Frequent Urination At Night With Non-emptying Bladder (24 Years Old)


Mar 13, 2015

I am posting on behalf of my partner. He is otherwise healthy and 24 years old.

Since mid January he noticed that he was urinating more frequently, particularly at night. He would be getting up 4-5 times a night. He had no other symptoms.

He went to his GP who then referred him to the GUM clinic. They done all the relevant swabs and looked at his urine under a microscope. They said that there was 'something' in the urine but they didn't specify what. They prescribed him with a one week course of doxycycline antibiotics and diagnosed it as non specific urethritis.

His symptoms went when he finished his course of antibiotics. However, a few days after treatment had finished, the frequent urination came back.

He returned to the GUM clinic. They informed him that all his results came back normal (no STIs). They also looked at a new sample of urine under the microscope and said that it looked fine. They then referred him back to his GP.

The GP said that the infection might need stronger antibiotics so prescribed him a two week course of doxycyline. They also performed a blood test which came back all normal with no further action needed.

His symptoms had started to go and he wasn't urinating as frequently, but said that he still felt like he hadn't emptied his bladder properly after he had been to the toilet.
The GP sent him for an ultrasound scan. The doctor performing the scan said his kidneys looked fine.

The results came back yesterday. The GP said that after he had emptied his bladder during the scan there was still 160ml of water left behind meaning that his bladder isn't emptying correctly. He now has to go back for another ultrasound where the scans can be looked at by a specialist bladder department.

Since these results he says he feels like its 'come back' and has needed to urinate frequently again. There is clearly an issue but do you think it's possible that psychology could be worsening the symptoms I.e. When he thinks about it he needs to go more often?

He was diagnosed and successfully treated for an STI infection a few years ago and his GP said that the infection could have left scarring in his urethra which means that it may be limiting how much urine can come out...

Does anyone have any idea would could be causing this? As you can understand his mind has jumped to the worst conclusion (tumours/cancer) - would these show up on an ultrasound? I also suggested that it could be prostate problems but I'm not sure how likely this is because of his age? The doctors haven't performed any examinations on his prostate yet.

It will probably be another 3 weeks+ for the new scan and results and it is starting to have an impact on his quality of life with all the not knowing.

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