Severe male urgency

[Cosmo35]

I'm a 35 year old man with a severe case of urgency.  I've been dealing with this problem for three months and it's taking a toll on the quality of my life.  My urgency problem is so severe that I cannot sleep more than an hour at a time before having to get up to use the restroom.  My doctor refered me to a urologist who conducted a prostate exam and urine test.  The specialist did not find a bladder infection but concluded that I must have a prostate infection (although my prostate was not swollen or demonstrated any other sign of infection such as a burning sensation.)  I was prescibed antibiotics for two weeks and it did not help.  A different type of antibiotics was prescribed for another two weeks and again it did not help.  Finally, the Urologist prescribed a potent antibiotics for 30 days.  I am one week short of completing the meds and I have not felt an improvement.  My regular doctor had an MRI done on my back to check for a pinched nerve but it came back negative.  The Urologist will not see me until I have completed the antibiotics although it is becoming very clear that I do not have an infection.  I don't know what to do, I am falling apart from the lack of sleep.  What can I do?

[Dr Smitha Mathews]

Hi,

Do you  remember any triggering factors around the time of onset of your symptoms?
Do you have nay pain related to the groin or pelvic structures?
Has a PSA been done for evaluating the prostate cancer.
You can discuss the possibility of starting prostate -specific painkillers or drugs like detrol that provide pain relief.

Meanwhile, you can focus on avoiding prostate irritants, such as caffeine, alcohol, citrus fruits, and spicy foods.

If your urologist will not see you, you can ask your GP to prescribe these drugs so that you can have some relief from your symptoms.
Sitting in a hot bath for 10-15 min twice daily (or as often as possible) can also help with reducing the urgency.

Causes of increased frequency and urgency include iterstitial cystitis and overactive bladder which can be managed with specific drugs and not antibiotics.

You can discuss these differentials with your urologist when you next meet and can follow up accordingly.

Do keep us posted on your doubts and progress.
Regards

[kassey]

I feel for you.  My husband has been dealing with this for 8 years.  His frequency is 6 times a night, about every hour.  During the day sometimes he can go 2 hours, mostly 1, and sometimes bang bang bang 3 times in a row every 10 minutes.  Doesn't seem to be diet related.  We have tried everything.  He has even gone throught the TURP proceedure, that's where they reduce the prostate surgically.  It didn't help.  Everything has been negative, bladder biopsy, PSAs, infection, IC, thay have not found anything wrong.  I am searching for him too. He has no pain.  I am checking into nasal spray now that is kinda new.  Going to talk to the doctor about it.  Hopeful in California.