Urinary Issues: Is Prostate Enlargement Possible at 19? - Urology

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Difficulty urinating?


I would like to ask, I am only 19 years old, but I often have to wait a long time to urinate.
Could this be due to an enlarged prostate? I have been holding my urine often since middle school, sometimes for an entire day.
Could this be the reason for my condition?

QQQ, 10~19 year old female. Ask Date: 2010/02/11

Dr. Liu Jianting reply Urology


Could it be caused by frequently holding in urine in the past? Or is it due to excessive stress? I recommend you visit a urologist at the hospital for further evaluation.

Reply Date: 2010/02/11

More Info


At the age of 19, it is relatively uncommon to experience prostate enlargement, also known as benign prostatic hyperplasia (BPH), as this condition typically occurs in older men, usually over the age of 40. However, your symptoms of having difficulty urinating and needing to wait a long time to start urination can be concerning and may indicate other underlying issues.

One possible explanation for your urinary difficulties could be related to bladder function rather than prostate enlargement. The bladder is a muscular organ that stores urine, and it can be affected by various factors, including habits developed over time. Holding urine for extended periods, as you've mentioned doing since middle school, can lead to bladder dysfunction. This can result in a decreased ability to relax and contract properly, which may cause symptoms such as hesitancy (difficulty starting urination) or a weak urine stream.

Additionally, other conditions could contribute to your urinary symptoms. For instance, urinary tract infections (UTIs) can cause discomfort and changes in urination patterns, including urgency and hesitancy. Another possibility is that you might be experiencing symptoms related to pelvic floor dysfunction, which can affect how well the bladder and urethra work together.

It is also important to consider that psychological factors, such as anxiety or stress, can impact urination. If you feel anxious about urinating or are in a hurry, it may lead to difficulty initiating urination.

Given your age and the symptoms you are experiencing, it is advisable to consult a healthcare professional, preferably a urologist. They can perform a thorough evaluation, which may include a physical examination, a review of your medical history, and possibly some tests, such as a urinalysis or ultrasound, to assess your bladder and urinary tract health.

In summary, while prostate enlargement is unlikely at your age, your urinary symptoms warrant further investigation. Holding urine for long periods can lead to complications, and it is essential to address these issues early on to prevent any long-term effects on your bladder function. Seeking medical advice will help you understand the underlying cause of your symptoms and guide you toward appropriate treatment options.

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