Struggling with Persistent Urological Issues: Seeking Answers and Relief

A problem that has been bothering me for a long time?

I have the following symptoms: 1.
I frequently need to use the restroom, sometimes feeling the urge to urinate again within 10 minutes after just finishing.
I also have a sensation of incomplete voiding.
2.
There is a small, slightly swollen bump near the opening of my urethra, which is not very noticeable.
I have seen several doctors who said there was no swelling.
However, the swelling becomes more pronounced during an erection, and if I hold my urine, eat spicy foods, or masturbate, that area becomes painful.
Especially after masturbation, not only does the swollen area hurt, but my entire urethra also feels itchy and painful, and the frequency of urination worsens, requiring me to go to the bathroom three to four times an hour or more, making me feel very uncomfortable.
This issue has been bothering me for 4 to 5 years.
I have consulted several doctors, and each time they prescribed medication, they said I was fine after a few weeks.
When I told them that the swelling and discomfort had not resolved, they did not believe me and stopped the medication.
Shortly after stopping the medication, my condition returned to being as bad as before, or even worse.
After going through this several times, I am almost ready to give up on treatment.
Should I continue seeing doctors, or should I buy medication on my own? Also, could this lead to infertility? I have not been able to date because of this, and it is really quite painful.
I just want to get better, but no doctor seems to believe me.
Thank you for taking the time to read and respond to my questions.

A-Ren, 20~29 year old female. Ask Date: 2005/03/05

Dr. Weng Wenzhen reply Urology

Hello! 1.
Frequent urination without residual urine may be indicative of overactive bladder syndrome or a conversion disorder related to psychological factors.
2.
After an erection, the penile urethra becomes engorged, which can lead to a sensation of increased redness and swelling.
It is common to experience a feeling of foreign body sensation in the urethra after holding urine or after masturbation; this is not unusual.
These symptoms may be caused by psychological factors leading to a conversion disorder and do not require concern.
Medication may only address the symptoms temporarily; developing a romantic relationship might help improve the situation.
Thank you for your question, and I wish you health and happiness!

Reply Date: 2005/03/05

More Info

It sounds like you are experiencing a very challenging and distressing situation with your urological symptoms. The issues you describe, including frequent urination, a persistent feeling of incomplete bladder emptying, and discomfort around the urethra, can significantly impact your quality of life. It’s understandable that after years of seeking help and not receiving the answers or relief you need, you might feel frustrated and disheartened.

From a medical perspective, your symptoms could be indicative of several conditions, including but not limited to urinary tract infections (UTIs), prostatitis, urethritis, or even interstitial cystitis. The small red bump you mentioned could be related to a number of factors, including inflammation or irritation, and it’s important to have a healthcare provider who takes your concerns seriously and conducts a thorough examination.

Here are some steps you might consider taking:
1. Seek a Specialist: If you haven’t already, it may be beneficial to consult a urologist, a specialist in urinary tract and male reproductive system issues. A urologist can perform specific tests, such as urine cultures, imaging studies, or cystoscopy, to get a clearer picture of what might be causing your symptoms.

2. Document Your Symptoms: Keeping a detailed log of your symptoms, including when they occur, their severity, and any potential triggers (like certain foods or activities), can provide valuable information to your healthcare provider. This documentation can help them understand the pattern of your symptoms and guide their diagnosis.

3. Communicate Openly: When you see a doctor, express your concerns clearly and assertively. If you feel that your symptoms are not being taken seriously, don’t hesitate to seek a second opinion. It’s crucial to find a healthcare provider who listens to you and validates your experiences.

4. Consider Psychological Support: Chronic health issues can take a toll on mental health. If you find yourself feeling hopeless or anxious about your condition, talking to a mental health professional might help you cope with the emotional aspects of your situation.

5. Avoid Self-Medicating: While it might be tempting to self-medicate, especially if you feel that doctors are not helping, this can sometimes worsen the situation. Over-the-counter medications may not address the underlying issue and could lead to further complications.

6. Discuss Fertility Concerns: If you are worried about the potential impact of your symptoms on fertility, bring this up with your urologist. They can provide information on whether your condition could affect your reproductive health and what steps you can take to protect it.

7. Explore Lifestyle Changes: Sometimes, dietary changes, increased hydration, and avoiding irritants (like caffeine, alcohol, and spicy foods) can help alleviate symptoms. Discuss these options with your healthcare provider to see if they might be appropriate for you.

8. Stay Persistent: It’s understandable to feel like giving up after multiple visits with little relief, but persistence is key. Your health is important, and finding the right treatment may take time and effort.

In conclusion, while it can be incredibly frustrating to deal with persistent symptoms and feel unheard by healthcare providers, it’s essential to continue seeking help. A urologist can provide specialized care, and with the right approach, you may find the relief you’ve been searching for. Remember, you are not alone in this, and there are professionals who can help you navigate these challenges.

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