Now, Im 50 and I have never experienced that. What happens to me is after I go sitting down and flushing, I have to stand up to pee. I have been like this for a long time. I just cant seem to pee sitting down.

You, sir, are unique! Sitting is an anatomically preferred position. Slight angles can make a difference from man to man.

Your time is coming! A urologist friend tells patients that "if you are lucky, you will live long enough to develop prostate cancer." It is a rare man who makes it through middle age without some prostate problems.

ALL men experience this as they age. It usually shows up about the age of forty. It is an inability to completely empty the bladder caused, with age, by slight enlargement of the prostate. The urine test that was done was checking for a prostate infection.

The younger alternative is that when you have built up some pressure, the prostate experiences the relief as "being done" and closes that valve. This would be common because the buildup in your bowels puts pressure on the prostate and it gets confused. If this is only happening when urination is with a bowel movement it is not too concerning - just the first stages of aging. If it happens when just urinating there may be a low level prostate infection or you are just waiting too long to pee.

A warm-to-hot sitzbath improves blood flow and will alleviate this condition. Nothing to really worry about unless it gets worse.

I never knew I was lucky to not have any prostrate problems. Never thought about it. I do know they are making a huge awareness of breast cancer this month. All the way to professional sports and pink everything. Then I heard a very interesting statistic, more men die every year than men and women die of breast cancer every year.

I believe all women are delicate, delightful, precious and, the true absolute wonder of this world. So I also believe women and breast cancer desrve all the hoopla. Yet, I didnt even know the perils and frequency of male prostrate cancer.

On a lighter note, I do wish women came with an owners manual, tough to figure them out. :D

Guitar Guy:

I am in my last year of nursing school, so I hope you'll allow me to exercise some of my learning with you.

First of all, you said, "I've been to my doctor about this issue before, and they did a test on my urine and nothing negative was found." Was this visit to your primary care physician (PCP)? Although PCP's are well-trained, they are not necessarily specialists in any one field. If all that was done was to "test your urine" then I think you should consider asking for a referral to a urologist.

An urologist can conduct a test (Uroflometry) that could help identify potential problems with your urinary system. One thing that I would be interested in finding out is what your Postvoid Residual is (how much urine is left in your bladder after you feel that you've completely emptied).

You did not provide a great deal of information here, so I would like to ask you to consider some questions (you don't need to post a response to them).

1. Do you have to urinate a second time within 10 minutes after ONLY urinating? (In other words, not just after having a bowel movement and urinating)?

2. How much do you urinate the first time (approximately)? I would recommend you obtain an actual measurement of the volume you void the first time and the second time, and keep a log for a few days or a week. This information could be helpful to your doctor.

3. Are you having any pain or discomfort when you urinate?

4. Do you smoke?

5. How long has this been going on?

Dr. Brandye may be correct in assessing the possibility of prostate (not prostrate) involvement, but you are still quite young. As Dr. Brandye pointed out (to paraphrase), it's probably not a big deal, but if you are concerned about it, or it becomes significantly worse (e.g. dribbling, inability or hesitancy to start/stop flow) then I would highly recommend asking for a referral to a urologist.