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Diseases that cause urinary disorders in men
Urinary disorders present themselves in many ways: burning when urinating, frequent urge to go to the toilet, need to get up too often at night, abnormal color of urine, incontinence, difficulty urinating, etc. These symptoms correspond to a wide variety of illnesses. Here are the main ones.
Prostate adenoma
It is also called BPH or benign prostatic hyperplasia. It is about a prostate which has enlarged too much and which, pressing on the urethra, decreases its diameter. This causes many urinary disorders. This adenoma affects men after 50 years and the frequency of these difficulties increases with age.
The disorders observed are: difficulty in urinating (need to push, decrease in the force of the jet, a delay in starting the jet), urgency or the urgent need to urinate quickly, pollakiuria this very frequent need to urinate , nocturia, urge to urinate very often at night, delayed drops, and sometimes overflow incontinence, the bladder being too full sometimes tending to let out a little urine.
Diabetes
When diabetes begins, the body excretes sugar in the urine. This can only be done in combination with water. So, people with diabetes (especially type 1) and not yet on insulin urinate very large amounts. Very large sometimes means more than 10 liters per day! And the thirst is greatly increased as well. Once diabetes is treated, these problems stop.
Afterwards, over the years, diabetes can lead to other urinary problems that often go unnoticed at first because they come on gradually.
It is estimated that 40% of people with diabetes show some of these signs without telling their doctor. This is due to damage to the nerves in the bladder which becomes overactive or underactive. Here are some of these signs (although most people do not have them all): decreased feeling of needing to urinate, weakness in the urine stream, delayed start of the stream, feeling of incomplete emptying after having urinated, delayed drops, urge to urinate (need to urinate felt as urgent), frequent urge to urinate or on the contrary rare.
On the other hand, people with diabetes are more prone to UTIs.
Les prostatites
Prostatitis is an infection of the prostate. There are 2 types of prostatitis which both cause urinary signs: acute prostatitis and chronic prostatitis.
In case of acute prostatitis, the affected man has urinary signs of infection associated with fever. These symptoms are: difficulty urinating, burning when urinating, pain when urinating, a need to push to urinate. He may also suffer from a strong and frequent urge to urinate, from a weak stream. Sometimes it may even become impossible for him to urinate.
In case of chronic prostatitis, urinary disorders are very diverse and depend on each man. These symptoms can be intermittent and can last for months and years. It may be burning while urinating, pain when urinating, a need to push to urinate. These signs are often associated with pain in the testicles or during ejaculation.
Urinary tract infection
In men, urinary tract infections are rare because the urethra is much longer than in women, which protects it from the rise of bacteria from the outside into the bladder. However, they do exist, if only because of an event or “weakening” diseases (for example, the passage of a urinary catheter involves risks of infection, diabetes also).
In this case, there is an urgent need to urinate, burning while urinating, cloudy urine, sometimes blood in the urine … But in the event of associated fever, it is no longer a simple urinary infection, but a priori, from prostatitis. This is because the infected prostate becomes inflammatory, which causes the temperature to rise.
Porphyrias
These rare hereditary genetic diseases are linked to an abnormality in a gene. They cause a very particular sign: the urine is colored port red or brown. But the coloring is not immediate, it usually appears half an hour to an hour after urination (act of urinating) after exposure to light. It can therefore go unnoticed!
This urinary abnormality, porphyria, occurs in seizures and is associated with severe stomach aches, nausea or vomiting, and episodes of diarrhea or constipation. It can also be associated with psychological or neurological disorders.
Neurological diseases
Many neurological diseases like multiple sclerosis (MS), Parkinson’s disease, stroke, etc. can cause urinary problems. Why ? Because the proper functioning of the bladder is controlled by the nervous system in the brain and spinal cord. Impairment at any level can therefore lead to urinary difficulties, regardless of the neurological disease involved.
When the neurological impairment is in the brain, the disorders observed are pollakiuria (very frequent urge to urinate), nocturia (need to urinate several times at night), urgency (or an urgent urge to urinate) ), or urinary incontinence (urinary leaks due to lack of control).
When the spinal cord is affected, the affected person may suffer from the same symptoms, sometimes with partial or complete urinary retention.
Note that urinary tract infections can also increase in frequency.
Kidney cancer
Kidney cancer often has no symptoms. It is therefore discovered by ultrasound or by examinations.
However, it can manifest as blood in the urine. This is the reason why it is always essential to perform an assessment in case of blood in the urine. This especially since the bleeding is often intermittent and completely painless in this case. This is no reason to neglect it!
Thus kidney cancer can sometimes be detected early, which increases the chances of being treated more easily with the fewest possible consequences.
Urinary stones
When stones are found in the kidneys or urinary tract, abnormal signs occur. Urinary signs can be observed such as very frequent urges to urinate (pollakiuria), burning when urinating, the presence of blood in the urine, infected urine (cloudy, with a strong odor), all associated with lower back pain. often radiating to the genital area and often digestive disorders (nausea, vomiting, constipation). But sometimes there are calculations resulting in little or no signs.
Prostate cancer
Prostate cancer does not initially cause any particular signs. This is why screening exists. However, in some men it can cause urinary signs when it gets a little bigger.
These symptoms are: a need to urinate frequently, especially at night, an urgency (urge to urinate), difficulty starting or stopping urinating, pain or burning when urinating, a jet of urine weak or slow or even interrupting at times, a feeling of poorly emptied bladder after urinating, the presence of blood in the urine, a need to push to successfully urinate, difficulty in starting to urinate, difficulty in passing urine controlling the bladder (incontinence).
This can be accompanied by non-urinary signs, in particular sexual signs (blood in semen, painful ejaculation in particular).
However, in our time, the diagnosis of prostate cancer is often made before all of these signs appear.
It is especially after prostate surgery that a man may have urinary difficulties, especially at first, before healing is complete. It is often stress urinary incontinence, but it is often transient. Sexual signs like erectile dysfunction are often associated with it at least initially.