Excessive Masturbation: Risks of Prostate Enlargement and Cancer

Q: Excessive Masturbation: Risks of Prostate Enlargement and Cancer

Hope for Health： Hello, <br>1. <br>Excessive masturbation does not cause irreversible prostate enlargement; it only leads to localized inflammation and swelling, which is reversible. <br>The clinical symptoms are very similar to those of bladder cancer, which is highly unlikely.

Excessive masturbation

Doctor: 1.
I recently read a report stating that excessive masturbation among high school students in Kaohsiung can lead to prostate enlargement, and there are claims online that prostate enlargement or inflammation can easily lead to prostate cancer.
I have been engaging in long-term masturbation for about 8.9 years (almost once a day), and I experienced frequent urinary tract infections for a while.
Could this lead to prostate enlargement, prostate cancer, or bladder cancer? I've also been experiencing lower back pain and weakness in my legs lately, which makes me quite worried, and I'm considering quitting masturbation.
2.
My continued masturbation has resulted in a split urine stream, and I often experience post-void dribbling (after urinating, when I put on my pants and sit down or make large movements, a few drops of urine leak out).
I also have some frequency in urination.
Are these symptoms of prostate enlargement? 3.
I visited a hospital and mentioned my concerns to the doctor, hoping for a digital rectal exam, but he seemed to dismiss it since I am only 27 years old.
He just asked me to do a urinalysis, which showed only trace protein (+), and then told me I could go home! Should I consider paying out of pocket for a specialized prostate assessment? I feel quite worried and regretful about my past reckless behavior.

Xiwang jiankang, 20~29 year old female. Ask Date: 2015/11/03

Dr. Xu Weikai reply Urology

Hope for Health: Hello,
1.
Excessive masturbation does not cause irreversible prostate enlargement; it only leads to localized inflammation and swelling, which is reversible.
The clinical symptoms are very similar to those of bladder cancer, which is highly unlikely.
Bladder cancer is generally associated with smoking, hair dye, and painting.
Prostate enlargement is related to age and typically occurs after the age of 55, with very few cases before the age of 40.
Media reports and online rumors can only serve as references; it is best to purchase relevant books to establish knowledge.
Note: The chance of error in the knowledge found in books is low.
Prostate enlargement does not cause prostate cancer.
Frequent prostate inflammation and repeated irritation or infection can indeed increase the risk of prostate cancer, but this would not manifest immediately; it generally takes at least 10 to 20 years or longer to appear.
Prostate cancer usually occurs in individuals over the age of 65.
2.
A split urine stream is simply due to adhesion at the urethral opening; it can be improved by gently separating the urethral opening.
Additionally, if urine flow is weak, it may not have enough force to open the urethral opening, causing the split stream.
Note: This is similar to watering plants with a hose; if we pinch the end of the hose, it causes the water stream to split, following the same principle.
It is unrelated to the prostate.
Furthermore, the issue of dribbling urine is often due to autonomic nervous system dysregulation, causing a few drops of urine to remain in the urethra, leading to dribbling, which is more pronounced in cold weather.
After urinating, you can shake the urethra slightly or let the penis hang down for a few seconds to allow the urine to fully drain.
Of course, the fundamental treatment is to exercise more and keep warm to improve the situation.
3.
There is no need for a digital rectal exam in young individuals, as they typically do not have issues with prostate enlargement.
Additionally, young individuals have tighter anal muscles, making the examination painful and uncomfortable; therefore, it is rarely performed on young patients.
Note: In clinical practice, if prostate cancer is suspected, a blood test for PSA can be conducted.
If there are any unclear points, feel free to ask again for further discussion and research.
Online responses can only serve as references; if necessary, it is essential to seek medical care at healthcare institutions.

Ministry of Health and Welfare, Taitung Hospital cares about you.

Reply Date: 2015/11/03

More Info

Excessive masturbation has been a topic of concern for many, particularly regarding its potential impact on prostate health. While there is a lot of misinformation circulating on the internet, it is essential to approach this subject with a clear understanding of the facts.

1. Prostate Enlargement and Cancer Risks: The relationship between excessive masturbation and prostate enlargement (benign prostatic hyperplasia, BPH) or prostate cancer is not straightforward. Current medical research does not conclusively link frequent masturbation to an increased risk of prostate cancer or BPH. In fact, some studies suggest that regular ejaculation, whether through masturbation or sexual intercourse, may actually lower the risk of prostate cancer. This is thought to be due to the regular clearing of prostatic fluid, which may help reduce the risk of inflammation and the potential development of cancerous cells.

2. Symptoms and Concerns: The symptoms you describe, such as urinary frequency, post-void dribbling, and a sensation of incomplete bladder emptying, can indeed be associated with prostate issues. However, these symptoms can also arise from other conditions, such as urinary tract infections (UTIs), bladder issues, or even anxiety. Your history of recurrent urinary tract infections could suggest an underlying issue that may need further investigation. It’s important to note that while these symptoms can be concerning, they do not automatically indicate prostate cancer.

3. Consulting a Healthcare Professional: Given your symptoms and concerns, it would be prudent to seek a thorough evaluation from a healthcare provider. While your doctor may have initially dismissed your concerns due to your age, it is essential to advocate for your health. Requesting a prostate-specific antigen (PSA) test could provide valuable information regarding your prostate health. Additionally, a digital rectal exam (DRE) is a standard procedure that can help assess the prostate's condition, even in younger patients.

4. Psychological Impact and Lifestyle Changes: It’s understandable to feel anxious about your health, especially with the symptoms you are experiencing. If you find that your anxiety is affecting your daily life, consider speaking with a mental health professional. They can help you navigate your feelings and develop coping strategies. Moreover, if you are considering reducing or stopping masturbation, it may be beneficial to explore healthy outlets for stress relief and sexual expression.

5. Long-Term Health: While it’s good to be cautious about your health, it’s also important to avoid excessive worry. Many factors contribute to prostate health, including genetics, diet, lifestyle, and overall health. Maintaining a balanced diet, staying hydrated, exercising regularly, and managing stress can all contribute positively to your health.

In conclusion, while excessive masturbation has been linked to various concerns, the direct connection to prostate enlargement or cancer is not well-established. Your symptoms warrant further investigation, and it’s essential to communicate openly with your healthcare provider about your concerns. Regular check-ups and being proactive about your health are key steps in ensuring your well-being.

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