Muscle spasms when sneezing

[miza_b]

I am a 26 year old male, with a past history of UTIs.  Since the problems with the UTIs started, I've been having a problem with what I think are urethral spasm.  They only occur when I sneeze and are excruciating.  I usually wind up on the floor in a fetal position when it hits me.  I never void as a result of them and I usually have trouble voiding after an attack.  I have asked my Urologist about this and he seems stumped.  He performed a cystoscopy and said that everything looked normal.  I don't know what my next step is with dealing with this.  Could this be a neurological problem rather than urological?  The other thing that I think it might be is a prostate muscle spasm.  Any ideas would be helpful.

[Dr J Singh]

Hi,
This in my opinion is likely due to a persistent inflammation of the urinary bladder and urethra. When you sneeze, the sudden rise in intraabdominal pressure causes irritation of the bladder and this results in pain. The rise in intraabdominal pressure is responsible for strangury which means a feeling of passing urine along with pain but actually the urine doesn’t come out. You need to ensure that the UTI is completely healed and everything should be fine. I sincerely hope that helps. Take care.