non-specific bladder pressure
July 14, 2011 | 30,00 EUR | answered by Uni-Arzt Freddy Feuerstein
For the past 12 months, I have been experiencing non-specific bladder pressure, which gives the sensation of a full bladder. No pain when urinating, no blood, no bacteria.
During this time, I have had 4 urinary tract infections, treated with antibiotics.
No findings from the gynecologist.
Bladder examination by a urologist showed no findings, only a note of a minor inflammation of the bladder wall.
Prescription of Vesicare, active ingredient Solifenacin succinate.
I also have no stress, except with my bladder.
Could a pinched nerve be responsible for this discomfort?
Thank you.
Dear Questioner,
First of all, I would like to address your specific question. It is highly unlikely that you have a single pinched nerve that is causing the sensation of a full bladder. What you are describing sounds more like the medical condition known in English as "overactive bladder".
This condition falls within the realm of incontinence disorders. It is also possible that you are able to hold urine completely, as there is a "Dry Form" of the condition.
If this sensation comes on very suddenly and you need to urgently visit the toilet, happening approximately 8 times a day or more, then this diagnosis would be likely.
Especially with urinary tract infections, an overactive bladder is often associated, as is the case with you.
Due to the frequent infections, the nerve supplying the sphincter muscle may indeed have been affected. Many times, there is no causal explanation or cause found.
There is no definitive therapy for this condition, and surgical intervention is usually not possible (unlike with other forms of incontinence, where pelvic organs descend and affect urination).
Vesikur is a well-established medication for this use. The medication therapy may be expanded if necessary.
The treatment of an overactive bladder is symptomatic, and the cause is rarely resolved, as it is not yet fully understood.
Lastly, I would recommend continuing to be cared for by a urologist, as they specialize in incontinence disorders. (As mentioned, there are also "dry" forms).
Through cystoscopy, it may be possible to rule out any abnormal growth in the bladder. This is generally a good practice, as it is always necessary to investigate this in your condition.
If you have any additional information (age, weight, comorbidities, number of pregnancies, micturition frequency, etc.), or any further questions, please feel free to include them in your response. I will address them if relevant. This response can only address the situation you have described here and cannot replace a thorough medical visit.
Otherwise, I wish you all the best.
Sincerely,
T.C. Müller
