Urinary Frequency and a Lump in the Groin
Q: I am a 42-year-old male. For the past 20 years, I have noticed that
I have had to go to the bathroom FAR more than 8 times a day. At all times,
there is definitely an "urge" to go to the bathroom. The worst times
for me are in the morning. I have been to urologists and regular doctors. They
all told me that there is nothing "wrong" with me. They based their
statements on how much water and fluids I was drinking. However, I do not drink
a lot of water or fluids.
I think that stress may play a role in this condition. Additionally, I have
a little "rocky" substance in my groin area. ALL of the doctors have
told me that this little rock, about the size of a small grape, is not cancerous.
They ALL said that this substance is nothing to worry about.
Please give me your opinion on this question. By the way: I'm black, I only
drink alcoholic beverages about once a year, I do not drink beverages with caffeine,
I exercise vigorously with weights about 3-4 times a week, I run about 3 times
a week, I do not drink sodas, and I do real estate and accounting for a living.
Dr. Donnica: I recommend that you make another appointment with a urologist.
In the meantime, keep a bladder diary for one week. Each day, note down
each time you have to urinate, whether or not you have a strong urge, and whether
or not you have any accidents. Nighttime voiding should also be noted along
with any other urinary or sexual symptoms. Be sure to note whether this
is interfering with your lifestyle in any way (e.g. did you have to run out
in the middle of a meeting to use the toilet despite having gone right before
the meeting?). Also, have a column to note liquids consumed (water and
caffeinated beverages separately).
Bring this diary with you when you go to the urologist. You may have
to ask very clearly "do I have an overactive bladder?" Also
ask whether your prostate exam was normal and whether you should have this lump
in your groin biopsied or at least examined by ultrasound.
Donnica Moore MD
Created: 10/13/2002  - Donnica Moore, M.D.