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what complications can arise from not urinating when your body 'tells' you to?

One time I drank a ton of beers at a bar and on the ride home I had to go bad...worse then ever before. I couldn't even really sit down in the seat towards the end of the trip. I think I peed in my pants (just a little bit) because I so hastily whipped it out to pee the moment I stepped out of the truck.
 
There is a type of condition where if you hold it too long, you eventually won't be able to go and will have to get surgery.
 
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