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Urology/Pain near bladder

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Hi the other day my doctor told me to increase my fluids more then what I have been drinking. This was because I am in a POTS attack. Which stands for Postural Orthostatic Tachycardia Syndrome. So I have increased my fluids. Now since I have done this when I go to pee while I am peeing near my bladder hurts really bad. Is their something that I can do to make it not hurt as bad. I am also having a video urodynamics done at the end of this month. My doctor thinks that I have two sphincters. He said their are two muscles he feels that one is pushing and the other one is restraining. He says this is common in young men now a days and they usually use Rapaflo which I was on and that worked for a few months and that was it. So he said the next thing is usually surgery.  I think what I just said is what he said or close to it. I may be off on some things. Thanks.

Answer
Sean:

It is unclear why you are having bladder pain so it is therefore impossible to recommend a treatment.  Males do have 2 sphincters.  They usually do work together but it's possible to have them screwed up and not working together.  Rapaflo can help but it's not a cure.

You need to see a good urologist to sort out just what is causing the pain: inflammation, infection, scarring, spasm or whatever.

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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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