Urinary Issues: Anxiety's Impact on Urination - Urology

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Difficulties in urination?


Hello Doctor, I have had a habit of masturbation since the third grade, but in recent years, I often feel like there is a little urine stuck in the urethra at the tip of the penis after urination.
Sometimes, I also experience pain at the moment of urination.
This situation has been ongoing for a long time, but I have been going to clinics for urine tests every year, and each time the results have been normal (I had another urine test last month, and it was normal).
Could it be that I am too anxious? Recently, I feel like I have been overly anxious about many things.
Is there a direct relationship between anxiety and my urination issues? Thank you, Doctor, for taking the time to respond.

Chen, 10~19 year old female. Ask Date: 2022/05/27

Dr. Du Shixi reply Urology


Hello: Is there a direct relationship between anxiety and urination? -- There is a possibility, but it is important to rule out other issues.
Drink plenty of water and engage in gentle exercise.
Wishing you good health.

Reply Date: 2022/05/27

More Info


Anxiety can significantly impact various bodily functions, including urination. The symptoms you describe, such as the sensation of incomplete urination and pain during urination, can indeed be influenced by anxiety. While you have undergone multiple urine tests that returned normal results, it is essential to consider the psychological aspects that might be contributing to your urinary issues.

When a person experiences anxiety, the body's fight-or-flight response is activated. This response can lead to various physical symptoms, including increased heart rate, rapid breathing, and muscle tension. In some individuals, anxiety can also affect the bladder and urinary tract. Stress and anxiety can lead to a heightened awareness of bodily sensations, which may cause you to feel discomfort or pain that you might not have noticed otherwise. This heightened sensitivity can create a cycle where the anxiety about urination leads to more anxiety, which in turn exacerbates the urinary symptoms.

Moreover, anxiety can lead to muscle tension in the pelvic area, which might contribute to the sensation of incomplete urination or discomfort during urination. This tension can make it difficult for the bladder to fully empty, leading to the feeling that urine is still present after urination. Additionally, anxiety can cause changes in the way the brain processes signals from the bladder, potentially leading to a misinterpretation of the need to urinate or discomfort during the process.

It is also worth noting that certain medications used to treat anxiety and depression can have side effects that affect urination. For instance, some antidepressants and anti-anxiety medications can lead to urinary retention or difficulty urinating. If you are on any medication, it would be wise to discuss these side effects with your healthcare provider to determine if they could be contributing to your symptoms.

To address your concerns, it may be beneficial to explore relaxation techniques or cognitive-behavioral therapy (CBT) to manage your anxiety. These approaches can help reduce the overall anxiety levels and may alleviate the associated urinary symptoms. Additionally, practicing mindfulness and stress-reduction techniques can help you become more aware of your bodily sensations without becoming overly anxious about them.

If your urinary symptoms persist despite addressing your anxiety, it may be helpful to consult a urologist to rule out any underlying physical conditions. They can provide a comprehensive evaluation and recommend appropriate treatments if necessary.

In summary, anxiety can indeed have a direct impact on urination and related sensations. It is essential to address both the psychological and physical aspects of your symptoms to achieve relief. Engaging in therapeutic practices to manage anxiety, along with consulting healthcare professionals for a thorough evaluation, can help you find a path toward improved well-being.

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