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What Causes Burning Sensation While Urinating?

Posted on Tue, 16 Sep 2014

Question: I have problem related to urination, sometime i do not have urine pressre and sometime have much urine with burning sensation, pain in base of penis, but mostly i wait to have the pressure or the baldder to get fill so that i have sensation for urine but it is not there i press my bladder to see weather i have urine.
My kft, ultrasound KUB, urine test GFR all are normal what to do this is happening from last 6 yrs.

Answered by Dr. Dr. P. T. Patil (41 minutes later)

Brief Answer:
Need Urodynaemic Evaluation .

Detailed Answer:
Hello
Thanks for your query,based on the facts that you have posted it appears that you have no urine pressure and no sensation of bladder being filled with urine even after it is filled up completely

I shall be happy if you can post me few more details to help me in making comments on your problem.
1) Do you have symptoms UTI like increased frequency for urination ,burning for urination urgency?
2)Do you need to press your lower abdomen or strain to initiate urination or to pass urine? 3) Is your urine stream normal or weak?
4)Did you have any major illness before you developed these symptoms?

You seem to have Neurogenic bladder and need to consult qualified Urologist for clinical and get following tests done to find out the cause of your problem.
1) Urodynaemic study of Bladder
2) Cystometry study of bladder
3) Endoscopic examination of bladder (Cystoscopy).

Further treatment will depend upon the results of these tests and final diagnosis.

Hope I have answered your query ,please feel free to ask if you have more questions ,
I shall be happy to help you
Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (2 minutes later)

Cystoscopy has been done no finding. everything i ok, i am saying weather the generation of urine is the issue as urine comes from kidney and if urine is there in bladder and then i am not feling or not empteing then i can say it is bladder issue . pls advise

Answered by Dr. Dr. P. T. Patil (7 minutes later)

Brief Answer:
YNo issue with Kidneys .

Detailed Answer:
Hello
Thanks for follow up.Since your KFT are within normal range it is sure that you do not have kidney function problem .

Your symptoms are basically related to storage function and emptying of bladder.

Please give feed back on queries I have asked for and get the tests done I have suggested under guidance of a qualified Urologist where facilities are available to conduct these tests.

Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (13 minutes later)

Below answers.

) Do you have symptoms UTI like increased frequency for urination ,burning for urination urgency?2)@@@ sometimes but urine culture report is normal.

Do you need to press your lower abdomen or strain to initiate urination or to pass urine?@@@@ Yes i always try to see weather i have urine in my bladder

3) Is your urine stream normal or weak?@@@ if i have pressure then it is ok as i have done my urofometry recently where my flow as per doctor os perfect

4)Did you have any major illness before you developed these symptoms?No

You seem to have Neurogenic bladder and need to consult qualified Urologist for clinical and get following tests done to find out the cause of your problem.1) Urodynaemic study of Bladder 2) Cystometry study of bladder
3) Endoscopic examination of bladder (Cystoscopy).@@@ Alraedy done in 2008 but nothing comes out

Answered by Dr. Dr. P. T. Patil (12 hours later)

Brief Answer:
You need toget these done

Detailed Answer:
Hello
Thanks for feedback.Cystoscopy done in 2008 is irrelevant in present context.

Please repeat cystoscopy to see present situation and most important is Urodynaemic study of bladder .This is only test that can help to come to diagnosis your problem
Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (4 hours later)

bur sir tell me onething if the production of urine is not proper and baldder is only comes into picture once urine is store there so wher is my urine going also if have my feet sweeling i have shown to nephrologist , urologist form XXXXXXX apollo hospital in XXXXXXX as i stay in XXXXXXX but they all XXXXXXX it i not related to urine. as in day time when i am in office my feet get swelling but as soosn as i go to home remove my shoes and lie down in bed then it goes off i dont know what to do one doctor says drink lees water and salt, do you recomend any good doctor in XXXXXXX region so that i can have a proper check, i will be graetfull to you

Answered by Dr. Dr. P. T. Patil (1 hour later)

Brief Answer:
You need to evaluate systematically.

Detailed Answer:
Hello
Thanks for writing again and highlighting new complain of swelling of the legs.

In your earlier statement you have mentioned that your KFT (Kidney Function Tests) are normal.Swelling in the legs with normal KFT can be due to dependant oedema and has no significance .

You need to evaluate with joint consultation of Nephrologist and Urologist..I do not know any one XXXXXXX

Thanks and Regards.
Dr.Patil.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar