Im a 25-year-old male, weighing 40 kg, and Ive been dealing with something that's been really bothering me. Every night, I find myself experiencing nightfall, with sperm leakage while I sleep. I also have a problem with urinary incontinence. After I use the bathroom, even when I think I've finished urinating, a few drops just come out without me noticing until it's too late. Im having a hard time controlling myself when I feel the sudden urge to urinate. Can you help me understand what might be going on?

Answered by 1 Apollo Doctors

Dr Ranjith Darla

General Practitioner

MBBS
3+ Yrs

Consult Now

The "tube" you're feeling is likely the carotid artery.

A slightly larger carotid artery on one side is usually normal.

Possible causes of a larger carotid artery include:

Genetic variation Age-related changes Increased blood pressure

Swollen lymph nodes or tumors are less likely without other symptoms.

Consult a doctor for a professional evaluation and peace of mind.

Dr. Ranjith Suggests...

Consult a Urologist

Find a Urologist

Answered 04/07/2025

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What causes urinary incontinence?

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Answered by 1 Apollo Doctors

I'm a bit worried because I've been experiencing early discharge of semen fluid recently, and I've also noticed that my penis size seems to shrink when I provide a sperm sample. Additionally, my results showed that I have reduced active sperm motility at 25 and there are 68 pus cells present under HPF. I'm really concerned about what all this means and what I should do next. Can you help me out with some advice?

It sounds like there may be an underlying infection or inflammation affecting sperm quality. I recommend seeing a urologist for a thorough examination and tests to rule out any infections or other issues. Treatment with antibiotics or other medications may be necessary to improve sperm health and motility.

Answered by 1 Apollo Doctors

My prostate PSA test result was 7 ng/ml and we're meeting the doctors this Saturday to discuss it. Can you give me an idea of what the surgery or operation might cost, including average hospital charges? Just trying to get a rough estimate to plan ahead.

Have you had a ultrasound of the prostate and a guided biopsy. If urs please share the result. Is he having any bone pains

Answered by 1 Apollo Doctors

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.