Since you haven't talked with any physician about this problem yet, you can probably start with just your regular primary care physician
. They can perform the initial evaluation and help determine if you need any additional workup or referral to a specialist, such as a urologist
Urinary incontinence in a young man is very unusual, in the absence of complicating or prior medical problems. Examples of medical problems which might explain and lead to urinary incontinence include things like a history of trauma to the spine or spinal bifida. For these reasons, make sure to mention to your doctor
any relevant past medical history. Also make sure to mention if you have any other concerning symptoms such as trouble emptying your bowels or numbness or weakness in your legs or groin, as these are other symptoms that might indicate a serious problem with the spinal cord as the cause of your incontinence.
In the absence of these red flags, it is likely that your doctor will want to start by ruling out sexually transmitted infections or urine infections with some basic lab tests. They'll also want to examine your genitals and prostate for any evidence of inflammation as a cause of the urinary leakage. Based on what they find, they'll be able to make recommendations for treatment. Book an appointment as soon as you can.