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Conditions and Diseases > Urinary and Bladder Disorders Forum > Incontinence and uncomfortable urination
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Q: Incontinence and uncomfortable urination
asked by: DoctorQuestion on February 16th, 2008
When I pass urine it feels very uncomfortable, akin to what I can only describe as something like a muscle strain, if that is possible in the vaginal area. It is not "painful" in the usual sense, more uncomfortable pain, and does not burn. The initial passing urine is fine, it is only towards the end of the flow when the uncomfortableness begins and increases as the amount of urine to be passed becomes less and less. It has reduced my urine control and meant I seem to have to go to the toilet as soon as my bladder is half full. Have experienced bed wetting a couple of times when not emptying my bladder before going to bed, usually I wake up if I need the toilet in the night. I first had this condition a few months ago for about 3-4 weeks, but it stopped completely. It has now returned in the past couple of days. Like I say the feeling itself is very hard to describe, but it is definitely not the usual paniful burning sensation associated with urinary diseases.


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Dr. Nikola Gjuzelov , MD
replied on February 26th, 2008
Urinary and Bladder Disorders Answer A3745
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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