Urology: Injury Risks, Urinary Issues, and Seasonal Changes - Urology

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Follow-up Question #188232 Inquiry Consultation


Dear Dr.
Du,
Thank you very much for your response and explanation in the inquiry consultation #188232.
I have greatly benefited from it.
I would like to ask you the following questions:
Q1.
Today, I accidentally got hit on the right lower abdomen, specifically the bladder area and the penis, by a family member's right hand.
The impact was somewhat strong, and although I was wearing both inner and outer pants, I still felt some pain in the affected area for a brief moment, which soon disappeared.
Dr.
Du, based on this incident, could the impact potentially cause injury to the right lower abdomen, bladder area, or penis, leading to "urethral stricture"? In other words, is there a possibility or any documented cases of "urethral stricture" occurring due to such an impact?
Q2.
Dr.
Du, what are the common causes or conditions that lead to the sensation of incomplete bladder emptying in men?
Q3.
Dr.
Du, is it normal to experience increased frequency of urination during the colder autumn and winter months?
Thank you, Dr.
Du.

Axiang, 40~49 year old female. Ask Date: 2022/10/31

Dr. Du Shixi reply Urology


Hello: Q1.
Today, I accidentally got hit in the lower right abdomen, specifically in the bladder area and the penis, by a family member's right hand.
The impact was somewhat forceful, and although I was wearing underwear and outer pants, I still felt some pain in the affected area momentarily, which soon subsided.
Dr.
Du, based on this incident, is there a possibility that the impact could cause injury to the bladder area and penis, leading to "urethral stricture"? In other words, is there a possibility or any actual cases of "urethral stricture" occurring due to such an impact? --> It is unlikely, and I have never treated such patients.
Q2.
Dr.
Du, what are the common causes or conditions that lead to a feeling of incomplete bladder emptying in men? --> As men age, it is possible that the bladder becomes weaker, the prostate may begin to enlarge, and some medications can also affect urination.
If it impacts daily life, I recommend an evaluation at a hospital.
Q3.
Dr.
Du, is it normal to experience increased frequency of urination during the colder autumn and winter months? --> Yes, it is normal.
If there are no persistent symptoms, it is generally not a concern.
Wishing you good health.

Reply Date: 2022/10/31

More Info


Hello, and thank you for your thoughtful questions regarding urology. Let's address each of your inquiries in detail.

Q1: Injury Risks and Urethral Stricture
Regarding the incident where you were struck in the lower abdomen and genital area, it's understandable to be concerned about potential injuries. While the immediate pain subsided, it is important to note that blunt trauma to the pelvic region can lead to various complications, including urethral stricture. Urethral stricture is a narrowing of the urethra that can occur due to trauma, inflammation, or infection. However, the likelihood of developing a stricture from a single incident of blunt trauma, especially if the pain was brief and did not persist, is relatively low. Cases of urethral stricture typically arise from more severe injuries, recurrent infections, or prolonged catheterization. If you experience any ongoing symptoms such as difficulty urinating, blood in the urine, or persistent pain, it would be prudent to consult a urologist for further evaluation.

Q2: Feeling of Incomplete Urination
The sensation of not fully emptying the bladder, or "urinary retention," can be caused by several factors. In men, one common cause is benign prostatic hyperplasia (BPH), which is an enlargement of the prostate gland that can obstruct the flow of urine. Other potential causes include urinary tract infections (UTIs), bladder stones, or neurological conditions that affect bladder function. It is also possible for anxiety or stress to contribute to this sensation. If this feeling persists, it is advisable to seek medical attention to determine the underlying cause and appropriate treatment.

Q3: Increased Frequency of Urination in Cold Weather
It is not uncommon for individuals to experience increased urinary frequency during colder months. This phenomenon can be attributed to several factors. Cold weather can lead to a physiological response known as "cold diuresis," where the body increases urine production to maintain core temperature. Additionally, people tend to drink more fluids in the winter months, which can also contribute to more frequent urination. However, if you notice a significant change in your urinary habits or experience other symptoms such as urgency, pain, or blood in the urine, it is important to consult a healthcare provider to rule out any underlying medical conditions.

In summary, while your concerns about potential injuries and urinary symptoms are valid, many factors can influence these issues. It is always best to consult with a healthcare professional if you have persistent or concerning symptoms. Regular check-ups and open communication with your doctor can help ensure that any urological issues are addressed promptly and effectively. Thank you for your questions, and I hope this information has been helpful!

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