years long problem

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So, I am male and 25 years old. I must have had this problem for 7 years or more, but in the beginnings it was not this noticeable and life affecting as now. Basically I can never emtpy my bladder till the end. I do not have any pain, but I do often need to strain to pee and even sit down because of not being able to pee on foot at that moment. I have seen all of the urologists in my city, everyone had their opinion of what this was or they did not know. First they thought it was prostatitis and I have drank antibiotics for a month only to not get better. I have had uroflows, urodynamics, cystoscopy etc. Basically I think I went through all of the tests. It is a terrible problem because i plan not to drink bigger amounts of fluid before sleeping (because I will have to go pee X times at night), or before movies or some events, or even before sex. This is the part that the problem has started to get effected recently because of the growth of the severity of the case. I always had 50 % of good orgasms because I would never know how much was I able to pee out before sex or masturbation. It could be good and satisfiying or completely unsatisfying because a lot of urine would stay in my bladder. So the problem did not affect me that hard back then and I did masturbate every day and I had sex more often. In the last few months I have stopped masturbating every day, even every few days. So i don't masturbate for like 4-5 days and I do not feel the need to because I know that the orgasm will be really bad. Furthermore I would never have problems with erection while having sex, but the last few times I have barely managed to keep it up. Can someone give me an advice what to do? It's tearing my life apart because I can't have a normal relationship because of this. Also as I strain myself to pee on a daily basis I have hemorrhoids all the time because of pushing and straining. So I am 25 otherwhise healthy, 181 cm, 70 kg (so I am not overweight) but I smoke cigarattes.

please help

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    It sounds as though your problem is similar to mine: incomplete emptying of the bladder. I had the same tests as you, and they concluded that my detrusor muscle (the muscle surrounding the bladder that squeezes it to expel urine) was weak and not pushing the urine out as it should. "It is like a floppy bag", one urologist said. There is apparently no cure for this, though it might recover a bit if given the chance to expand and contract fully by having the bladder emptied and not constantly stretched by being full.

    I was given a supply of catheters for intermittent use, and I use these whenever I need to urinate. This is very easy and quick, and has dealt with the problem adequately for the past 10 years or so. Did your urologists suggest using these? The catheters are quite expensive if you don't get them paid for by the health service, but I have found that each one can be used for two or three days so long as it is kept clean, despite warnings on the packet that they are for one-time use only.

    You may like to read an article about this: Incomplete emptying of the bladder and retention of urine, by Yassir Jassim and Zaki Almallah

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