Struggling with Uncontrolled Urination: Which Specialist to See?

Incontinence?

A month ago, I had urethritis and after seeing a doctor and taking medication, I started experiencing uncontrollable urination.
I went to the hospital for a urine test a month later, and there was no inflammation, but I still cannot control my urination after two weeks.
Which specialist should I see?

Xiao Guo, 20~29 year old female. Ask Date: 2022/03/08

Dr. Hong Yuanbin reply Internal Medicine

Hello, some medications used to treat urethritis include those that relax the bladder to alleviate symptoms, which may be a side effect of these medications.
It is advisable to check the medication's information, as there should be a list of side effects.
Usually, discontinuing the medication is sufficient.
If there are no such medications involved and symptoms persist, it is recommended to consult a urologist.
Thank you for your inquiry.

Reply Date: 2022/03/08

More Info

If you are struggling with uncontrolled urination after experiencing a urinary tract infection (UTI), it is essential to seek the right medical specialist to address your concerns effectively. Given your symptoms and the timeline you've described, the most appropriate specialist to consult would be a urologist. Urologists specialize in the urinary tract and male reproductive system, making them well-equipped to diagnose and treat conditions related to urinary incontinence, bladder dysfunction, and other urinary issues.

Uncontrolled urination can stem from various underlying causes, including but not limited to urinary tract infections, bladder overactivity, neurological conditions, or structural abnormalities in the urinary tract. Since your urine tests have shown no signs of infection, it is crucial to explore other potential causes. A urologist can perform a thorough evaluation, which may include a physical examination, a detailed medical history, and possibly additional tests such as urodynamic studies, which assess how well your bladder and urethra are functioning.

In some cases, uncontrolled urination may be related to changes in bladder function following a UTI. For example, some individuals may experience bladder irritability or overactivity after an infection, leading to symptoms such as urgency and incontinence. This condition is often referred to as "post-infectious bladder dysfunction." A urologist can help determine if this is the case and recommend appropriate treatment options, which may include behavioral therapies, medications, or pelvic floor exercises.

If your symptoms persist or worsen, it may also be beneficial to consider consulting a specialist in female pelvic medicine and reconstructive surgery, particularly if you are experiencing significant quality-of-life issues. These specialists focus on complex pelvic floor disorders and can provide advanced treatment options tailored to your specific needs.

In summary, given your history of a urinary tract infection and the subsequent development of uncontrolled urination, I recommend that you schedule an appointment with a urologist. They will be able to conduct a comprehensive evaluation, identify the underlying cause of your symptoms, and develop a personalized treatment plan to help you regain control over your urinary function. Don't hesitate to seek help, as addressing these issues early can lead to better outcomes and improved quality of life.

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