Frequent Urination 2 years

[cccw4]

I'm at my witts end. I'm a 36 year old male. I have had frequent urination for about 2 years.  I have been to both my G.P. and 2 urolgists. I have had bladder dissension, urodynamic studies, x-rays, and endless tests.    My condition from my urolgist at first was an infected prostate. He first did the antibotic thing for 4 weeks.  No progress.  Then flomax with no real improvment.  I have tried supplements along with the flomax and achieve much better flow but no decrease in freqency.  I have had urodynamic study, and also just had bladder dissension, with a biopsy. The biopsy was negative and I don't have intercisital cystitis (sp?)  I have monitored my intake and measured output several times.  When I do go, it is about 5 ounces +/-. I go 3-5 times a night, and about 15-20 times during the day.  I also have consistant pain below my belly button with an increase when I urinate paritcularly when I am finishing.  The urologist also thought possible hernia? I went to a general surgeon who thought maybe slight.  I have had a P.S.A. test and that was real low.  What should I be trying to do? I live trying to find the next bathroom.  I can't do things with my young sons because of the problem.  I'm 5'11 and 170 pounds. I'm in good physical shape.   When I get the sensation to go it is not overpowering, just a slight feeling that peeks and if I try to ignore it it settles down a little and comes back again a little stronger.  Urinating provides relief for a short time.  I'm willing to try anything.  The urolgists keep passing me off to others in their practice.  Right now I'm desperate.  Please any guidance at this point I would appreciate.  Should I try a new urolgist?  Should I try medicine for an overactive bladder?  Could it be prostatisis?  BPH?  Help help help

[Kevin Pho, MD]

You have been through quite a comprehensive workup already, including urodynamic testing as well as evaluation by several urologists.  The tests make it unlikely that a mechanical urological problem is present.



I would assume that things like a urinary tract infection as well as prostate problems have been ruled out by the urologists.



You may want to consider systemic diseases - including both diabetes mellitus and diabetes insipidus - each which can increase the frequency of urination.



Diabetes mellitus can be evaluation via sugar levels in the blood.



Diabetes insipidus is a disorder where the hormone that controls water absorption is impaired.  This can be evaluated with what's known as a water deprivation test, and can be arranged via an endocrinologist.



You can discuss these options with your personal physician.



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.

http://www.straightfromthedoc.com

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