Dr. Ankush Jairath
Urology
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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 from 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?
Hello,
Welcome to icliniq.com.
First thing first. You do not need to be concerned about prostate cancer at all. It does not occur at this age. Secondly, have you done any investigations yet like uroflowmetry or ultrasound abdomen with PVRU? Do you have any urinary complaints like frequency, urgency, poor stream, nocturia, dribbling, burning micturation? Are you diabetic or hypertensive or on any medications for this? Do you have 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 you are not able to control and it leaks? And when you cough or sneeze do urine leakage occur? Married? Children? Any history of constipation?
Patient's Query
Thank you doctor,
I have not done any investigations, ultrasounds, etc. The only urinary complaint I have are 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.
Hello,
Welcome back to icliniq.com.
I recommend you to 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 to get a baseline uroflowmetry and ultrasound abdomen 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.
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Urology
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