Frequent Urination and Leakage: Is It an Infection? - Urology

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Frequent urination infection?


Hello doctor, recently after I urinate and pull up my pants, I notice a few drops of urine.
Additionally, I have frequent urination; just a few minutes after drinking water, I need to go to the bathroom again.
I'm not sure if this is an infection.
I had sexual intercourse with my girlfriend for the first time in early July, and I also sit for long periods.
I'm wondering if these factors are related.
By the way, I went to the hospital for a urinalysis the day before yesterday, and the doctor said my urine was clean with no issues.
Do I need surgery or a catheter for this? Thank you, doctor.

wu, 10~19 year old female. Ask Date: 2015/09/01

Dr. Li Xinyi reply Urology


Surgery or catheterization may not be necessary, but a follow-up appointment with a urologist is still required to confirm the diagnosis.

Reply Date: 2015/09/01

More Info


Frequent urination and leakage can be concerning symptoms, and it's understandable to seek clarity on whether these issues might indicate an infection or require further medical intervention. Based on your description, it appears that you are experiencing two main symptoms: post-void dribbling (the leakage of urine after urination) and increased frequency of urination.
Firstly, it's important to note that frequent urination can have various causes, including urinary tract infections (UTIs), bladder irritability, prostate issues in men, or even lifestyle factors such as fluid intake and caffeine consumption. Since you mentioned that you had a urine test and the results were normal, this significantly reduces the likelihood of a UTI being the cause of your symptoms. UTIs typically present with additional symptoms such as burning during urination, urgency, and sometimes fever, which you did not mention.

Post-void dribbling can occur for several reasons. In men, it may be related to prostate health, particularly if there is any enlargement or inflammation. In women, it can sometimes be associated with pelvic floor dysfunction or weakened pelvic muscles, especially after childbirth or due to aging. Long periods of sitting, as you mentioned, can also contribute to pelvic floor issues, as prolonged pressure can weaken the muscles that support the bladder.

Regarding your concern about needing surgery or a catheter, these interventions are typically reserved for more severe cases or when conservative management fails. Since your urine test was clear, and if you are not experiencing significant pain or other alarming symptoms, it is unlikely that surgical intervention is necessary at this point.
It may be beneficial to consider lifestyle modifications that could help alleviate your symptoms. For instance, practicing pelvic floor exercises (often referred to as Kegel exercises) can strengthen the muscles that control urination. Additionally, monitoring your fluid intake and avoiding irritants such as caffeine, alcohol, and spicy foods may help reduce urinary frequency.

If your symptoms persist or worsen, it would be advisable to follow up with a urologist or a healthcare provider specializing in urinary health. They may perform further evaluations, such as a bladder diary to track your urination patterns or additional imaging studies to assess your bladder and urinary tract.

In summary, while your symptoms are understandably concerning, the normal urine test results suggest that an infection is unlikely. Focus on lifestyle changes and pelvic floor exercises, and consult with a specialist if your symptoms continue. Remember, open communication with your healthcare provider is key to addressing any ongoing concerns you may have.

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