Why am I having frequent urination for the last three months in my mid-twenties?

Hi doctor,

I am in my mid-twenties and I have had frequent urination problems for the last three months. I am not able to figure out the exact cause. I have consulted multiple doctors, and each of them is telling me different things. I am not sure which one to follow. One doctor had prescribed me OAB medication (the tablet Mirabegron). Another doctor said that it could be bladder neck elevation after looking at the uroflow report (attached), and had prescribed the oral forms of Silodosin/Alfuzosin, which I have been taking for two weeks now with not much improvement. The third doctor asked me to consult a psychiatrist and take anti-anxiety medications. I do not wake up from sleep. I feel like my bladder is not getting empty completely, and I have to go to the bathroom frequently after drinking two to three glasses of water. I have only had these issues for the last three months. I have attached my USG and uroflowmetry reports. Please give your suggestions.

Thank you in advance.

Hi doctor,

Thank you for your response.

Is the uroflow pattern normal? Whatever medications you are prescribing, can I stop them after 30 to 45 days? Do I have to take those medications along with the tablet Alfuzosin?

Hi doctor,

There has been no recent sexual exposure. But yes, I do ride a two-wheeler quite often. In fact, the first time when I got the symptoms (three months back) was after seven hours of a bike ride. The next morning frequent urination started. However, there are no other symptoms of prostatitis like pain, itching, or burning. The only symptom I have is frequent urination, and I am not able to empty my bladder completely. In the first week, I felt severe discomfort in my penis (as if someone is holding and crushing it). Constant urge to urinate was there but no flow. Sleep issues were not there, and I did not wake up at night. These symptoms eased over two months but did not go away completely.

In the last two weeks, I feel like my symptoms have come back with less intensity. I have taken the tablet Alfuzosin for 12 days now. Before that, I had taken the tablet Silodosin for 10 days. Frequent urination is there on most days. There is discomfort in the penis. It feels like the bladder is full. Also, there is a constant urge but not an uncontrollable and pressing sensation. The urge does not go away after voiding. Sometimes there is a small leak after voiding, in the pant. I had a kidney stone in my left kidney around seven months back, which got removed with medicines only. I have attached my previous USG and culture reports too, taken three months back. Please prescribe any medication. More than the symptoms, I feel like my life is not normal. I am getting mentally affected and anxious more than physical symptoms.