instruction: 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 1 I am 182 labs 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
output: 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 peru 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