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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.
Thank you.

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.

Good luck--
Donnica Moore MD
President, DrDonnica.com

Created: 10/13/2002  -  Donnica Moore, M.D.

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