According to the symptoms you describe of uncomfortable urination, and increasing urge to pee and bed wetting, you could be experiencing some type of urinary incontinence. The first step in diagnosing your problem is to request a microbiological examination of the urine to confirm or exclude possible infection. If a urinary infection is present, you can request antibiotic treatment. If there is no infection, you can continue with further vaginal, abdominal and rectal examinations. Several groups of disorders are possible such as :
1. Gynaecological disorders: infections, tumors, fistulas, genital prolapse etc.;
2. Urinary disorders: infections, interstitial cystitis, stress incontinence and detrusor instability, tumors, bladder diverticles…;
3. Neurological disorders, and
4. Psychiatric disorders.
Then, a few tests can be performed to clarify the condition. You can consult a gynaecologist about your condition and request the following diagnostic tests:
1. Clinical tests (stress test and Bonney’s test);
2. Urodynamic investigations;
3. Cystoureterography;
4. Cystoscopy
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