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Urology  (Expert Forum)
 | 
Male Persistent sensation of needing to pee after emptying bladder
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.

Male Persistent sensation of needing to pee after emptying bladder

by Josh42, Apr 12, 2005 12:00AM
Hi,

Recently I have been having the sensation of having urine in my penis which makes me feel like straining to urge the last few drops of urine out of my penis as when I urinate normally.

This is how I can best describe it:  During normal urination I empty my bladder and contract muscles to surge the last remaining squirts out.  Between urinations I still have the sensation that I need to contract those muscles in order to get the last drops out.  It feels like urine is about to drip out of my penis.  When I do contract those muscles no urine comes out but the sensation does not go away.  If I am distracted I don't notice it but I am very aware of it now and am distressed it is annoying and distracting.

I am not in pain.  It doesn't burn to urinate, there is no discharge just the sensation of having to expel the last drops of urine.  I don't know what to do.  I hope I can get some help.

by Kevin Pho, MD, Apr 13, 2005 12:00AM
I would certainly consider an infection first - since this is not an uncommon cause.  The urine can be sent for a simple urinalysis to evaluate this.

Any type of prostatic enlargement can cause various changes in the urinary pattern.  Your doctor can do a digital rectal exam to feel the prostate to see if this is the case.  

If these tests are non-revealing, you can consider more specialized testing to evaluate if there are any anatomical abnormalities that can lead to your symptoms.  This can include a cystoscopy to evaluate the lower GU tract.

These options can be discussed with your personal physician or in conjunction with a urology 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.
Medical Weblog:
kevinmd_b
Member Comments (2)

by Josh42, Apr 13, 2005 12:00AM
To: Urology - General
0

by faith8in, Jun 27, 2005 12:00AM
To: Urology - General
0
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