Patient's question:
I am 18 years old and have not had sexual activity. However, since the age of 4 or 5, I have had the habit of masturbation, and it has been nearly 14 or 5 years so far. On average, I do it 1 or 2 times a week, or 3 or 4 times a month. I don't feel any discomfort physically, except for a sense of hesitation when urinating. This is why I want to get help:Doctor's answer:
What Causes Urinary Retention:Psychological Factors: Psychological tension or panic can cause urinary retention, specifically, being unable to urinate normally when someone is nearby. Due to excessive psychological stress, the neck of the bladder is prone to obstruction, and the bladder sphincter and detrusor muscle fail to coordinate properly. When the latter contracts, the former does not relax accordingly, leading to poor opening of the neck of the bladder and the posterior urethra, resulting in delayed urination.
Prostate Inflammation: Prostate inflammation primarily causes urinary retention due to excessive sphincter contraction, insufficient or untimely relaxation, and poor coordination with the bladder detrusor muscle. The symptoms and signs of this condition vary depending on the degree of prostate enlargement and the affected lobes of the prostate. Early typical symptoms include urinary retention, weak urine flow, narrowed urine stream, perineal pain, a sense of incomplete urination, difficulty stopping the urine flow, and sometimes urinary retention. When obstruction worsens, patients may experience frequent urination, nocturia, urinary incontinence, urinary overflow, bladder distension, and may also have hematuria.