Urinary Urgency: Causes of Painful Inability to Urinate - Urology

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Feeling the urge to urinate but being unable to do so?


Experiencing discomfort in the penis along with a strong urge to urinate but being unable to do so, or only being able to pass a few drops, can be indicative of several conditions.
This situation may be related to urinary retention, which can occur due to an obstruction in the urinary tract, such as an enlarged prostate, or it could be a sign of a urinary tract infection (UTI) or prostatitis.
The accompanying sharp pain may suggest inflammation or irritation in the urinary system.
It is important to consult a healthcare professional for a proper diagnosis and appropriate treatment.

kk, 10~19 year old female. Ask Date: 2007/07/11

Dr. Liu Jianting reply Urology


If you're feeling unwell and experiencing a stabbing pain, it could be a urinary tract infection.
I recommend visiting a hospital to consult with a urologist for an examination.

Reply Date: 2007/07/11

More Info


The symptoms you are describing—having a strong urge to urinate but being unable to do so, along with discomfort or pain in the penis—can be indicative of several underlying medical conditions. This situation is often referred to as urinary urgency with urinary retention, and it can be quite distressing. Here are some potential causes and considerations regarding your symptoms:
1. Urinary Tract Infection (UTI): One of the most common causes of painful urination and urgency is a urinary tract infection. UTIs can cause inflammation in the bladder and urethra, leading to a strong urge to urinate, burning sensations, and sometimes even pain in the pelvic area, including discomfort in the penis.

2. Prostatitis: In males, inflammation of the prostate gland (prostatitis) can lead to similar symptoms. This condition can cause pain in the pelvic area, painful urination, and difficulty urinating. Prostatitis can be acute or chronic and may require different treatment approaches.

3. Bladder Irritation: Conditions such as interstitial cystitis or bladder irritation can cause a constant feeling of urgency and discomfort. This condition is characterized by chronic pelvic pain and frequent urination, often without a clear infection.

4. Obstruction or Stricture: A blockage in the urinary tract, such as a urethral stricture (narrowing of the urethra) or bladder stones, can lead to difficulty urinating. This can cause pain and a feeling of incomplete emptying of the bladder.

5. Nerve Issues: Neurological conditions that affect bladder control, such as multiple sclerosis or spinal cord injuries, can lead to symptoms of urgency and retention. Nerve damage can disrupt the signals between the bladder and the brain, leading to difficulty in urination.

6. Medications: Certain medications, particularly those with anticholinergic properties, can affect bladder function and lead to urinary retention. If you are taking any medications, it may be worth discussing with your healthcare provider.

7. Psychological Factors: Anxiety and stress can also manifest as physical symptoms, including urinary urgency and discomfort. Psychological factors can sometimes exacerbate physical symptoms, leading to a cycle of discomfort.

Given the complexity of these symptoms, it is essential to seek medical attention. A healthcare provider will likely perform a thorough evaluation, which may include a physical examination, urinalysis, and possibly imaging studies or urodynamic tests to assess bladder function.
In the meantime, here are some general recommendations:
- Stay Hydrated: Drink plenty of fluids, but avoid irritants like caffeine and alcohol, which can exacerbate bladder irritation.

- Avoid Holding Urine: If you feel the urge to urinate, try to go to the bathroom as soon as possible to avoid further irritation.

- Warm Compress: Applying a warm compress to the pelvic area may help alleviate some discomfort temporarily.

In conclusion, the symptoms you are experiencing can stem from various causes, and it is crucial to consult a healthcare professional for an accurate diagnosis and appropriate treatment. Early intervention can help prevent complications and improve your quality of life.

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