Urethral Urgency

[samiam_99]

For the past several months, I have discomfort and urgency to urinate coming from my urethra not my bladder.  I've had several UAs done and there has been no infection.  Bedtime is the worst.  After I initially urinate before going to bed, I'll still have to get up 5-6 times with in the first half hour to urinate again.  There is always a little (sometimes very little) that will come out.  Once I'm asleep, I'm not usually bothered by this.  I just had a diagnostic laparoscopy and hysteroscopy.  The doctor found adhesions and removed them.  I don't know why the discomfort and urgency is so strong within the urethra.  It almost feels like it is spasming.  Please help.  

[Lennox Hoyte, M.D.]

Consider a course of doxycycline to see if this is a low level urethral infection. If it is, then the symptoms should resolve after 2 weeks of therapy. Ask your gynecologist for this. If this does not cure the problem, then follow up with an evaluation by a pelvic floor physical therapist to evaluate for pelvic muscle trigger points. YOu may find this to be helpful. Of course, you should first have a thorough workup by your genecologist to rule out other obvious infections, masses.

Dr. Hoyte

[looper7]

I can completely relate.  For 10 months now, out of the blue, I've had painful urination seeming to come from the urethra when I am finishing up.  Recently for the past couple of months, I've also had terrible pain coming from the urethra area constantly, like the spasming feeling.  I also just had a diagnostic laparoscopy done and they found nothing of importance, except two bulging veins on the outside of my uterus.  I never have any UTI's with the pain.  I have also had a urologist do a cystoscope to look inside the bladder and nothing was wrong there either, just mentioned a short urethra (no abnormalities).  And like you, am up several times a night to go to the bathroom.  Have you noticed anything else noteworthy?