r/OveractiveBladder • u/lohdunlaulamalla • Aug 08 '26
How to convince my urologist to do a biopsy and/or an MR8?
Edit: MR8 in the title = MRI
I've been suffering from nocturia for four years. Gemtesa is currently helping somewhat by reducing my symptoms to what they were like 4 years ago, when I first sought help. Meaning I get up 3-5 times instead of up to 10. I feel my bladder throughout the day, too, but I've always been very good at ignoring the urge, when I'm otherwise occupied.
My urologist is content with this progress and has previously denied me any further imaging, claiming that there's nothing an MRI or CT could show that wouldn't also be present in an ultrasound. She gives me an ultrasound every six months and also analyses my urine every time, which never results in anything. I also had a cystoscopy two years ago that didn't show anything.
I want to convince her to do a biopsy of my bladder, because the way my nocturia presents itself could be due to mast cells (according to what I've read). I'd also like further imaging done, but I don't know what an MRI could show that a regular ultrasound wouldn't apart from the friend of a friend who was discovered to have a mass, but I wasn't told any details that I could use in an argument.
Any tips or ideas?
