I had a horrible time with these type symptoms for years, never showing up as infection except once. At the worst phase, I was urinating 18 to 28 times per 24 hours, exhausting and dehydrating! I also had the inner thigh pain and internal pains but mostly intense pressure and constant urge. When I started methotrexate, surprise, like magic, my urinary system quickly normalized. I believe it is inflammation of the nerves, because the urologist couldn't find any physical problems. Just one more way AS invades our bodies. I'm so thankful that this symptom is now controlled, as it was a living nightmare in addition to the pain and other hardships of AS.