Prostate Issues and Ejaculation Concerns: A Patient's Inquiry

Questions about the prostate and ejaculation?

Hello Doctor: Recently, I have been experiencing discomfort during urination over the past five days.
It started after an ejaculation five days ago, and I have noticed a few issues: increased urination, and I have been waking up with strong erections (which feel different from before).
Upon waking, I have a strong urge to urinate (it's difficult to urinate due to the erection), and I've also noticed a strange sensation in my face upon waking, which feels somewhat numb, and my tongue feels a bit numb as well.
My saliva production has increased! When I feel the urge to urinate, if I hold it in for a bit, I sometimes experience localized numbness in my limbs (or a sensation of something flowing in a specific area).
The sensation in my penis feels a bit odd, and it's quite frightening because I've heard that holding in urine for too long can cause it to backflow, which worries me a lot! I kindly ask for your help in clarifying these concerns.
Thank you very much! ^^

sun, 20~29 year old female. Ask Date: 2005/07/07

Dr. Xu Weikai reply Urology

Hello, based on your description, it seems that your symptoms are quite severe.
However, don't worry too much; it appears to be just a urinary tract infection.
After examination and taking some medication, along with proper urination habits, you should be able to return to normal in about a week.
As for the facial numbness and other symptoms, I believe they may be due to bladder distension, which can affect the autonomic nervous system and cause systemic reactions.
In more severe cases, symptoms like cold sweats and palpitations may occur.
Of course, if you're still concerned, you can consult a neurologist.
Here are my recommendations:
1.
Check your urine with a general analysis and urine culture; if necessary, perform a semen analysis/culture.
2.
If an infection is confirmed, use antibiotics or other medications based on the test results.
3.
Limit fluid intake before bedtime and ensure to empty your bladder before sleeping to avoid excessive bladder distension, which can affect bladder function over time.
4.
At your age, prostate issues are generally rare, so there's no need to worry unnecessarily.
Urology Department Chief
Hsu Wei-Kai
Response from Taitung Hospital, Department of Health, Executive Yuan

Reply Date: 2005/07/07

More Info

It sounds like you are experiencing a complex set of symptoms that are causing you significant distress. Your concerns about urinary issues, changes in erectile function, and unusual sensations in your body are valid and warrant a thorough evaluation by a healthcare professional. Let's break down your symptoms and explore potential causes and next steps.

Understanding Your Symptoms
1. Increased Urination and Urgency: The feeling of needing to urinate frequently, especially upon waking, can be indicative of several conditions, including benign prostatic hyperplasia (BPH), urinary tract infections (UTIs), or even overactive bladder syndrome. The fact that you are experiencing this after ejaculation could suggest a temporary change in your urinary function, possibly related to prostate activity.

2. Changes in Erections: Noticing a difference in your erections can be concerning. Changes in erectile function can be influenced by various factors, including psychological stress, hormonal changes, or physical conditions affecting blood flow. The fact that you are experiencing strong morning erections is typically a positive sign, as it indicates that your body is still capable of achieving erections.

3. Numbness and Tingling: The sensations of numbness or tingling in your face, tongue, and limbs could be related to anxiety or stress, especially if you are worried about your urinary health. However, these symptoms can also be neurological in nature, and it is essential to rule out any underlying conditions that could be causing these sensations.

4. Increased Salivation: An increase in saliva production can sometimes be linked to anxiety or stress, but it can also be a side effect of certain medications or a response to changes in your body’s physiology.

Potential Causes
Given the combination of your symptoms, several potential causes could be at play:
- Prostate Issues: Conditions like prostatitis (inflammation of the prostate) or BPH can lead to urinary symptoms and discomfort. If you have had previous issues with your prostate, it may be worth revisiting this with your healthcare provider.

- Anxiety and Stress: The worry about your symptoms can exacerbate feelings of anxiety, leading to physical symptoms such as tingling, increased heart rate, and changes in urination.

- Neurological Concerns: While less common, neurological issues can cause sensations of numbness and tingling. If these symptoms persist, it may be worth consulting a neurologist.

Next Steps
1. Consult a Urologist: Given your urinary symptoms and concerns about prostate health, a visit to a urologist is essential. They can perform a physical examination, possibly including a digital rectal exam (DRE) and tests such as a urinalysis or ultrasound to assess your prostate and urinary tract.

2. Monitor Symptoms: Keep a diary of your symptoms, noting when they occur, their severity, and any potential triggers. This information can be invaluable for your healthcare provider.

3. Manage Anxiety: If anxiety is contributing to your symptoms, consider speaking with a mental health professional. Techniques such as cognitive-behavioral therapy (CBT), mindfulness, or relaxation exercises can help manage anxiety.

4. Avoid Self-Diagnosis: While it’s natural to seek information online, self-diagnosing can lead to unnecessary worry. Rely on your healthcare provider for accurate diagnoses and treatment options.

5. Stay Hydrated and Healthy: Ensure you are drinking enough water and maintaining a balanced diet. Avoiding caffeine and alcohol can also help reduce urinary urgency.

Conclusion
Your symptoms are multifaceted and could stem from a combination of physical and psychological factors. A thorough evaluation by a healthcare professional is crucial to determine the underlying cause and appropriate treatment. Remember, you are not alone in this, and seeking help is a positive step toward feeling better.

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