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Urology  (Expert Forum)
 | 
urination problem
Answered by
Stephen Liroff, MD - Urology, Pediatric Urology, Peyronie’s disease
Henry Ford Hospital West Bloomfield - MI
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.

urination problem

by buster2079, May 12, 2008 01:30PM
I am going to the bathroom many, many times during the day, and at least once or twice at night.  I have been to 2 urinologists.  I have had a IVP Test, a cystoscopy, urine measuring test, ultrasound, blood test, urine test, and urine culture work done.  One urinologist said I was a confusing case because I urinate a lot like an overactive bladder, but even though I urinate a lot, I still retain urine in my bladder and it's like an underactive bladder. The first urinologist recommended different medications, but nothiing helped.   The second urriologist recommended  Detrol LA which did not stop the frequent urinatation, and there was at least one or two times during the day where I felt extreme pressure duriing the need to urinate, but couldn't go for at least 1 to 1-1/2 hour later.  He said it was possible I had a "sensitive bladder".  I can't be the first person who has had this problem, but no one can recommend or give me something to some this very frustrating situation.  I even went to the emergency room, because I was going to the bathroom one day every 10 to 15 minutes and I wasn't drinking anything.  It was like my system was manufacuring urine.  They put me on a medicine that I could only take for 3 days as it was bad for the kidneys.  This helped a very little bit, but I had to stop because of the amount of time I could take it.  Can you give me any idea what I have and how it can be treated?.  I am tired of living this way.  Thank you

by Stephen Liroff, MD, May 20, 2008 10:51PM
Sorry for the delay in getting back to you. I seem to be skipping questions for no apparent reasons.
The fact that you are not emptying your bladder may well be the cause of your urinary frequency. If you are only emptying a relatively small amount but leaving a large amount in your bladder it will not take long before your bladder fills again.An obstruction to urinating can have the effect of destabilizing your bladder and cause you to go frequently. If you have had a bladder suspension in the past then this could be the case.Sometimes I have prescribed a type of drug called an "alpha blocker" for this. This drug is usually given to males who have obstruction from their prostates, but it does work at times.
On the Sorry for the delay in getting back to you. I seem to be skipping questions for no apparent reasons.
The fact that you are not emptying your bladder may well be the cause of your urinary frequency. If you are only emptying a relatively small amount but leaving a large amount in your bladder it will not take long before your bladder fills again. An obstruction to urinating can have the effect of destabilizing your bladder and cause you to go frequently. If you have had a bladder suspension in the past then this could be the case. Sometimes I have prescribed a type of drug called an "alpha blocker" for this. This drug is usually given to males who have obstruction from their prostates, but it does work at times.
On the other hand, there are neurological diseases such as multiple sclerosis that can act like this. You might ask one of your urologists about this. There is a device somewhat like a pacemaker that can be surgically installed in some patients with your symptoms. A urologist who specializes in female urology may be the ideal person for you to see. Call your nearest teaching hospital or medical school and ask for their urology department Bring copies of your medical records to speed things up and avoid any redoing of your workup.
Good luck!
S.A.Liroff, M.D.

"This information is provided for general medical educational purposes only. It
does not  necessarily reflect the opinions of Henry Ford  Hospital  or the
Vattikuti Urologic Institute.  Please consult your physician for diagnostic
and treatment options pertaining to your specific medical  condition.”

Member Comments (3)

by saint168, May 12, 2008 04:44PM
Have you look into Prostate Infection?

by buster2079, May 13, 2008 05:11AM
To: saint168
Thank you for your comment, but I am a female and I'm not sure I have a prostrate.
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