Urination Issues: A Young Man's Concerns and Symptoms - Urology

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Urinary problems


Hello, Doctor: I am a 20-year-old male, and I have been troubled by a problem for many years.
The issue is a bit lengthy, but I hope you can read it all! When I urinate, I have to wait about 10 to 15 seconds before I can start.
However, I do not experience burning during urination or pain in my bladder or kidneys.
I also do not have nocturia (waking up at night to urinate).
As for frequent urination, I am not sure if I qualify.
People say that urinating seven times during the day counts as frequent urination, but when I go to school in the morning and drink a 700cc bottle of mineral water from 9 AM to 2 PM, I only urinate three times during that period.
However, at home in the evening, when I drink water, I find myself going to the bathroom quite often, especially when I am lying on the couch watching TV.
I feel like my symptoms resemble benign prostatic hyperplasia (BPH).
Could this be related to excessive masturbation? I started masturbating in sixth grade, almost daily, until recently when I read some opinions suggesting that masturbation could harm the kidneys, which made me stop.
After that, I began to worry whether I might have prostate cancer or something similar, which has caused me to be anxious about this long-standing issue.
I think I have had this urinary problem since high school.
Please help me, Doctor...

Oh my god.., 20~29 year old female. Ask Date: 2008/03/13

Dr. Xu Weikai reply Urology


Oh, my God: Hello, your issue may be more complex and requires more information.
You can keep a record of your daily water intake and urination times/amounts, and when possible, provide this information to your physician or ask again for a more accurate diagnosis.
Furthermore, benign prostatic hyperplasia typically occurs after the age of 55, and it is rarely a concern before the age of 35.
If there are any details that are not fully addressed, feel free to ask again so we can discuss and research further.
Department of Urology, Taitung Hospital, Ministry of Health and Welfare, caring for you.
Director Xu Wei-kai.

Reply Date: 2008/03/13

More Info


It's understandable that you're feeling anxious about your urinary symptoms, especially given your age and the concerns you've raised. Let's break down your situation and address your worries.

Firstly, the delay you experience when trying to urinate—waiting 10 to 15 seconds before you can start—can be frustrating. This symptom, along with your concerns about frequency, can indeed be indicative of an underlying issue, but it’s important to note that not all urinary symptoms are linked to serious conditions. The absence of pain, burning sensations, or other discomforts is a positive sign, as these symptoms often accompany urinary tract infections or other more serious conditions.

Regarding your concern about frequent urination, the definition of frequency can vary. Generally, urinating more than eight times a day can be considered frequent, but it also depends on your fluid intake. If you're drinking a lot of fluids, it's normal to urinate more often. The fact that you only urinated three times after consuming 700cc of water over several hours suggests that your bladder is functioning relatively well during the day. However, if you find yourself needing to urinate frequently while at home, especially when relaxing, it could be related to your body's response to being in a comfortable environment, which sometimes leads to increased awareness of bodily sensations.

Your concern about benign prostatic hyperplasia (BPH) is understandable, especially since it’s often associated with older men. However, at 20 years old, it is quite unlikely that you are experiencing BPH. The prostate gland typically does not enlarge until later in life, and your symptoms do not strongly indicate this condition.
As for your worries about masturbation and its potential effects on your health, current medical understanding suggests that masturbation is a normal sexual activity and does not cause harm to the prostate or lead to conditions like prostate cancer. The myths surrounding masturbation often stem from cultural beliefs rather than scientific evidence.
That said, if you are experiencing anxiety about your symptoms, it might be beneficial to speak with a healthcare professional. A urologist can provide a thorough evaluation, which may include a physical examination and possibly some tests to rule out any underlying conditions. They can also help you understand what is considered normal for your age and lifestyle.

In the meantime, consider keeping a diary of your fluid intake and urination patterns. This can help you and your doctor identify any patterns or triggers related to your symptoms. Additionally, managing stress and anxiety through relaxation techniques or counseling can also be beneficial, as anxiety can sometimes exacerbate physical symptoms.

In summary, while your symptoms warrant attention, they are not necessarily indicative of a serious condition at this stage. Consulting with a healthcare provider will provide you with clarity and peace of mind. Remember, taking care of your mental health is just as important as addressing physical symptoms, and seeking help is a positive step forward.

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