There may be residual urine?
Hello doctor, I am 32 years old and my urination frequency is normal, although it tends to increase in colder weather.
The volume and flow rate of my urine are also normal.
Sometimes, when I just wake up, it takes longer for me to urinate, but I often experience a bit of residual urine left in the foreskin, which dampens my underwear.
I have phimosis (does phimosis have an impact?).
My urinalysis is normal with no abnormalities.
You mentioned that I should be aware of prostate cancer, which typically occurs in older age.
Given that I am 32, what is the likelihood of this? Should I first visit a urologist for a digital rectal exam of the prostate, or is the likelihood of benign prostatic hyperplasia higher?
aadda, 30~39 year old female. Ask Date: 2013/01/24
Dr. Xu Weikai reply Urology
Hello, phimosis does not affect residual urine.
As for benign prostatic hyperplasia, it's too early to consider; it's better to think about it around the age of 60.
Reply Date: 2013/01/24
More Info
Understanding residual urine and its implications is crucial, especially for a 32-year-old male like yourself. Your concerns about urinary frequency, the sensation of residual urine, and the potential impact of phimosis (包莖) are valid and warrant a thorough discussion.
Firstly, it's important to clarify what residual urine is. Residual urine refers to the urine that remains in the bladder after urination. In healthy individuals, this volume should be minimal. The sensation of having residual urine, particularly if you notice wetness in your underwear, can be indicative of incomplete bladder emptying. This can be influenced by several factors, including anatomical issues, bladder function, and even psychological factors.
In your case, you mentioned having phimosis, which can indeed affect urination. Phimosis can lead to difficulties in fully retracting the foreskin, potentially causing issues with urine flow and leading to a sensation of incomplete emptying. This condition can also increase the risk of urinary tract infections (UTIs) and other complications if not addressed. If you haven't already, it may be beneficial to consult a urologist about this issue, as they can provide options ranging from conservative management to surgical intervention, such as circumcision, if necessary.
Regarding your concerns about prostate health, it is true that prostate issues, including benign prostatic hyperplasia (BPH) and prostate cancer, are more common in older men. However, while prostate cancer is rare in younger men, it is not impossible. The symptoms you describe—urinary frequency, urgency, and the sensation of residual urine—can be associated with both BPH and other conditions, including prostatitis or even neurogenic bladder issues.
Given your age and the normal results from your urinalysis, the likelihood of prostate cancer is low, but it is not zero. Prostate cancer screening typically involves a digital rectal exam (DRE) and a prostate-specific antigen (PSA) test, which your urologist can perform. While DRE can feel uncomfortable, it is a quick procedure that provides valuable information about prostate size and texture.
In terms of your urinary symptoms, it may also be worthwhile to consider lifestyle factors. Staying hydrated, practicing good hygiene, and avoiding irritants such as caffeine and alcohol can help manage urinary frequency. Additionally, pelvic floor exercises may strengthen the muscles involved in urination, potentially improving your symptoms.
In summary, while your age suggests a lower risk for prostate cancer, your symptoms warrant a visit to a urologist for a comprehensive evaluation. They can assess your urinary function, consider the impact of phimosis, and determine if further investigation into your prostate health is necessary. Early intervention can often lead to better outcomes, so addressing these concerns sooner rather than later is advisable.
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