Urological Issues: Addressing Urinary Stream Problems

Q: Urological Issues: Addressing Urinary Stream Problems

Hello, Xiao Chen： Regarding your issue with urination, the first thing to confirm is whether you are drinking enough water and to understand the volume of your urine each time. <br>If you are not adequately hydrated, your urine output will be insufficient, which can lead to weak

Genital issues?

Hello Dr.
Lin: I currently have some issues that are bothering me.
Every time I go to the bathroom, I notice that my urine stream is splitting significantly, and I feel a sense of weakness.
When I was younger (16-25 years old), I didn't understand things well and may have engaged in excessive DIY activities, which led to insufficient penile engorgement and ejaculation in less than ten seconds.
Recently, I've been considering getting a full medical check-up, but I'm unsure whether it will be covered by health insurance or if I need to pay out of pocket.
Could you please help me clarify this? Thank you.

Xiao Chen, 20~29 year old female. Ask Date: 2004/02/23

Dr. Lin Hexing reply Urology

Hello, Xiao Chen: Regarding your issue with urination, the first thing to confirm is whether you are drinking enough water and to understand the volume of your urine each time.
If you are not adequately hydrated, your urine output will be insufficient, which can lead to weak urinary flow and splitting.
If you measure your urine output and it exceeds 150 cc but the issue persists, you should see a urologist for further evaluation.

As for the problem of premature ejaculation, it is indeed a challenging issue that does not require special tests.
I am not sure if you are married, but if you are, addressing it directly through treatment can be beneficial.
Local anesthetic creams (such as Xylocaine Jelly) can reduce sensitivity on the surface of the penis, which may help prolong the time from erection to ejaculation.
Additionally, there are medications that can extend this duration, but the effectiveness varies from person to person, and these medications are not covered by health insurance.

You might also want to consider your mental state and whether you are prone to anxiety, as medication can help improve this and may assist with your premature ejaculation.
Learning to slow down is important; whether during normal intercourse or masturbation, try to slow your pace or pause before you feel the urge to ejaculate.
Once you feel more relaxed, you can resume.
With repeated practice, you will eventually succeed.

Reply Date: 2004/02/23

More Info

Hello! It sounds like you are experiencing some significant urological issues, particularly related to your urinary stream and overall urinary function. Based on your description, it seems you might be dealing with a few interconnected problems, including a weak urinary stream, bifurcation of the urine stream, and possibly some psychological factors stemming from past experiences.

Firstly, a bifurcated urine stream can be caused by several factors. Anatomically, it can occur due to the position of the urethra or any obstruction in the urinary tract. Conditions such as urethral stricture, which is a narrowing of the urethra, can lead to such symptoms. Additionally, if there is any inflammation or irritation in the urethra or bladder, it can also affect the flow of urine.
The sensation of a weak urinary stream can be associated with several conditions, including bladder dysfunction, prostate issues (in males), or even neurological conditions that affect the bladder's ability to contract properly. Given your history of experiencing rapid ejaculation during your younger years, it’s possible that there may be some psychological factors at play as well. Anxiety or stress related to urination can sometimes lead to a feeling of urgency or a weak stream.

Regarding your inquiry about health checks and whether they are covered by insurance or need to be paid out-of-pocket, this can vary significantly depending on your location and the specific health insurance plan you have. In many cases, basic urological evaluations, including consultations and some diagnostic tests, may be covered by insurance if deemed medically necessary. However, more specialized tests or procedures might require additional out-of-pocket expenses. It’s best to contact your health insurance provider directly to clarify what is covered under your plan.

For a comprehensive evaluation, I recommend visiting a urologist who can perform a thorough assessment, including a physical examination, urinalysis, and possibly imaging studies or urodynamic testing. These tests can help determine the underlying cause of your symptoms and guide appropriate treatment.
In the meantime, here are some general tips that may help improve your urinary function:
1. Hydration: Ensure you are drinking enough fluids throughout the day. Dehydration can lead to concentrated urine, which may irritate the bladder.

2. Pelvic Floor Exercises: Kegel exercises can strengthen the pelvic floor muscles, which may help improve urinary control and flow.

3. Avoid Irritants: Certain foods and drinks, such as caffeine, alcohol, and spicy foods, can irritate the bladder and worsen symptoms.

4. Relaxation Techniques: If anxiety is a factor, consider practicing relaxation techniques such as deep breathing, meditation, or yoga to help manage stress.

5. Regular Check-ups: Regular visits to your healthcare provider can help monitor your condition and catch any potential issues early.

In conclusion, while your symptoms may be concerning, there are various potential causes and solutions. Seeking professional medical advice is crucial to obtaining a proper diagnosis and treatment plan tailored to your needs. Don’t hesitate to reach out to a urologist for further evaluation and support. Take care!

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