Urinary Issues: When to See a Specialist for Relief - Urology

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Urinary issues


In recent months, I have been experiencing a sensation of incomplete bladder emptying almost every time I urinate.
After finishing, whether I squat or sit down, there is still urine that leaks out.
Sometimes I also experience frequent urination.
I have seen a doctor who prescribed antibiotics, but there has been no improvement.
I feel discomfort when my bladder is full.
Which specialist should I consult for help? Thank you.

Awei, 30~39 year old female. Ask Date: 2014/06/19

Dr. Lin Hexing reply Urology


Hello Mr.
Awei: Please visit the urology outpatient clinic at a medical center or a large regional teaching hospital to consult with a urologist for treatment.

Reply Date: 2014/06/19

More Info


When experiencing urinary issues such as incomplete emptying of the bladder, frequent urination, and discomfort, it is essential to seek the right medical specialist for proper evaluation and treatment. Given your symptoms, it would be advisable to consult a urologist. Urologists specialize in the urinary tract and male reproductive system, and they are well-equipped to diagnose and treat various urinary conditions.

Your symptoms of feeling like you cannot fully empty your bladder, along with the discomfort and frequency of urination, could indicate several underlying issues. These might include urinary tract infections (UTIs), bladder dysfunction, prostate problems (in males), or even neurological conditions that affect bladder control. Since you mentioned that antibiotics have not improved your condition, it is crucial to undergo further evaluation rather than relying solely on medication.

Here are some steps you can take to address your urinary issues:
1. Schedule an Appointment with a Urologist: A urologist will perform a thorough evaluation, which may include a physical examination, urine tests, and possibly imaging studies like an ultrasound to assess the bladder and kidneys. They may also conduct urodynamic studies to evaluate how well your bladder and urethra are functioning.

2. Keep a Symptom Diary: Document your symptoms, including when they occur, their severity, and any other relevant details (like fluid intake and any associated pain). This information can help your doctor understand your condition better.

3. Discuss Previous Treatments: Be sure to inform the urologist about the antibiotics you have taken and any other treatments you have tried. This history will help them determine the next steps in your care.

4. Consider Other Specialists if Necessary: If the urologist suspects that your urinary issues may be related to a neurological condition, they might refer you to a neurologist for further evaluation. Similarly, if there are signs of psychological distress related to your symptoms, a mental health professional may be beneficial.

5. Explore Treatment Options: Depending on the diagnosis, treatment options may vary. If a UTI is confirmed, a different antibiotic or a longer course may be necessary. If bladder dysfunction is diagnosed, treatments may include bladder training exercises, medications to relax the bladder, or even surgical options in more severe cases.

6. Lifestyle Modifications: In addition to medical treatment, certain lifestyle changes can help manage urinary symptoms. These may include reducing caffeine and alcohol intake, practicing pelvic floor exercises, and ensuring adequate hydration.

7. Follow-Up Care: Regular follow-up appointments with your urologist will be essential to monitor your condition and adjust treatment as needed.

In summary, seeking the expertise of a urologist is a crucial step in addressing your urinary issues. They can provide a comprehensive evaluation and tailored treatment plan to help alleviate your symptoms and improve your quality of life. Don't hesitate to reach out for help, as urinary problems can significantly impact daily living, and timely intervention can lead to better outcomes.

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