Hi, I'm new this group. However, about five years ago I started having the usual bladder problems Urgency, unable to empty the bladder and my favor is when I get up in the middle of the night and my bladder empties without any warning. Also, I'm late onset at 70.
I've visited Urologist from five different medical groups. For three and half years before being diagnosed with gMG one urologist after another told me that there wasn't anything wrong with my Bladder and I didn't need to return.
One important point. Nobody can say it's because this is a side effect of Pyridostigmine. Remember doctors are human just like us and they don't always know everything.
Back in the 70's and 80's I served in the Navy as an Urology Tech. My job was to work with Urologist all day.
Long winded story, but the main piece of the puzzle is that Urologist now have a way to test Bladder function. I recently completed this test and it showed that my bladder muscle wasn't responding to my brian. The muscles in the bladder never engaged while I was trying to empty it. I have to use my abdominal muscles instead.