Get E-Book on COVID-19

Q. What is the cause for frequent urination issue?

Answered by
Dr. Raguram Ganesamoni
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Feb 27, 2016 and last reviewed on: Oct 09, 2018

Hello doctor,Three years back, I had frequent urination problem. I underwent several tests, scans, TRUS and also underwent cystoscopy twice. They found classification in prostate and termed it as prostatitis. I had consulted close to 5 doctors and some of them said it is not prostatitis. So, still I am not sure what condition do I suffer from. But, my symptoms remain the same. I urinate even when my bladder is not full. After urination, there is irritation, itching, burning sensation as well as slight dribbling. During urination, I do not feel any burning. But, it is a weak stream after bowel movement and the irritation in the penile area is high. 6 months back, when I did a urine culture, it showed infection. But, doctors discarded it and linked it to prostatitis. I hope, I can find a proper diagnosis and treatment and also get rid off these symptoms, that I am suffering with since 2 years. Thank you.

Dr. Raguram Ganesamoni

Andrology Urology


Welcome to

I am sorry to know about your persistent problem.

  • Prostatic calcification is a common finding and more frequently seen in elderly. It is associated with chronic prostatitis in which infection leads to calcification. However, it is not diagnostic of chronic prostatitis.
  • Chronic prostatitis is a part of chronic pelvic pain syndrome (CPPS). It is a group of diseases and your problem fits into one of them. Unfortunately, there is no straight forward and simple solution for this problem.
  • Unlike a stone disease or an enlarged prostate, where the urologist can give immediate relief with medications or surgery, your problem is more complex and needs regular treatment and follow up.
  • This condition does not cause any permanent damage or problem. Most patients require months of regular treatment and some may need longer.

There is no point in changing the urologists. I would suggest you to read and understand about prostatitis. I would suggest the following treatment plan:

  1. Get a recent urine microscopy and urine c/s (culture and sensitivity) and get your prostate palpated (examined) by a urologist to rule out pain on touching (which signifies acute infection).
  2. Start with a course of antibiotics for 6 weeks. If culture is sterile, start with Levofloxacin.
  3. Add alpha-blockers (like Silodosin), which will relax your prostate and improve the urine stream.
  4. Have bladder relaxants like Tolterodine, which will reduce frequent urination.
  5. Take drugs like Amitriptyline which reduces burning sensation by calming down nerves from prostate.
  6. Alkalize the urine by taking Potassium citrate syrup.
  7. Finally add drugs like Pentosan polysulfate that is known to work in many patients.
  • You need to take these drugs for at least 2 to 3 months and adjust the dosage according to your symptoms.

Meanwhile, do not worry about your problems and keep your focus on your work and family life. I suggest you to visit an endourologist and discuss about these drugs. Wish you a speedy recovery.

Revert back after the investigations to a urologist online -->

Was this answer helpful?


Related Questions:
Can frequent urination, thirst, and numbness in feet and hands point towards diabetes?
Please suggest medicines for parameters out of range in the blood test.
What is the permanent solution for testicular pain?

This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

Consult by PhoneConsult by Phone Video ChatVideo Chat
Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers

What is the reason for red meatus and burning sensation during urination?

Query: Hi doctor, My meatus is red and has a small spot on one side. There is a constant burning sensation when I urinate. I am frequently urinating in small amounts. Recently, I had a DRE, and they told me that my prostate is enlarged. I have a foul smell from my penis. I never had this problem before. I...  Read Full »

I have frequent urination and minimal calcification. Does it mean prostate cancer?

Query: Hi doctor, I am 27 years old. I am worried about my prostate as my grandfather had prostate cancer and my father had an enlargement but was already cured. I had an ultrasound last year due to frequent urinating and result showed minimal calcification a year back. The Radiologist told me that the ca...  Read Full »

From the reports, kindly explain about my wife's burning sensation during urination.

Query: Hello doctor, My wife has been having a burning sensation of urine for more than a year now. Earlier, she took Taxim-O, but after stopping it, the burning sensation came back. When it comes, it stays for 5 hours or so. She feels very uncomfortable and hardly can move. She was advised to take Uroton...  Read Full »

Also Read

Crohn's Disease
Crohn's disease causes inflammation of the digestive tract, which results in symptoms like severe diarrhea, stomach pain...  Read more»
I was diagnosed with Celiac disease a year back. Can you suggest any medicine?
Having celiac fromnlast 10 year dignosis recently ayear ago since then i am gluten free still cant absorb food feeling w...  Read more»
My head is shivering from 20 days, and it feels like head trauma. What is the cause?
Hello sir, My head is shivering like anything , feeling like trauma is head. And its start anytime in a day and when s...  Read more»

Ask your health query to a doctor online?

Ask an Urologist Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.