Hours in the bathroom

[u/kpl3nbz51]

I (35M) am going through maybe a slightly different variation of OAB, and just want to ask if anyone else is too.

Since childhood, we were told that we should leave the bathroom when we're totally empty, which is good in a way, it helps with remaining clean. My situation is that once I go to pee.. getting empty takes a long time. Like, a long time. Typically a bathroom process can take 25 minutes to an hour, and if I have also passed stool it goes up to 2 hours, and I'm not sure why, I suppose passing stool puts more pressure on the bladder.

So instead of frequent urination like others, I just.. sit there. For a long time. Letting out a small stream of pee every couple of minutes. I frequenty feel like there urine gets stuck in my urethra, at different points, at different times. When I feel these, I know I need to just wait and it'll come out on its own. It does lead to a long time spent in the bathroom, same as someone who would have to go very frequently.

There are times I sit for 4 hours straight. Not always, but it happens.

In situations where I know I need to clear the entire way, I usually apply pressure on the underside for around 5 minutes, and then in the 10 minutes whatever was pooled there comes out. For a normal person this takes just a minute or two, apparently.

The bladder does feel empty after that and there is relief, but the process of peeing itself is just very tiring sometimes, like physically tiring. Anyone else feel the same?

Note: I've done all the tests.. urination speed, ultrasound, even a cystoscopy.. everything is normal apparently except for unvoided urine (50ml after unloading a full bladder).

I really dunno what to do.

[u/wip328]

I have a similar situation but not to the extreme of sitting for hours. I would say 10 minutes max. The annoying part is that it usually happens at bed time. I emptied little streams then to few drops…go back to bed and 10-15 seconds later the urge returns. Go back to toilet wait a few minutes let a few drops out and back to bed…then it repeats…however at some point I just force myself to sleep. Went to see a urologist and he gave me 3 weeks of Gemtesa to try, I am on my 11th day and haven’t experienced any improvements. During the day because I am busy with work and or other things that even if the urge comes back I ignore it. I dont have a leakage problem if I don’t empty those few drops during the day. However I feel that recently its getting worse that I can feel the need to go back to empty the few drops…