Frequent Urination: Causes and Concerns in Urology

Q: Frequent Urination: Causes and Concerns in Urology

Hello： Does masturbation cause frequent urination? --> No, does the bladder have any sensation? --> When full, there is a sensation. <br>I have noticed that the feeling of touching the glans and the urge to urinate are similar. <br>Additionally, if I don't drink much water, I can

Frequent urination issues?

Doctor, three weeks ago, I experienced dry mouth and general weakness, so the doctor at the clinic checked my blood sugar with a glucometer.
Four hours after a meal, it was 97 (I was very nervous and under a lot of stress at that time).
After that, I noticed that after urinating and going to bed, I woke up the next morning with pain while urinating.
Upon inspection, I found that the tissue connecting to the glans was slightly swollen and painful.
A week later, I realized I was urinating frequently.
I went to the urology department at Yadong Hospital for an examination, and tests for protein and glucose in my urine were normal (note: tested one hour after a meal).
The doctor prescribed me some soothing medication, and I recovered afterward.
However, during that period, I masturbated twice and noticed that I experienced frequent urination for two to three days.
But after the first three days of masturbation, I found that the next day, and until now (almost a week later), I have been feeling the urge to urinate constantly.
Recently, while studying, due to dry mouth, the pressure of the upcoming exam in 60 days, and reading about the initial symptoms of diabetes online, I have been very stressed, feeling hungrier (four to five hours after a meal), unable to concentrate on studying, and experiencing frequent urination.
When I mentioned this to my clinic doctor, he said I had exam stress syndrome, and regarding the frequent urination, he suggested it might be due to urethritis.
He had me retest my urine, but the report came back normal with no abnormalities.
The doctor was also puzzled and prescribed antibiotics, asking me to return for a follow-up.

I would like to ask you, doctor, can masturbation trigger frequent urination? Is there any sensation in the bladder? I also noticed that the sensation when I touch the glans feels similar to the urge to urinate.
Additionally, if I don't drink a lot of water, I can hold it for about one to two hours, but if I drink water, I need to go every half hour.
The amount I urinate is only about 30 to 60 ml, and I do not experience nocturia.
What is happening to me? QAQ I feel like my condition has improved a lot recently.

Mr. Hsu, 10~19 year old female. Ask Date: 2018/05/05

Dr. Du Shixi reply Urology

Hello: Does masturbation cause frequent urination? --> No, does the bladder have any sensation? --> When full, there is a sensation.
I have noticed that the feeling of touching the glans and the urge to urinate are similar.
Additionally, if I don't drink much water, I can hold it for about 1 to 2 hours; however, if I drink water, I need to urinate every half hour.
The amount I urinate is only about 30 to 60 ml, and I do not experience nocturia.
--> I usually drink at least 2000 cc of water and avoid sugary drinks.
Normal urine output is around 200 cc.
If I drink less water, I naturally urinate less.
If there is frequent urination, it is advisable to seek medical attention.
Wishing you good health.
Let's see if the exam-related issues improve after the test.

Reply Date: 2018/05/05

More Info

Frequent urination, medically known as polyuria, can be a distressing symptom that affects daily life and overall well-being. Understanding its causes is crucial for effective management and treatment. Based on your description, several factors could be contributing to your symptoms, including psychological stress, potential urinary tract issues, and lifestyle factors.

Firstly, it is important to note that psychological stress can significantly impact urinary habits. You mentioned experiencing high levels of stress related to upcoming exams, which can lead to increased anxiety and, consequently, urinary urgency. This phenomenon is sometimes referred to as "nervous bladder," where stress triggers the need to urinate more frequently. The body's response to stress can lead to heightened sensitivity in the bladder, causing the sensation of needing to urinate even when the bladder is not full.

Secondly, you indicated that you experienced pain after urination and swelling around the glans penis, which could suggest a possible urinary tract infection (UTI) or urethritis. Although your urine tests came back normal, it is essential to consider that some infections may not always present with clear abnormalities in standard urine tests. Urethritis, for instance, can cause symptoms such as pain during urination and increased frequency, and it may not always show significant findings in urinalysis.

Regarding your question about masturbation and its potential link to frequent urination, it is generally not a direct cause of increased urinary frequency. However, the act of masturbation can lead to temporary changes in the pelvic region, including increased sensitivity and possibly mild irritation, which might mimic or exacerbate the sensation of needing to urinate. If you are experiencing discomfort in the genital area, it may be worth discussing this with a healthcare provider to rule out any underlying conditions.

Your observation that the sensation of needing to urinate feels similar to the sensation when touching the glans penis could indicate a heightened sensitivity in that area. This could be due to irritation or inflammation, which might be exacerbated by stress or other factors.
The volume of urine you mentioned (30 to 60 ml per void) is relatively low, especially if you feel the need to urinate frequently. Normal bladder capacity is typically around 300 to 500 ml, and frequent urination with low output can be indicative of bladder dysfunction or irritation.
In terms of management, it is essential to address both the physical and psychological aspects of your symptoms. Here are some recommendations:
1. Follow-Up with a Urologist: Since your symptoms have persisted, a follow-up with a urologist may be beneficial. They may recommend further tests, such as a bladder diary, urine culture, or even imaging studies to rule out any anatomical issues.

2. Hydration and Diet: Continue to maintain adequate hydration, but be mindful of your fluid intake before bedtime or during periods of high stress. Certain foods and beverages, such as caffeine and alcohol, can irritate the bladder and increase urgency.

3. Stress Management: Consider incorporating stress-reduction techniques such as mindfulness, meditation, or yoga into your routine. These practices can help alleviate anxiety and may reduce the frequency of urination.

4. Behavioral Techniques: Bladder training techniques can be effective. This involves gradually increasing the time between urinations to help retrain your bladder.

5. Psychological Support: If anxiety about exams or other stressors is overwhelming, seeking support from a mental health professional can be beneficial. They can provide coping strategies to manage stress and anxiety.

In conclusion, while frequent urination can be caused by various factors, understanding the interplay between psychological stress and physical symptoms is crucial. A comprehensive approach that includes medical evaluation, lifestyle modifications, and stress management can help improve your symptoms and overall quality of life. If your symptoms persist or worsen, do not hesitate to seek further medical advice.

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