Urination Issues in 12-Year-Old Boys: Causes and Solutions

Q: Urination Issues in 12-Year-Old Boys: Causes and Solutions

Hello： You may need to visit the urology department for an examination, including urinalysis and post-void residual measurement. <br>Based on personal experience, if the first two tests are normal, it could be an issue related to the foreskin. <br>It's important to pay attention

Urinary issues

Dear Doctor: A 12-year-old boy is experiencing post-void dribbling and feels like his bladder is not completely empty, even though he cannot urinate further.
After his penis retracts, he notices a few drops of urine.
He has only recently informed his parents about this issue, which has been ongoing for about two months.
Two days ago, he experienced mild pain during urination, and after visiting a clinic, he was prescribed medication.
While the pain has subsided, he still feels like he has residual urine.
What could be the possible issue?

S, 40~49 year old female. Ask Date: 2021/10/08

Dr. Du Shixi reply Urology

Hello: You may need to visit the urology department for an examination, including urinalysis and post-void residual measurement.
Based on personal experience, if the first two tests are normal, it could be an issue related to the foreskin.
It's important to pay attention to your lifestyle, drink plenty of water, avoid sugary beverages, and manage your weight.
If the foreskin remains moist after urination, it's advisable to dry it with tissue, as this could also have an impact.
Wishing you good health.

Reply Date: 2021/10/08

More Info

Urination issues in children, particularly in a 12-year-old boy, can be concerning for both the child and the parents. The symptoms you've described, including the sensation of incomplete bladder emptying (residual urine) and mild pain during urination, can be indicative of several underlying conditions.
One common cause of these symptoms is a urinary tract infection (UTI). UTIs can occur in boys, although they are more prevalent in girls. Symptoms of a UTI can include a burning sensation during urination, frequent urination, and the feeling of incomplete emptying of the bladder. In some cases, children may also experience lower abdominal pain or discomfort. If the child has been experiencing these symptoms for two months, it is crucial to consult a healthcare professional for a thorough evaluation, including a urinalysis and possibly a urine culture to identify any bacterial infection.

Another potential cause could be related to anatomical issues, such as a condition known as phimosis, where the foreskin cannot be fully retracted over the glans of the penis. This can lead to difficulties in urination and may cause discomfort or pain. If the child has not been circumcised, this could be a factor worth discussing with a pediatric urologist.

Additionally, bladder dysfunction can occur in children, which may manifest as urgency, frequency, and the sensation of incomplete emptying. This can sometimes be related to behavioral issues, such as not wanting to use the bathroom at school or holding urine for extended periods, which can lead to bladder overactivity or other complications.

In some cases, neurological issues can also affect bladder function, although these are less common. Conditions such as spina bifida or other spinal cord abnormalities can lead to urinary retention or incomplete emptying. If there are any concerns about neurological symptoms, a referral to a specialist may be necessary.

Given that the child has already been experiencing these symptoms for a couple of months, it is essential to follow up with a healthcare provider. They may recommend further testing, such as an ultrasound of the bladder and kidneys, to rule out any anatomical abnormalities or obstructions.
In terms of management, if a UTI is confirmed, antibiotics will typically be prescribed. If anatomical issues are identified, treatment options may include topical steroids for phimosis or surgical intervention if necessary. For bladder dysfunction, behavioral therapy, bladder training, and sometimes medications can be effective.

In conclusion, while the symptoms described can be concerning, they are often manageable with appropriate medical intervention. It is crucial to seek a thorough evaluation from a pediatrician or urologist to determine the underlying cause and appropriate treatment plan. Early intervention can help alleviate symptoms and prevent potential complications in the future.

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