Common Urological Issues: A Guide for Young Men - Urology

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Various urinary disorders?


Hello Doctor: I am a 29-year-old male, non-smoker, non-drinker, with a regular lifestyle and a girlfriend (steady sexual partner).
1.
About six months ago, I noticed that my foreskin started to have an unpleasant odor every day (without consuming strongly flavored foods).
Even after drying with toilet paper after urination, the odor persists.
I also noticed that the glans sometimes secretes a clear, sticky fluid.
2.
I have also observed that sometimes after drinking milk or after masturbation, my urine has a strong odor and feels cloudy with sediment.
I have undergone a full health check-up and visited a local urology clinic, where they said there were no issues with my health.
However, the odor from my foreskin has been affecting my daily life.
What should I do, considering that circumcision may not be an option during the pandemic?

Lin, 20~29 year old female. Ask Date: 2022/04/28

Dr. Du Shixi reply Urology


Hello: It is important to keep the foreskin clean and dry, and after urination or any wetness, make sure to dry it thoroughly to avoid moisture.
Wearing loose-fitting underwear may be beneficial.
If urine tests are normal, there is no need to worry, but it is advisable to limit the intake of spicy and irritating foods.
Hydration should primarily come from plain water, and it is important to stay adequately hydrated.
Pay attention to urine color; it should not be too dark.
Limit the consumption of sugary beverages, and if urine is dark, increase water intake.
If parents have diabetes, it is recommended to check blood sugar levels before meals.
Wishing you good health.

Reply Date: 2022/04/28

More Info


Hello! Thank you for your detailed inquiry regarding your urological concerns. It’s great to see that you are taking an active interest in your health, especially at the age of 29, where many young men may overlook these issues. Let’s break down your concerns and provide some insights.

1. Odor and Discharge from the Foreskin: The presence of an unpleasant odor and the secretion of a clear, sticky fluid from the glans (the head of the penis) can be indicative of a few different conditions. One common cause is the accumulation of smegma, which is a combination of dead skin cells, oils, and moisture that can build up under the foreskin. This can lead to bacterial growth, resulting in an unpleasant odor. Regular hygiene practices, including gently retracting the foreskin and cleaning the area with mild soap and water, can help mitigate this issue. If you find that this does not resolve the odor, or if you notice any changes in the discharge (such as color or consistency), it would be wise to consult a urologist for further evaluation.

2. Changes in Urine After Dairy or Masturbation: The observation that your urine has a strong odor and appears cloudy after consuming dairy products or following masturbation could be related to several factors. Dairy can sometimes lead to changes in urine odor due to the breakdown of certain proteins and fats. Additionally, dehydration can concentrate your urine, making it appear darker and more pungent. After ejaculation, it’s normal for some men to notice changes in urine due to the mixing of seminal fluid. However, if the cloudiness persists or is accompanied by pain, burning, or other symptoms, it’s essential to seek medical advice as it could indicate a urinary tract infection (UTI) or another underlying condition.

3. Concerns About Circumcision: You mentioned that you are not considering circumcision at this time due to the pandemic. It’s important to note that circumcision is a personal choice and can be beneficial for some individuals, particularly if recurrent infections or hygiene issues arise. However, many men maintain their foreskin without significant issues by practicing good hygiene. If the odor and discharge continue to be bothersome, you might want to explore other options such as topical treatments or consult with a urologist about potential non-surgical interventions.

4. General Recommendations:
- Hygiene: Maintain good hygiene by cleaning the genital area daily. Use mild soap and ensure that the area is thoroughly dried after washing.

- Hydration: Drink plenty of water to help dilute your urine, which can reduce odor and cloudiness.

- Diet: Pay attention to your diet, as certain foods can affect urine odor. If you notice a pattern with specific foods, consider moderating their intake.

- Monitoring Symptoms: Keep track of any changes in symptoms, including the odor, discharge, or any discomfort during urination. If symptoms persist or worsen, seek medical attention.

5. When to Seek Further Help: If your symptoms do not improve with improved hygiene practices, or if you develop additional symptoms such as pain, swelling, or fever, it’s crucial to consult a healthcare professional. A urologist can perform a thorough examination and may recommend tests such as urinalysis or swabs to rule out infections or other conditions.

In conclusion, while it’s common for young men to experience various urological issues, maintaining good hygiene and being aware of your body’s signals is essential. If your concerns persist, don’t hesitate to seek further medical advice. Your health is paramount, and addressing these issues early can prevent more significant problems down the line. Stay healthy!

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