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in your case, even though you re not my patient, fibroid s push against the bladder and cause some of that. anything in that area that causes inflammation. in women we see mostly cystitis, inflammation of the bladder, occasionally urinary tract infection or after pregnancy the whole area of the pelvic muscles are out of sync and they can have overactive bladder. sometimes we have no real diagnosis. ideopathic. men with large prostate the bladder is trying to overwork to get the urine out. they may have bladder cancer, bladder stone or urinary tract infection. typically what i would do in something like this is check the urine first. simple thing come to a urologist, check the urine, send it to sightology to rule out cancer. and then at some point scope the patient to find out what the bladder looks like. we get tremendous amount of information by looking in the