Question Title: urinary retention or incontinence?

For the past year I have had pelvic pain. I have had laparoscopy
surgery done in search of possibly of endometriosis and to no avail
nothing was found but a small cyst. I have not told my doctor this because I didn't think about it recently
but when I go to void at the end of urination it hurts
a little in my abdomin in the pelvic area. When I am finished urninating when I
stand up there is a leakage of urine (about maybe two tablespoons).
I never thought anything of it. I just thought maybe I had to do
kegal exercises and never once thought it might have anything to do
with my abdominal pain. My symptoms worsen when I do not drink a
lot of fluids. I am now five months pregnant and recently the
pain is worse. Could it be a possibility that my bladder is
not emptying completely and causing this pain? Could the baby be
putting pressure on my bladder making it more painful?

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Dear Jacki,

Pain with urination can be caused by a variety of conditions. These include urinary tract infections, interstitial cystitis, endometriosis involving the bladder to name a few. Any one of these conditions could be worsened by pregnancy.
Incomplete bladder emptying can be a cause of pelvic and abdominal pain. This can be easily evaluated in the office of a urologist with a portable ultrsound machine called a bladder scan. The doctor (or nurse) places the probe over the bladder and scans to see how much is left after you have urinated. I would recommend that you see a urologist for your condtion because many treatments are available.
This information is provided for general medical education purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653 6568).

HFHS M.D.-KR
*keyword: painful urination

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