Testicular and Urinary Issues: Common Concerns Explained - Urology

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Testicular urination and related issues?


I have a few questions to ask you:
1.
I feel like my testicles are positioned one in front and one behind, with one higher than the other.
Is this normal?
2.
I usually have no issues urinating in the morning, afternoon, and evening, but I find it difficult to urinate before bed, feeling like I can't relax.
Is there a problem?
3.
I masturbate about once a week.
Does this cause any harm to my body?
4.
What type of underwear material is better for the testicles and so on?
5.
Recently, whenever I relax my body, I feel a bit shaky, which makes it somewhat difficult to urinate.
However, if I have a strong urge to urinate, I can do it quickly.
This never happened before.
What could be wrong with me?
P.S.
I often held my urine during elementary and middle school.
Could this be directly related to the issues mentioned above?

Niming, 10~19 year old female. Ask Date: 2015/10/18

Dr. Xu Weikai reply Urology


Anonymous: Hello.
1.
It could be normal, but it is necessary to see the patient in person.
2.
It is uncertain; it may be influenced by emotions or issues like a distended bladder.
3.
Western medicine does not have studies on the frequency of masturbation and its effects on the body; only traditional Chinese medicine has related taboos.
4.
Ventilation and loose clothing.
5.
Your description is unclear, and I cannot determine the issue.
I recommend seeking medical attention as soon as possible.
If there are any unclear points, feel free to ask again for further discussion and research.
Answers on the internet should only be used as a reference; if necessary, it is important to seek care at a medical facility.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/10/18

More Info


When it comes to understanding testicular and urinary issues, it's essential to address each of your concerns with care and clarity. Let's break down your questions one by one.

1. Testicular Positioning: It's quite normal for one testicle to hang lower than the other. This asymmetry is common among men and is typically due to anatomical variations. The left testicle often hangs lower than the right, which is thought to help prevent compression and allow for optimal temperature regulation, crucial for sperm production. However, if you experience pain, swelling, or any significant changes in size or shape, it would be wise to consult a healthcare professional.

2. Difficulty Urinating at Night: Experiencing difficulty urinating at night, especially when you feel tense or unable to relax, can be related to several factors. It might be due to anxiety, stress, or even a psychological component where your body is not in a relaxed state conducive to urination. This can also be influenced by the bladder's capacity and the body's natural circadian rhythms, which can affect urine production. If this issue persists or worsens, it may be beneficial to consult a urologist to rule out any underlying conditions.

3. Frequency of Masturbation: Masturbating once a week is generally considered a normal frequency for many individuals and is not inherently harmful. It can even have health benefits, such as reducing stress and promoting better sleep. However, if you find that it interferes with your daily life or causes physical discomfort, it may be worth discussing with a healthcare provider.

4. Underwear Material: The choice of underwear can indeed affect comfort and health. Breathable materials like cotton are often recommended as they allow for better air circulation, reducing moisture buildup that can lead to irritation or infections. Avoiding tight-fitting underwear can also help maintain optimal temperature for the testicles, which is important for sperm health.

5. Shaking and Difficulty Urinating: The sensation of shaking or feeling unstable when relaxed, which leads to difficulty urinating, could be related to anxiety or a physical response to stress. It’s important to differentiate between psychological and physiological causes. If you notice that this sensation is new or has changed significantly, it would be prudent to seek medical advice. A healthcare professional can help assess whether this is a benign issue or if further investigation is warranted.

Regarding your history of holding in urine during your school years, chronic retention of urine can lead to various urinary issues, including bladder dysfunction or urinary tract infections. It’s essential to develop healthy bathroom habits and respond to your body’s signals promptly to avoid potential complications.

In summary, while many of your concerns may stem from normal physiological variations or benign issues, it’s crucial to pay attention to your body and seek medical advice if you notice any significant changes or if your symptoms persist. Regular check-ups with a healthcare provider can help ensure that any potential issues are addressed early on, promoting better overall health.

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