Urinary Issues: Causes and Solutions for Discomfort - Urology

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Since the end of last year, after I urinate, whenever I sit down or ride a bike, a clear liquid that resembles urine comes out.
This substance has a strong odor, and there is a noticeable smell even when I wear pants, which is quite distressing.
P.S.
I used to masturbate once a day, but now I have changed to once every 4 to 5 days; I wonder if this is the reason.

Dà Xióng, 10~19 year old female. Ask Date: 2016/03/11

Dr. Liu Jiaju reply Urology


If your symptoms persist, it is recommended to visit a urology clinic for a urinalysis to rule out the risk of a urinary tract infection.

Reply Date: 2016/03/11

More Info


Urinary issues can be quite distressing, and the symptoms you describe suggest a possible underlying condition that warrants further investigation. The presence of a clear, foul-smelling liquid after urination, especially when sitting or riding a bike, could indicate several potential causes.
Firstly, it's important to differentiate between urine and other bodily fluids. The fluid you are experiencing could be residual urine, which is urine that remains in the bladder after urination, or it could be pre-ejaculatory fluid, which is produced by the Cowper's glands and can sometimes have a noticeable odor. However, if this fluid has a strong smell and is causing discomfort, it may be indicative of an infection or another medical condition.

One possibility is a urinary tract infection (UTI). UTIs can cause a range of symptoms, including a strong odor in the urine, increased frequency of urination, and a feeling of incomplete emptying of the bladder. If you have had recurrent UTIs in the past, this could be a contributing factor. It would be advisable to have a urinalysis done to check for signs of infection, such as the presence of white blood cells, bacteria, or nitrites.

Another potential cause could be prostatitis, which is inflammation of the prostate gland. This condition can lead to urinary difficulties, including a sensation of incomplete voiding, increased frequency, and sometimes discharge. Given your history of frequent masturbation, it is worth noting that while sexual activity can influence prostate health, it is not typically a direct cause of prostatitis. However, changes in sexual habits can sometimes lead to changes in prostate secretions, which might contribute to the symptoms you are experiencing.

Additionally, the odor you describe could be related to dietary factors, dehydration, or even certain medications or supplements that can alter the smell of urine. Ensuring adequate hydration and a balanced diet can help mitigate some of these issues.

Given the complexity of urinary symptoms and the potential for various underlying causes, it is crucial to seek a thorough evaluation from a healthcare provider. They may recommend further tests, such as a urine culture, imaging studies, or even a prostate examination, to determine the exact cause of your symptoms.
In the meantime, here are some general recommendations that may help alleviate your symptoms:
1. Stay Hydrated: Drink plenty of water throughout the day to help dilute your urine, which may reduce odor and discomfort.

2. Practice Good Hygiene: Maintaining proper genital hygiene can help prevent infections and reduce odor.

3. Monitor Your Diet: Certain foods and drinks, such as asparagus, coffee, and alcohol, can affect urine odor. Keeping a food diary may help identify any dietary triggers.

4. Avoid Irritants: If you are using any products that could irritate the genital area (such as scented soaps or lotions), consider discontinuing them.

5. Consult a Healthcare Provider: Given the persistence of your symptoms, it is essential to consult a healthcare provider for a proper diagnosis and treatment plan.

In conclusion, while your symptoms may be concerning, they are not uncommon, and many potential causes exist. A thorough evaluation by a healthcare professional is the best way to determine the underlying issue and appropriate treatment.

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