Urinary Issues and Erectile Concerns in Young Men

I'm worried about dying..?

Hello, doctor.
I am a 19-year-old young man.
This past July, during the summer vacation, I started experiencing frequent urges to urinate, sometimes multiple times within an hour.
However, when I went to the bathroom, I found that the urine volume was not much.
I later visited a hospital, and the doctor mentioned that I might have a small kidney stone and advised me to drink more water to help flush it out.
I'm wondering if this could be a psychological issue or if there is a real problem.

Additionally, I've noticed that my erections seem different; they don't feel as firm as they used to, although there is still some hardness.
I can still achieve an erection through self-stimulation, but I’m not sure if changing to a different brand of underwear has affected my sensitivity or if there’s another reason.
It seems like I can’t get aroused just by imagination like before.
However, I still respond to adult content.

I’ve been anxious and have researched a lot, wondering if this could be due to incomplete venous engorgement.
When I observe the blood vessels on my penis during an erection, they don’t seem to be very prominent.
I am quite worried about this.
Thank you for your patience in reading my concerns.

Xiao Jie, 10~19 year old female. Ask Date: 2006/10/30

Dr. Lin Wenxu reply Urology

Hello, Xiao Jie.
After thoroughly reviewing the full text, my initial conclusion is that "you may be overthinking, which has led to psychogenic erectile dysfunction." I suggest you avoid unnecessary worries.
If you are still concerned, please visit a urology clinic for a more detailed examination.

Reply Date: 2006/10/30

More Info

It's understandable to feel concerned about urinary issues and erectile concerns, especially at a young age. Let's break down your situation and address your questions based on the information you provided.

Urinary Frequency and Potential Causes
You mentioned experiencing frequent urges to urinate, often with little output. This can be caused by several factors, including:
1. Urinary Tract Infection (UTI): Although you mentioned that a doctor suggested you might have kidney stones, a UTI could also lead to increased urinary frequency and urgency. Symptoms can sometimes overlap, so it's essential to rule out infections.

2. Psychological Factors: Anxiety or stress can lead to increased urinary frequency. If you're feeling anxious about your health or other aspects of your life, this could manifest as a need to urinate more often.

3. Bladder Irritability: Conditions like interstitial cystitis can cause similar symptoms, where the bladder becomes overly sensitive.

4. Kidney Stones: As your doctor suggested, small stones can irritate the urinary tract, leading to increased urgency and discomfort.

Erectile Concerns
Regarding your concerns about erectile function, it's important to note that several factors can influence erectile quality, especially at your age:
1. Physical Health: Conditions affecting blood flow, such as vascular issues, can impact erectile function. However, at 19, this is less common unless there are underlying health issues.

2. Psychological Factors: Anxiety, stress, and even performance anxiety can lead to difficulties in achieving or maintaining an erection. If you're worried about your health or sexual performance, this could contribute to the issue.

3. Hormonal Factors: Testosterone levels can fluctuate, especially during late adolescence. If you feel that your libido or erectile function has changed significantly, it might be worth discussing with a healthcare provider.

4. Sensitivity and Stimulation: Changes in sensitivity can occur due to various factors, including changes in underwear, sexual habits, or even psychological factors. If you recently switched to a different type of underwear, it could potentially affect your comfort and sensitivity.

Recommendations
1. Stay Hydrated: Continue to drink plenty of water, as this can help with both urinary health and overall bodily function.

2. Consult a Specialist: If your symptoms persist, consider seeing a urologist. They can provide a more thorough examination and possibly run tests to rule out infections, stones, or other underlying conditions.

3. Manage Stress: If anxiety is a factor, consider techniques such as mindfulness, meditation, or talking to someone about your concerns. Reducing stress can have a positive impact on both urinary and erectile function.

4. Monitor Changes: Keep track of any changes in your urinary habits or erectile function. If you notice significant changes, it’s essential to discuss these with a healthcare provider.

5. Avoid Self-Diagnosis: While it's good to research and understand your body, avoid jumping to conclusions based on online information. A healthcare professional can provide the best advice tailored to your specific situation.

Conclusion
It's crucial to address both urinary and erectile concerns with a healthcare provider who can offer personalized advice and treatment options. Remember, many young men experience similar issues, and seeking help is a positive step towards understanding and improving your health. Don't hesitate to reach out for professional guidance, as they can provide the support and reassurance you need.

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