Difficulty urinating in men
Difficulty urinating in men is most often caused by diseases of the genitourinary system. The urge to empty the bladder becomes frequent, and very little urine is released. The jet is intermittent. The whole process is accompanied by uncomfortable and even painful sensations. You cannot ignore such symptoms, since they will not go away on their own. A man will need to see a specialist. Such a doctor is a urologist.
- What is this pathology?
- Types of violations
- Causes of Urinary Disorder
- Possible diseases
- Symptoms of pathology
- Diagnosis of difficulty urinating in men
- Difficulty urinating treatment
- Possible complications
What is this pathology?
Doctors call all urinary disorders a single term "dysuric disorders".
Stranguria is a type of dysuric disorder and involves difficulty passing urine.
Stranguria is not an independent disease. It only indicates that not everything is in order with the body. Most often, this symptom is accompanied by urological pathologies. Poor urination can be troubling for men at different ages. The sooner the patient turns to a specialist for help, the better.
Types of violations
With stranguria, urine output is difficult.
Strangury can be of several types:
- Acute urinary retention.
- Drops of urine.
- Discharge of urine in a weak intermittent stream.
- Excretion of urine when straining.
- Pain during urination.
- Isolation of urine in a split stream, with splashes.
Causes of Urinary Disorder
Stranguria can develop for a variety of reasons.
Risk factors that can lead to stranguria:
- Postponed operation.
- Injury received.
- Damage to the ligaments of the bladder.
- Presence of stones in the urethral diverticulum.
- Acute inflammation of the prostate.
- Prostate cancer.
- Benign neoplasms of the prostate.
BPH. This disorder is manifested by gland hyperplasia. The tumor becomes a mechanical obstacle to the flow of urine, weakening the stream. As the pathology progresses, the urethra can become completely clogged.
Stagnation of fluid in the prostate and the development of chronic prostatitis. Most often, older men suffer from prostatitis. Violation of urination occurs due to the fact that the prostate itself increases in size.
- Foreign object entering the urethra.
- Disorders in the work of the sphincter muscles, with an increase in their tone. As a result, the normal communication between the bladder and the central nervous system is disrupted.
- Urethral stricture. This pathology is manifested by a narrowing of the urethra. The stream of urine loses its normal pressure. The process of emptying the bladder takes place in several acts.
- Injury to the spine, aggressive intercourse, frequent masturbation - all this can cause urinary disorders. Urine is excreted in small portions.
- Diseases of the genitourinary system: urolithiasis, damage to the renal glomeruli.
Diseases of the endocrine system, such as diabetes mellitus, negatively affect the evacuation capacity of the bladder.
A neurogenic bladder develops in men who have had a stroke or who have neuromuscular disease. Spinal cord injury and post-vaccination neuropathy can provoke stranguria. The patient experiences severe pain, since nerves are involved in the pathological process. Most often, such problems are faced by men over 50 years old.
The causes of difficulty urinating in men can be hidden in various diseases, including:
- BPH. The prostate gland becomes enlarged, deformed and inflamed. She begins to press on the urethra, disrupting the process of urine excretion. To empty the bladder, a man has to strain.
Prostate cancer. An increase in tumor size affects the process of urination.
- Urethral strictures. Its narrowing becomes the cause of impaired urine flow.
- Prostatitis. This disease is characterized by inflammation of the prostate gland. The patient develops edema, which leads to impaired urination.
- Urolithiasis disease. Stones can be found in the bladder, ureter, or kidney. They not only cause urinary impairment, but often cause intense pain.
- Urethritis. This is an inflammation of the urethra, which is accompanied by a violation of the outflow of urine and intense pain.
- Neurological diseases. They can develop due to a previous spinal cord or brain injury, as well as against the background of diabetes mellitus.
- Formation of a tumor in the organs of the urinary system.
- Disorders in the reproductive system: balanoposthitis, balanitis, orchitis, epididymitis.
- Sexually transmitted diseases.
At a young age, stranguria can develop against the background of hypochondria or hysteria. In adult men, urinary dysfunction often occurs due to the abuse of alcohol, while taking diuretics. Also, urination disorder occurs in patients who are forced to adhere to bed rest for a long time.
Symptoms of pathology
With stranguria, a man experiences frequent urge to urinate, and the process itself is accompanied by pain and discomfort. The urine comes out in drops or in a thin, intermittent stream. The patient always feels that his bladder is full. The more intense the inflammation, the harder the process of emptying urination is.
The main manifestations of stranguria include:
- Slow urination, urine may come out drop by drop.
- False urge to urinate. There is urge, but no urine.
- Pain and heaviness in the lower abdomen.
- Pain when passing urine.
In addition, a person may experience symptoms such as:
- Back pain.
- Increased body temperature.
If you ignore the symptoms of the disease, then the inflammation is chronic. From time to time, there will be episodes of exacerbation. During this period, urine can acquire a dark color, sometimes purulent discharge, blood, sediment are present in it.
Diagnosis of difficulty urinating in men
Rectal palpation of the prostate is the "ash standard" for diagnosing disorders that can provoke difficulty urinating. This procedure allows you to assess the size of the gland and its structure.
To clarify the diagnosis, the doctor may prescribe such studies as:
- Ultrasound of the urethra, kidneys, prostate. This is one of the most accessible methods for assessing the state of these organs. Ultrasound allows you to identify various pathological processes.
- Computed tomography of the genitourinary organs.
- Uroflowmetry. This study allows you to evaluate the speed of urination, the pressure of the urine stream and its strength.
- Ureteroscopy. The doctor examines the inside of the urethra. For this, a microscopic endoscope is used.
- Blood and urine sampling for general analysis. Protein, blood particles, and other pathological inclusions can be found in the urine. A blood test can be used to judge the intensity of the inflammatory process.
Bacteriological culture of mucus from the urethra. This will make it possible to clarify which representative of the pathogenic flora provoked inflammation, as well as to determine the sensitivity of bacteria to antibiotics.
Difficulty urinating treatment
Self-medication of difficulty urinating is unacceptable. The selection of drugs should be handled by a doctor. You need to contact a urologist. After establishing the cause of the urination disorder, the doctor will be able to choose the optimal treatment regimen. It is important to relieve the patient of pathological symptoms, since a violation of urination significantly impairs the quality of life of a man. If treatment is started at an early stage of the development of the disease, then most often it is possible to do with drug correction. When complications form, one has to resort to the help of a surgeon.
The primary task facing the doctor is to relieve inflammation.
In addition, the doctor prescribes to the patient such drugs as:
- Broad-spectrum antibiotics.
- Drugs for the treatment of urological diseases.
- Anticholinergic drugs.
- Antipsychotics. Their reception is indicated for disorders in the functioning of the nervous system. Antidepressants relax the bladder wall.
Drugs that can be used in the treatment of patients with stranguria:
Sonisin. It is prescribed for patients with adenoma.
Oxybutynin. It is used to eliminate frequent urge to urinate.
Fitokaps Adenoma-Complex. This remedy is often used to treat urological diseases.
Spazmex. It is used to treat bedwetting.
Insulin and drugs based on it are prescribed to patients with diabetes mellitus.
Duloxetine. This drug relieves pain and cuts when emptying the bladder.
Imipramine. This remedy can help with urinary incontinence and relieve pain during urination.
The choice of a particular drug depends on the disease that has been diagnosed in the patient.
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Sometimes it is not possible to cope with the disease with conservative methods. In this case, the patient is prepared for surgery. It may be needed in the presence of large kidney stones and in the bladder, in case of a cancer tumor. The prostate gland can be removed completely or partially. It all depends on the specific clinical case.
Sometimes, to remove urine from the bladder, they resort to such manipulations as:
- Placement of the catheter.
- Crushing stones by ultrasonic waves.
- Taking medications to dissolve stones and remove them easily.
- Performing prostate massage and warming up.
- Magnetotherapy and electrical stimulation.
- Donor tissue transplant. This procedure is performed with urethral stricture.
If treatment is not started on time, the disease becomes chronic. Infertility becomes one of the most serious complications. To prevent this from happening, you need to monitor your health, visit a urologist and lead a measured lifestyle.
It is easier to prevent any pathology than to treat it for a long time.
There are certain recommendations to avoid urination disorders:
- Leading an active lifestyle. You need to exercise regularly, perform special exercises for the prostate.
- Refusal from tobacco and alcoholic beverages.
- Proper nutrition. The menu should contain as much greens, fruits, fresh vegetables as possible. Eliminate spicy and salty foods. Animal fats should not be in the first place in the diet.
- Regular sex life. If there are frequent sex partner changes, condoms should be used. Often, sexually transmitted diseases lead to urinary disorders.
- If you have problems with men's health, you need to contact a urologist. The sooner treatment is started, the higher the chances of a full recovery.
- It is necessary to avoid hypothermia of the body.
- Minimizing stress. Many diseases develop against the background of emotional turmoil.
Author of the article: Lebedev Andrey Sergeevich | Urologist
Education: Diploma in the specialty "Andrology" received after completing residency at the Department of Endoscopic Urology of the Russian Medical Academy of Postgraduate Education in the urological center of the Central Clinical Hospital No. 1 of JSC Russian Railways (2007). Postgraduate studies were completed here by 2010.