Frequent Urination and Pain: Urology Insights - Urology

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Persistent urge to urinate with a burning sensation?


Hello, doctor.
A few days ago, I suddenly started feeling the urge to urinate all day after waking up in the morning.
After using the restroom, I would feel the urge again in just a few minutes, and I have some discomfort in my lower left abdomen.
I usually have a habit of masturbating (averaging 2-3 times a day for the past two to three years), but after taking a day off, I felt much better, and I haven't masturbated recently.
Last night, when I got up to use the restroom, I suddenly felt a sharp pain when urine passed through the right side of the glans.
Today, while urinating, I experienced a warm sensation, and occasionally, I felt a slight sharp pain in the same area as last night.
I would like to ask the doctor: 1.
Is the sharp pain and burning sensation related to the persistent urge to urinate? 2.
I have been monitoring the intervals between urinations, which are about once every hour, but each time I urinate, it lasts for about 7 seconds or more, which should not be considered too little.
I usually drink plenty of water, and in the past few days, I have been drinking water after each restroom visit, likely exceeding the standard of 2000 cc per day.
Should this be considered frequent urination? 3.
If I need to seek medical attention, can I go to the family medicine department at a health center, or would you recommend seeing a urologist? 4.
I found online that excessive masturbation may lead to prostatitis.
At the age of 26, what would be a reasonable frequency that would not affect health? Thank you, doctor.

Mr. Wu, 20~29 year old female. Ask Date: 2015/11/03

Dr. Xu Weikai reply Urology


Mr.
Wu: Hello.
1.
The burning and pain during urination may be caused by urethritis.
A urine test can be conducted.
2.
If you are urinating a lot each time, it does not qualify as frequent urination.
3.
You can consult a family medicine physician.
4.
There is no specific research on this matter, as each individual's constitution is different; it is important to assess one's own capabilities.
If there are any unclear points, feel free to ask again for further discussion and research.
Responses from the internet should only be taken as references; if necessary, it is still important to seek medical attention at a healthcare facility.
The Ministry of Health and Welfare, Taitung Hospital cares about you.

Reply Date: 2015/11/03

More Info


Frequent urination and associated pain can be concerning symptoms that warrant careful evaluation. Based on your description, it seems you are experiencing a combination of urinary urgency, discomfort in the lower abdomen, and localized pain during urination. Let's address your questions systematically.

1. Connection Between Pain and Urgency: The sharp pain and burning sensation you feel during urination, particularly at the glans (tip of the penis), could indeed be related to your increased urinary frequency. This could suggest a few potential issues, such as a urinary tract infection (UTI), urethritis (inflammation of the urethra), or even prostatitis (inflammation of the prostate). Given that you have experienced these symptoms after a period of frequent masturbation, it is possible that irritation or inflammation has occurred in the urinary tract or prostate area.

2. Understanding Frequency: You mentioned urinating approximately every hour, which can be classified as frequent urination, especially if this is a change from your normal pattern. The average adult typically urinates about 6-8 times a day, and if you are urinating more than this, it may be considered frequent. The volume of urine you mentioned (around 2000 cc per day) is within the normal range for hydration, but the urgency and discomfort you are experiencing are concerning and should not be ignored.

3. Seeking Medical Attention: It is advisable to consult a healthcare professional for a thorough evaluation. While a family medicine clinic can provide initial assessment and treatment, seeing a urologist may be more beneficial given the specific nature of your symptoms. Urologists specialize in urinary tract issues and can perform targeted tests, such as urinalysis, urine culture, and possibly imaging studies, to determine the underlying cause of your symptoms.

4. Masturbation and Prostate Health: Regarding your concern about masturbation frequency and its potential impact on prostate health, moderate masturbation is generally considered normal and healthy. There is no universally accepted "safe" frequency, as it varies from person to person. However, if you notice discomfort or pain associated with masturbation, it may be a sign to reduce frequency and allow your body to recover. If you suspect that your habits are contributing to your symptoms, it may be worth discussing this with your healthcare provider.

In summary, your symptoms of frequent urination, discomfort, and pain during urination could indicate an underlying issue that requires medical evaluation. It is essential to seek care from a healthcare professional, preferably a urologist, who can provide a comprehensive assessment and appropriate treatment options. In the meantime, ensure you stay well-hydrated and avoid any irritants, such as caffeine or alcohol, which can exacerbate urinary symptoms. Remember, early intervention can lead to better outcomes, so do not hesitate to seek help.

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