Nocturnal Emissions and Urination Issues in Young Men - Urology

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Nocturnal emissions and urinary issues?


Last night, I didn't do much, but I inexplicably experienced two episodes of nocturnal emissions.
I would like to ask the doctor if this is a sign of any disease.
Additionally, I've noticed that my urination speed is about five to ten seconds slower than that of most peers my age.
Could this possibly be due to benign prostatic hyperplasia? However, I would like to know if adolescents can also experience prostate enlargement.

Xiao Chen, 10~19 year old female. Ask Date: 2020/08/24

Dr. Du Shixi reply Urology


Hello: Last night, I didn't do much, but I inexplicably experienced nocturnal emissions twice.
I would like to ask the doctor if this is a sign of any disease? --> No, additionally, I noticed that when I go to the bathroom, my speed is about five to ten seconds slower than almost all my peers.
Could this possibly be due to benign prostatic hyperplasia? But I would like to ask if adolescents can also experience prostate enlargement? --> It typically occurs in men aged 40 and older.
Wishing you good health.

Reply Date: 2020/08/24

More Info


Nocturnal emissions, commonly referred to as "wet dreams," are a normal physiological occurrence in young men, particularly during adolescence and early adulthood. They are typically associated with sexual arousal during sleep and can happen without any conscious sexual activity. This phenomenon is not indicative of any underlying disease or health issue; rather, it is a natural part of sexual development. The frequency of nocturnal emissions can vary widely among individuals, and experiencing them occasionally is completely normal.

Regarding your concerns about urination speed and the possibility of prostate enlargement, it's important to clarify that benign prostatic hyperplasia (BPH), or prostate enlargement, is primarily a condition that affects older men, typically those over the age of 50. In young men, the prostate is usually not large enough to cause significant urinary symptoms. If you are experiencing a slower urination speed compared to your peers, it may not be related to prostate issues but could be due to other factors such as anxiety, hydration levels, or even the position you adopt while urinating.

In young men, urinary issues can sometimes stem from conditions such as urinary tract infections (UTIs), bladder dysfunction, or even psychological factors like anxiety or stress. If you notice that your urination is consistently slower than normal or if you experience other symptoms such as pain, urgency, or a feeling of incomplete emptying, it would be wise to consult a healthcare professional. They can perform a thorough evaluation, which may include a physical examination, urine tests, and possibly imaging studies to rule out any underlying conditions.

It's also worth noting that lifestyle factors can play a significant role in urinary health. Staying well-hydrated, maintaining a healthy diet, and engaging in regular physical activity can help promote overall urinary function. If you have any concerns about your sexual health or urinary function, don't hesitate to reach out to a healthcare provider. They can provide you with personalized advice and reassurance.

In summary, nocturnal emissions are a normal part of male sexual development and are not a cause for concern. As for urination speed, it is unlikely to be related to prostate issues in a young man. If you have ongoing concerns or symptoms, seeking medical advice is the best course of action to ensure your health and well-being.

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