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” I am 182 lbs, 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. 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)? Do 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?