Urinary Leakage: Is It Related to Phimosis?

Urinary incontinence issues?

In our country, a 3-year-old has phimosis, and even though he finishes urinating, some urine drips out when putting his pants back on.
I wonder if this is due to phimosis, where some urine is retained under the foreskin, causing leakage.
Is this thinking correct? When I exert pressure in my abdomen, I do not leak urine, but when straining during a bowel movement, urine may also come out.
Is this normal?

Hi, 10~19 year old female. Ask Date: 2021/02/07

Dr. Li Xinyi reply Urology

Your reasoning seems correct, and there are no issues with your description.
However, it is recommended to wash your hands thoroughly before using the restroom and to retract the foreskin to avoid getting it wet, as prolonged moisture may lead to skin conditions.

Reply Date: 2021/02/07

More Info

Urinary leakage, particularly in the context of phimosis, can indeed be a concern. Phimosis is a condition where the foreskin cannot be easily retracted over the glans (the head of the penis). This condition can lead to various urinary issues, including the retention of urine beneath the foreskin, which may contribute to the sensation of leakage after urination.

When you mention that urine seems to drip out after you have already finished urinating, it is possible that some urine is being trapped under the foreskin. This can happen if the foreskin is tight and does not allow for complete drainage of urine from the urethra. As you put your pants back on, the movement may cause this trapped urine to escape, leading to the sensation of leakage.
It is also worth noting that the act of straining during bowel movements can sometimes lead to involuntary leakage of urine, especially if there is a significant increase in abdominal pressure. This is not uncommon and can occur in individuals with a tight foreskin or other anatomical variations. However, if this is happening frequently or is causing distress, it may be indicative of a need for further evaluation.

In terms of management, if phimosis is contributing to urinary retention or leakage, treatment options may include gentle stretching exercises, topical steroid creams to help loosen the foreskin, or in some cases, circumcision. It is essential to consult with a healthcare provider, preferably a urologist, who can assess the situation and recommend the most appropriate course of action.

Additionally, if you are experiencing any discomfort, pain during urination, or recurrent urinary tract infections, these are important symptoms to discuss with your doctor. They may suggest further investigations, such as a urinalysis or imaging studies, to rule out any underlying issues.

In summary, your understanding that phimosis may be contributing to urinary leakage is valid. The retention of urine under the foreskin can lead to dribbling after urination, and straining during bowel movements can sometimes cause involuntary leakage. It is advisable to seek medical advice to explore treatment options that can help alleviate these symptoms and improve your overall urinary health.

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