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Question
Over the last few days I have lost the feeling of needing to urinate.  I can urinate but have no sensation or urge even in the morning.  My primary doctor ran a blood test and had me get a sonogram of my kidneys and bladder with all coming back normal. I'm starting to become really concerned.   Thank you for your time.

Answer
Jason:

This is most likely a neurological issue since things are working OK but it's a sensation problem.  You may want to check with a urologist first to make absolutely sure the system is otherwise working OK, but if there is a sensation issue and no obvious cause, you may end up seeing a neurologist and looking for some central nerve issue.  

Sometimes diabetes can present with this type of sensory loss but your regular physician has probably already checked.  If not, ask him to.

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Stephen W. Leslie, MD

Expertise

Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience

Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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