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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 excreted. The stream is intermittent. The whole process is accompanied by uncomfortable and even painful sensations. These symptoms should not be ignored as they will not go away on their own. The man will need to see a specialist. This doctor is a urologist.
What is this pathology?
All urination disorders doctors call the single term “dysuric disorders”.
stranguria – This is a type of dysuric disorder and involves difficulty in passing urine.
Stranguria is not an independent disease. It only indicates that the body is not all right. Most often, this symptom accompanies urological pathologies. Weak urination can bother men at different ages. The sooner the patient seeks help from a specialist, the better.
Types of violations
With stranguria, urine output is difficult.
Stranguria can be of several types:
Acute retention of urine.
Drops of urine.
Emission of urine in a weak intermittent stream.
Excretion of urine on straining.
The appearance of pain during urination.
Isolation of urine in a bifurcated stream, with splashes.
Causes of urination disorders
Stranguria can develop for various reasons.
Risk factors that can lead to stranguria:
Transferred operation.
Injury received.
Damage to the ligaments of the bladder.
The presence of stones in the diverticulum of the urethra.
Acute inflammation of the prostate.
Prostate cancer.
Benign neoplasms of the prostate.
Andrological causes
BPH. This violation is manifested by hyperplasia of the gland. The tumor becomes a mechanical obstacle to urine excretion, weakening the stream. As the pathology progresses, the urethra can become completely blocked.
fluid retention in the prostate and development of chronic prostatitis. Most often, prostatitis affects older men. Violation of urination occurs due to the fact that the prostate itself increases in size.
Mechanical reasons
Entry into the urethra of a foreign object.
Violations in the work of the sphincter muscles, with an increase in their tone. As a result, the normal connection between the bladder and the central nervous system is disrupted.
Urethral stricture. This pathology is manifested by narrowing of the urethra. The stream of urine loses its normal pressure. The process of emptying the bladder occurs in several acts.
Injury to the spine, aggressive sexual intercourse, frequent masturbation – all this can cause urinary disorders. Urine is excreted in small portions.
Urological causes
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.
Neurological reasons
A neurogenic bladder develops in men who have had a stroke or suffer from neuromuscular disease. Spinal cord injury and post-vaccination neuropathy can provoke stranguria. The patient experiences severe pain, as nerves are involved in the pathological process. Most often, such problems are faced by men over 50 years old.
Possible diseases
The causes of difficulty urinating in men can be hidden in various diseases, including:
BPH. The prostate gland enlarges, deforms and becomes inflamed. She begins to put pressure on the urethra, disrupting the process of excretion of urine. To empty the bladder, a man has to strain.
Prostate cancer. An increase in the size of the tumor affects the process of urination.
Stricture of the urethra. Its narrowing causes a violation of urine output.
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 in the bladder, in the ureter, or in the kidneys. They cause not only a violation of urination, 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.
Diseases of the neurological plan. They can develop due to an injury to the spinal cord or brain, as well as against the background of diabetes mellitus.
Formation of a tumor in the organs of the urinary system.
Violations 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, urination disorders often occur due to alcohol abuse, while taking diuretics. Also, a violation of urination 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. Urine comes out in drops or a thin intermittent stream. The patient constantly feels that his bladder is full. The more intense the inflammation, the more difficult the process of emptying urination.
The main manifestations of strangury include:
Slow urination, urine can come out drop by drop.
False urge to urinate. There are urges, but no urine.
Pain and heaviness in the lower abdomen.
Pain while passing urine.
In addition, a person may experience symptoms such as:
Nausea.
Headache.
Lower back pain.
Increased body temperature.
If you ignore the symptoms of the disease, then the inflammation becomes chronic. From time to time there will be episodes of exacerbation. During this period, urine may acquire a dark color, sometimes it contains purulent discharge, blood, sediment.
Diagnosis of difficult urination in men
Rectal palpation of the prostate is the “gold standard” for diagnosing disorders that can cause difficulty urinating. This procedure allows you to evaluate 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 can detect various pathological processes.
Computed tomography of the urinary organs.
Uroflowmetry. This study allows you to evaluate the speed of urination, the pressure of the urine stream and its strength.
Urethroscopy. The doctor examines the urethra from the inside. For this, a microscopic endoscope is used.
Collection of blood and urine for general analysis. Protein, blood particles and other pathological inclusions can be detected 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 clarify which particular representative of the pathogenic flora provoked inflammation, as well as determine the sensitivity of bacteria to antibiotics.
Treatment of difficult urination
Self-medication of difficult urination is unacceptable. The selection of drugs should be done by a doctor. You need to contact a urologist. After establishing the cause of urination disorders, the doctor will be able to choose the optimal treatment regimen. It is important to save the patient from pathological symptoms, since the violation of urination significantly worsens 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 get by with medical correction. In the formation of complications, one has to resort to the help of a surgeon.
Medication Therapy
The primary task that confronts the doctor is the relief of inflammation.
In addition, the doctor prescribes to the patient drugs such as:
Broad spectrum antibiotics.
Preparations for the treatment of urological diseases.
Anticholinergic drugs.
NSAIDs.
Analgesics.
Antispasmodics.
Antipsychotics. Their reception is indicated for violations in the work of the nervous system. Antidepressants relax the walls of the bladder.
Drugs that can be used in the treatment of patients with stranguria:
Sonizin. It is prescribed to patients with adenoma.
Oxybutynin. It is used to eliminate the frequent urge to urinate.
Phytocaps Adenoma-Complex. This remedy is often used to treat urological diseases.
Spazmex. It is used to treat enuresis.
Insulin and preparations based on it are prescribed to patients with diabetes mellitus.
Duloxetine. This drug allows you to get rid of pain and pain when emptying the bladder.
Imipramine. This tool allows you to cope 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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