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Urogynecology (Expert Forum)
continuous need to urinate, no UTIs
Answered by
Lennox Hoyte, M.D. - UroGynecology, Pelvic Surgery
USF College College of Medicine
Tampa - FL
Questions in the Urogynecology forum are answered by medical professionals affiliated with USF Health. Topics covered include overactive bladders, bladder pain, fallen/drooping bladder, bowel urgency, bowel prolapse, cystitis, incontinence, pain with intercourse, rectal prolapse, surgery, urinary urgency, and uterine prolapse.
continuous need to urinate, no UTIs
by monabella, May 15, 2008 02:24PM
Hello!
I'm a 19 year old female and I've had this problem for about 6 months: I almost always feel the need to urinate, even though there's no fluid to come out. The need to urinate is very high even after I've just been to the bathroom. Sometimes it feels like my urinary orifice is spasming (the sensation is similar to the aftershocks of an orgasm). This also mildly stimulates my clitoris.
I'm experiencing a feeling of fullness and a mild itching. I have back pains (somewhere lower than the middle of my back) and sometimes abdominal pains as well, including an ache on the interior of my left hip. In the morning, as soon as I wake up I have to head immediately to the bathroom because I feel overly full. I think I'm waking up earlier than I normally would because of this.
I've done a few tests: the uroculture didn't find any bacteria. I've also taken Zinnat, a pretty powerful antibiotic and polyginax - ovules - in case I had a vaginal infection. Nothing worked.
I also need to mention I've never had intercourse and that I tend to masturbate once a day - or once every two days. I'm thinking that maybe rubbing the clitoridian area caused this: I remember that sometimes, when I masturbated for longer periods of time, a small trickle of urine could come out.
I have no blood in my urine. It looks normal.
Please give me some advice. I really need to solve this problem. It's completely affected my lifestyle.
I'm a 19 year old female and I've had this problem for about 6 months: I almost always feel the need to urinate, even though there's no fluid to come out. The need to urinate is very high even after I've just been to the bathroom. Sometimes it feels like my urinary orifice is spasming (the sensation is similar to the aftershocks of an orgasm). This also mildly stimulates my clitoris.
I'm experiencing a feeling of fullness and a mild itching. I have back pains (somewhere lower than the middle of my back) and sometimes abdominal pains as well, including an ache on the interior of my left hip. In the morning, as soon as I wake up I have to head immediately to the bathroom because I feel overly full. I think I'm waking up earlier than I normally would because of this.
I've done a few tests: the uroculture didn't find any bacteria. I've also taken Zinnat, a pretty powerful antibiotic and polyginax - ovules - in case I had a vaginal infection. Nothing worked.
I also need to mention I've never had intercourse and that I tend to masturbate once a day - or once every two days. I'm thinking that maybe rubbing the clitoridian area caused this: I remember that sometimes, when I masturbated for longer periods of time, a small trickle of urine could come out.
I have no blood in my urine. It looks normal.
Please give me some advice. I really need to solve this problem. It's completely affected my lifestyle.
Doctor's Answer
by Lennox Hoyte, M.D., Jun 01, 2008 08:41PM
, Jun 01, 2008 08:41PM
Hi,
If your urine cultures were negative, then you need to consider other sources for your problem of feeling to urinate all the time. Other things than cause this problem include a mass in your pelvis like fibroid (non cancerous) tumors on your uterus, which can push on the bladder and make you feel like you want to urinate all the time. Also possible are infections in the urethra, although these are less likely if you have never had sexual intercourse. The other possibility include pelvic muscle trigger points which can make you feel like you want to urinate all the time. This can be helped or even cured by a visit to a pelvic floor physical therapist who can help you get rid of the trigger points and make your bladder symptoms go away. Other possibilities include urethral diverticulum (like a side pocket along then inside of your urethra that can collect fluid and get infected), Bladder cancer is also a highly UNLIKELY possibility, given your young age.
You will need to get an evaluation by a urogynecologist or urologist, who can evaluate your urethra, bladder, and pelvic organs, including the muscles in your pelvic floor. They should be able to diagnose and cure your problem.
Dr. Hoyte
If your urine cultures were negative, then you need to consider other sources for your problem of feeling to urinate all the time. Other things than cause this problem include a mass in your pelvis like fibroid (non cancerous) tumors on your uterus, which can push on the bladder and make you feel like you want to urinate all the time. Also possible are infections in the urethra, although these are less likely if you have never had sexual intercourse. The other possibility include pelvic muscle trigger points which can make you feel like you want to urinate all the time. This can be helped or even cured by a visit to a pelvic floor physical therapist who can help you get rid of the trigger points and make your bladder symptoms go away. Other possibilities include urethral diverticulum (like a side pocket along then inside of your urethra that can collect fluid and get infected), Bladder cancer is also a highly UNLIKELY possibility, given your young age.
You will need to get an evaluation by a urogynecologist or urologist, who can evaluate your urethra, bladder, and pelvic organs, including the muscles in your pelvic floor. They should be able to diagnose and cure your problem.
Dr. Hoyte
You many want to ask your Uro about Interstitial Cystitis or IC. IC can cause an increase in urination and abdominal pain. IC although pretty common is not widely known about even by many DR's.
One of the diagnostic criteria for IC is symptoms of a bladder infection without the precense of bacteria. It is a condition that is only diagnoable by something called a bladder distention to fond out if you have "pinpoint bleeding" or hunners ulcers, which are both difinitive signs of IC. "pinpoint bleeding" from IC does not mean you would test positive for blood in the urine.
This is only an idea as you could just be prone to chronic bladder infections which increase your frequency. But many with IC have your symptoms and go undiagnosed because it is thought they just keep getting Bladder Infections.
Hope you find soem answeres