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40 year old, worried about symptoms

Posted 13 Mar 2021 at 08:28

Hi I am 40, I have had issues for a few months. Feeling of needing to pee, lower back pain, burning when wee, stuttering flow and a heaviness of needing to we especially in the night. I used to drink 4 cans of stella each night until a week ago I am on solifenacin succinate but the doctor found nothing in my urine and checked my prostate and testicles all seem fine. He has referred me for a ultrasound I am worried to what this could be?

Posted 13 Mar 2021 at 10:03

You would be very young to have prostate cancer or prostate enlargement, but it's right that your doctor has referred you to get symptoms checked out, and you want to get whatever the issue is fixed.

Solifenacin is a drug to help reduce bladder spasms. This is where the bladder contracts to generate a sense of urgency to pee before it filled up. Some things can be bladder irritants to some people, causing bladder spasms, and these include alcohol, fizzy drinks, caffeine, some acidic fruit drinks, and concentrated urine (due to being dehydrated, and often caused by drinking less fluids, incorrectly thinking it will help a urinary issue). If you are having bladder spasms, cutting these out for a few weeks will tell you if that's the issue, and then reintroducing one at a time might identify which are doing it for you. Bladder spasms can also be caused by outflow obstruction (peeing slowly). There are other drugs which can help with that depending on the cause, which they might offer you after tests.

Posted 13 Mar 2021 at 10:18

Thank you I am just worried but it is more the constant feeling of needing to pee. When I do it is fits and starts. If I drink s bottle of water and got later on I can then do a full pee.

Posted 13 Mar 2021 at 13:06

Hi col, 

As Andy says it is very unlikely to be prostate cancer at your age. Symptoms like back pain etc. do occur with advanced prostate cancer, but if you had advanced prostate cancer, when your doctor examined your prostate he would be very unlikely to consider it felt normal.

The needing to pee constantly, the fits and starts, in my case successfully peeing a lot but then needing to pee again within less than an hour were symptoms of urinary retention.

For some people the retention is total and needs treating at A and E immediately. For me I could manage to pee but was hardly emptying my bladder. When I did get to A and E and had  a catheter. I had about 900ml of urine in my bladder a normal bladder is full at about 500ml.

So I think it is possible you have retention and in my case it was the prostate causing the problem. I don't know what else could cause retention, maybe kidney stones? 

Anyway whatever it is it needs sorting, but I think worrying that it is prostate cancer should be very low on your list of worries. 


Posted 13 Mar 2021 at 15:45

Seems odd to be stood talking to folk at 40 years old and leaking urine with no control. I am sure it will get sorted

Posted 13 Mar 2021 at 16:14
Ask for a referral to a urology consultant.

Cheers, John.

Posted 13 Mar 2021 at 16:43
Seems more likely to be either an over-active bladder, chronic infection or an issue with the muscles that control the bladder. My husband was diagnosed with the latter problem at the age of 35 - they said his bladder wall was like old leather. Medication solved it for the next 15 years.
"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

Posted 13 Mar 2021 at 16:58

On a positive note seems lots of medication to solve these issues. Lots of people in worse situations. Thank you for the advise. 

Posted 18 Mar 2021 at 07:35

Hi. Thank you for the reply, I am going the toilet to pee around 4 times a night when I do I feel desperate to go then a small bit comes out and it stop starts and I have to really push. I also have sore stomach/testes/lower back and tiredness.

I had a prostate examination at the doctors he said it felt ok. I am booked in 8 weeks at a urologist. I am very concerned.

The tablets I am on solfacicin sulfate are giving me a very dry mouth I am drinking a lot of water.

Thanks for listening 

Posted 18 Mar 2021 at 08:04
I’m pleased to see you have a referral to a urology specialist.

In the interceding eight weeks you might ask your doctor whether he thinks a tablet called Tamulosin, sometimes combined with a tablet called Finasteride might help with your flow problems in the short term.

Worth a try?

Best of luck.

Cheers, John.

Posted 18 Mar 2021 at 08:09

Thank you! All I read leads to prostatitis. Does it sound like it is that?

Posted 18 Mar 2021 at 09:05

Whatever this is the symptom seems to be urinary retention. I think for most people the retention stops peeing completely and that is a very serious problem so straight to A and E.  For me I could just about pee sometimes it was almost a normal amount but I still needed to pee half an hour later.

Because I could just about pee it took four days between the onset of the problem and finally getting treatment. NHS111 and my GP were fine, the GP said you need a catheter go to A and E. 

A and E was a very poor service, four hour wait as to be expected. A doctor came to see me I said I could just about pee and he said well I'm not putting a catheter in if you can still pee. There was some talk of a bladder scanner but apparently that was broken. About an hour later two nurses turned up having found a scanner, my bladder had 500ml according to the scanner in so it clearly was retaining. Another hour later two nurses turned up to put a catheter in. This drained in to a bag after a little while it was nearly full, so after finding a nurse it was taken off and another one attached, the nurse wrote on my records 440ml which was the contents of the first bag. I then filled the second bag and a third was put on which just filled slowly. I asked why she had written 440ml on my records, she said "that was the contents of the first bag", I said "what about the second?", she said "we have to write the contents of the first bag". I actually think they are supposed to write the amount of retention which for me was about 900ml, but I think she had misunderstood her training. 

Anyway retention can damage your kidneys, I think you have had it a while I don't think an 8 week wait is a good idea. You can buy Tamsulosin over the counter branded as "Flowmax" if you want to try it and see if it works (it didn't for me). I would seriously think about getting to A and E or finding the local NHS continence service, to whom I believe you can self refer, and they should be able to do a bladder scan and fit a catheter if needed.

I don't think you should let them fob you off just because you can pee a little.



Posted 18 Mar 2021 at 09:33

Ok Dave thank you. If I drink 500ml of water 30 mins later I can do a full pee. The stuttering is more in the night

Posted 18 Mar 2021 at 09:47

OK That's good. Do you then feel like you need to pee again within an hour? If so I would be a bit worried, if you can then go for perhaps three hours before you next want to pee then I guess you probably did fully empty your bladder so I wouldn't be quite so worried. 


Posted 18 Mar 2021 at 10:01

Hi, I can go a couple of hours I am going to A and E later I need it sorting I will post the outcome

Posted 18 Mar 2021 at 16:22

Been to A and E. Had a bladder scan I had 200m in it and emptied it to 6m. They seem to think it a feeling or sensation. I asked about prostate etc they said the urologist in May will check kidneys, tubes, prostate. That's where I am at.

Posted 18 Mar 2021 at 17:19

Well I'm really glad you have emptied it well. At least we know that you're not going to be damaging your kidneys for the next eight weeks. 200ml is about right for feeling you need a pee, emptying to anything less than 50ml is considered acceptable. If you were getting to over 500ml full that would be an over full bladder. I can't think of anything else but it certainly sounds like there is no obstruction on the way out. 


Posted 29 Mar 2021 at 08:14

After 2-3 weeks taking solfacicin sulfate nothing has changed and I have all the symptoms of prostatitis. Lower back pain, awful flow, sore testicles, etc etc. Having read up on this it says it is difficult to treat? I have a flow test in 2 weeks

Posted 30 Mar 2021 at 10:46

In the early stages of my diagnosis I was told to log on a piece of paper everything I drank including the time and the volume, and everytime I had a piss including the volume (so get a measuring jug, and not the one you use for cooking). You can also time how long it takes to piss a certain volume of pee so you can calculate your flow rate. I think I did this for about three days in a row. 

Having that to hand may speed up the diagnosis if you can present it at your next hospital appointment. 


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