Avoiding urine sprays or splits into multiple streams during urination

If urine sprays or splits into multiple streams during urination, this could be caused by a few different factors:

Urethral Meatus Adhesion or Stenosis: Sometimes, the opening at the tip of the urethra can become slightly narrowed or have a bit of tissue adhesion, which can cause urine to spray or split. 

This can happen if the meatus (urethral opening) has a small adhesion from birth.

Presence of Debris or Dry Skin: Occasionally, dry skin, debris, or even soap residues can partially obstruct the opening, causing the urine to split into multiple streams.

Natural Anatomical Variation: Some people naturally have an opening that creates a spray pattern rather than a straight stream.

Infections or Inflammation: A urinary tract infection or inflammation of the urethra can sometimes cause issues with urine flow, but if this has been present since childhood and there are no signs of pain or burning, it may be less likely to be an infection.

Suggested Actions

Gently Clean the Urethral Opening: Ensure the area is clean but avoid harsh soaps, as they can cause dryness or irritation. 

Simple, gentle rinsing with warm water can help.

Check with a Healthcare Provider: Since this has been a long-term issue, a urologist could assess the urethral opening and determine if there’s any minor structural issue that could be addressed.

Avoid Holding Urine for Long Periods: Holding urine for long periods can increase pressure, which might affect the stream when you finally urinate.

This is a fairly common issue, and a urologist may suggest options if it's a frequent inconvenience. 

In many cases, gentle care and regular cleaning can help reduce spraying.