of incontinence.  One type, known as "urge incontinence"  is characterized as a persistent urge to urinate accompanied by urinary frequency and nocturia (urinating at night).  

The obvious cause is an infection - this needs to be evaluated with an appropriate urinalysis and culture.  Proper antibiotics should take care of this.  

Another consideration is interstitial cystitis.  This is a subset of urge urinary incontinence that occurs predominantly in younger women. It is characterized by urgency and frequent voiding of small amounts of urine but without evidence of urinary tract infection on urinalysis.  A urologist can further evaluate this.

Finally, anatomical abnormalities may contribute to the symptoms.  Again, a referral to a urologist for possible imaging or cystoscopy would further evaluate this cause.  

I would suggest seeing a physician for proper testing.  This would include a urinalysis and urine culture and tests for STDs such as Chlamydia or gonorrhea.  A post-void residual (i.e. the amount of urine remaining in the bladder after voiding) should be done via ultrasound.  Renal function tests, glucose, calcium, and a vitamin B12 level should also be obtained for a comprehensive evaluation.  

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
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Member Comments (4)
by TIKA66, May 20, 2003
by Sydney0503, Jun 05, 2003
by rose23, Jul 17, 2003
by jessica stuart, Aug 02, 2007
Last night i was sexually active with one of my close male friends but did not have sex orally or through intercourse, however this morning i feel like i need to pee alot and when i do go to the toilet a tiny bit comes out an it feels weird- but it does not sting. Is there anything wrong, i dont feel i am unhydrated and i have been drinking plenty of water so im need an answer to my problem. Thank-you.
by Mammo54, Apr 01, 2008
A related discussion, Urge to urinate all the time was started.