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What could cause urine leakage in me as a 36-year-old male?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a 36-year-old male. I have been having a problem with urine leakage for the past few months. After I urinate, several drops of urine oftentimes leak out. It has left a small spot on my jeans a couple of times.

It happens even if I wait a minute and try to force all of the excess urine out. I have also noticed a drop in the tip of my penis occasionally when I am lying in bed. I am wondering if this could be caused by anxiety. I have had an extreme amount of stress over the past year, which I believe has caused me to have some muscle twitching.

But I am also wondering if all of this could be caused by a pinched nerve. Also, because of the stress, I gained approximately 20 pounds a few months ago. At 5.11 inches, I am 182 pounds, which is just barely overweight.

  • Could this cause this problem?
  • Could this be caused by either stress, a pinched nerve, or weight gain?
  • Also, do I need to be concerned about prostate cancer?

Please advise.

Thank you.
Answered by Dr. Ankush Jairath

Education:

DNB

Professional Bio:

Dr. Ankush Jairath is a Consultant Urologist with expertise in diagnosing and managing a wide range of urological conditions. His skills include performing minimally invasive and endoscopic procedures, managing kidney stones, prostate disorders, urinary tract infections, and male infertility. He is also trained in laparoscopic urological surgeries, uro-oncology, and reconstructive urology. Dr. Jairath provides patient-centered care with a focus on both surgical and non-surgical management of complex urological conditions.

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Hello,

Welcome to icliniq.com.

I understand your concern.

You do not need to be concerned about prostate cancer at all. It does not occur at this age. Please answer a few of my questions.

  • Have you done any investigations yet, like uroflowmetry or an ultrasound of the abdomen with PVRU?
  • Do you have any urinary complaints, such as frequency, urgency, poor stream, nocturia, dribbling, or burning micturation?
  • Are you diabetic, hypertensive, or on any medications for this?
  • Have you taken any medication for your urinary problem (urine leakage)?
  • You have urine leakage only after you go to pee, or sometimes before going to pee, and you are not able to control it, and it leaks.
  • And when you cough or sneeze do urine leakage occur?
  • Are you married?
  • Do you have children?
  • Any history of constipation?

Please answer so I can better guide you.

Kind regards.

Patient's Query

Hello doctor,

Thank you for the reply.

I have not done any investigations, ultrasounds, etc. The only urinary complaint I have is slight leakage after urinating, and I sometimes notice a drop on the tip of my penis when lying in bed. I am not diabetic or hypertensive, and am not on any medications for that.

The only medication I am on is Finasteride for hair loss. I have mostly noticed the problem after urinating, but I might leak a drop before urinating. No urine leakage during coughing or sneezing. Not married, no kids. No history of constipation, but I have strained a lot to make sure I am empty when pooping during the past couple of years.

Please advise.

Answered by Dr. Ankush Jairath

Education:

DNB

Professional Bio:

Dr. Ankush Jairath is a Consultant Urologist with expertise in diagnosing and managing a wide range of urological conditions. His skills include performing minimally invasive and endoscopic procedures, managing kidney stones, prostate disorders, urinary tract infections, and male infertility. He is also trained in laparoscopic urological surgeries, uro-oncology, and reconstructive urology. Dr. Jairath provides patient-centered care with a focus on both surgical and non-surgical management of complex urological conditions.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hello,

Welcome back to icliniq.com.

I recommend you start tablet Tolterodine 2 mg OD for two weeks. It will take care of the leak. If you feel better after starting, we will review whether to continue it after that or not.

I do recommend getting a baseline uroflowmetry and an abdominal ultrasound with PVRU (not an emergency, but yes, get them done). And yes, try to shed some pounds/kilos, that will always help in many ways.

I hope this helps you.

Thank you.

Medically reviewed by Dr. Divya Banu M
Published At June 15, 2020
Reviewed At June 8, 2026

Education:

DNB

Professional Bio:

Dr. Ankush Jairath is a Consultant Urologist with expertise in diagnosing and managing a wide range of urological conditions. His skills include performing minimally invasive and endoscopic procedures, managing kidney stones, prostate disorders, urinary tract infections, and male infertility. He is also trained in laparoscopic urological surgeries, uro-oncology, and reconstructive urology. Dr. Jairath provides patient-centered care with a focus on both surgical and non-surgical management of complex urological conditions.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Divya Banu M is a dedicated Dental Surgeon with valuable clinical experience. She specializes in the diagnosis, prevention, and treatment of various diseases and conditions affecting the oral cavity. With a gentle and patient-centered approach, she is committed to promoting oral health and enhancing smiles through quality dental care. Her areas of expertise include restorative dentistry, preventive dental care, and cosmetic dental procedures.

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Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ankush Jairath
Dr. Ankush Jairath

Urology

Consult this doctor

Education:

DNB

Professional Bio:

Dr. Ankush Jairath is a Consultant Urologist with expertise in diagnosing and managing a wide range of urological conditions. His skills include performing minimally invasive and endoscopic procedures, managing kidney stones, prostate disorders, urinary tract infections, and male infertility. He is also trained in laparoscopic urological surgeries, uro-oncology, and reconstructive urology. Dr. Jairath provides patient-centered care with a focus on both surgical and non-surgical management of complex urological conditions.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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