Q. I have occasional urinary incontinence with multiple streams and high pressure. Why?
Hello doctor,
I have occasional urine incontinence. Urine flows in different directions and drops on my legs. I have persistent high pressure, weak erection and quick ejaculation. And also have difficulty concentrating on tasks for a long time.
Hi,
Welcome to icliniq.com.
Incontinence of urine and multiple streams with high pressure are consistent with urethral stricture. It is narrowing of the urethra causing the above mentioned symptoms. Enlarged prostate can also cause the same issue but less common with multiple streams like this.
Tests need to be done are:
1.Urine analysis and culture (as urethral stricture might cause infection).
2. Ultrasound KUB (kidney,ureter and bladder) (stricture can also cause bladder stone).
3. PSA (blood test for prostate cancer for individuals above 50 years).
4. Uroflow and bladder scan.
Flexible cystoscopy might be required after uroflow results.
Regarding reduced erections and premature ejaculation, that might be due to reduced testosterone or secondary to other medical problems like diabetes or hypertension or its medications. Please get done testosterone levels.
Thank you doctor,
Test results:
Urine analysis culture:
Appearance - clear.
Colour - amber.
PH - 7.0.
Sugar - normal.
SG - 1.020.
Ketones, blood, bilirubin, urobilinogen, ascorbic acid and nitrite - Nil.
Urine culture yielded no growth after 48 hours of incubation at 37 degrees.
PSA - 0.2NG/ml (normal 0 - 4.0ng/ml).
The symptom is urine drops on my feet and scatters sideways instead of straight. Also, I have frequent night urination.
Hi,
Welcome back to icliniq.com.
Thanks for providing me with test results. The picture is more clear now. Prostate enlargement is the probable cause.
Please start tablet Tamsulosin 0.4 mg once at night with a small sip of water. This medicine makes it more easy to pass urine.
Follow up after one week to update me about whether there is any improvement.
Was this answer helpful?
|Same symptoms doesn’t mean you have the same problem. Consult a doctor now!
Related Questions:
What Is Premature Ejaculation?
Medicines Alternatively, I suggest taking Dapoxetine tablet such as Duralast 30 mg or tablet Sustinex 30 mg about one to three hours before intercourse ... Read full
Does premature ejaculation occur due to masturbation habit?In case if symptoms persist, few medications like Dapoxetine will help ... Tablet Dapoxetine ... Read full
Why am I having problems with erection?.. in most individuals occurs due to psychological reasons. But sometimes hormonal issues, diabetes, hypertension also worsen the problem. Did you get yourself checked for serum testosterone, prolactin, and blood sugar levels? Do you have any other ... Read full
Also Read Answers From:
Comprehensive Medical Second Opinion.Submit your Case
Also Read
Malaria Prevention Using Monoclonal Antibodies
A recent phase 1 study proved monoclonal antibodies effective in preventing malaria. Read the article to know more. Read more»
Surgical Ostomy - Types, Causes, Procedure, and Complications
This article briefly discusses ostomy, a surgical procedure where an opening is created between the segment of the gastr... Read more»
Rotavirus Infection - Symptoms, Diagnosis, and Treatment
Rotaviruses are among the most common causes of severe diarrhoeal disease in young children worldwide. Read the article ... Read more»
