Frequent Urination and Itching: A Urology Perspective - Urology

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Frequent urination, also known as polyuria, can be a complex symptom with various underlying causes. In your case, you mentioned urinating more than ten times a day, with each instance being less than 100cc, and no nocturia (nighttime urination). This pattern can be indicative of several conditions, including bladder overactivity, anxiety-related urinary frequency, or even dietary influences, particularly if you consume a lot of caffeine or irritants like spicy foods.

The itching you experience on the surface of the penis and glans, particularly after eating out, could suggest a few possibilities. One common cause of itching in that area is a yeast infection, which can occur due to various factors, including diet, hygiene practices, or even the use of certain soaps or detergents. Another possibility is contact dermatitis, which can arise from irritants or allergens in your environment or personal care products.
You mentioned that a physician suggested you might have phimosis, which is a condition where the foreskin cannot be easily retracted over the glans. While you indicated that you can expose the glans and do not require circumcision, it is still essential to maintain proper hygiene, as inadequate cleaning can lead to infections or irritation, which may explain the itching.

Given your family history of diabetes, it’s prudent to monitor your blood sugar levels regularly, even if your recent tests have shown normal results. Diabetes can lead to increased urination and can also predispose individuals to infections, including yeast infections, which could explain the itching.

Here are some recommendations for managing your symptoms:
1. Hydration and Diet: Ensure you are drinking adequate water throughout the day, but be mindful of your intake of diuretics such as caffeine and alcohol, which can increase urination. A balanced diet that avoids excessive sugars and refined carbohydrates can help maintain stable blood sugar levels.

2. Hygiene Practices: Continue to practice good hygiene by regularly cleaning the area beneath the foreskin. If you notice that certain soaps or products exacerbate the itching, consider switching to hypoallergenic or fragrance-free options.

3. Monitor Symptoms: Keep a diary of your urination patterns, dietary habits, and any instances of itching. This information can be valuable for your healthcare provider in determining the underlying cause of your symptoms.

4. Consult a Specialist: If symptoms persist or worsen, consider consulting a urologist or dermatologist. They can provide a thorough examination and may recommend tests such as a urinalysis or cultures to rule out infections.

5. Stress Management: Since you mentioned being prone to anxiety, exploring stress management techniques such as mindfulness, yoga, or counseling may help alleviate some of the urinary frequency associated with anxiety.

6. Follow-Up: Regular follow-ups with your healthcare provider are essential, especially given your family history of diabetes. They can help monitor your overall health and adjust any necessary treatments.

In summary, while frequent urination and itching can be distressing, understanding the potential causes and implementing appropriate management strategies can significantly improve your quality of life. Always consult with healthcare professionals for personalized advice and treatment options tailored to your specific situation.