ecstatichamster
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- Joined
- Nov 21, 2015
- Messages
- 10,542
UPDATE:
I think I may have psychogenic urinary retention. It comes closest to describing my case: "unable to pass urine voluntarily, however without any discomfort and no urge to pass urine". I mean, that's me to a T, at least some of the time: obviously I am typically passing urine normally at certain times of the day.
When urinary retention is caused by an enlarged prostate - which it almost always is - the experience is very different. You don't lose the urge to urinate, but when you try to pee, you can only dribble because of the obstruction. If the prostate is really badly enlarged you'll be dying to pee but nothing will come out. Then you need a catheter, as a matter of emergency.
I have developed a lot of anxiety about urination, particularly about the possibility of acute retention requiring hospitalisation. I notice that when I go to pee there is often a lot of tension around my abdomen: it's like I'm willing myself on to urinate, which just creates more pressure around it.
Prostate enlargement just seems unlikely now. I'm only 32, after all, and there is no pain whatsoever. Psychogenic bladder is rare, but when I started reading about it, it ticked all the boxes in terms of describing what's going on with me.
On this basis, all I can do is try to accept this and relax, not putting too much pressure on myself. The very best I could do would be to find a distraction. I'm going to take a Diazepam today to calm the nerves a bit. Will report back if this suspicion can be confirmed.
try metergoline. I think it will work great.