Urination - difficulty with flow

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Urination - difficulty with flow

• Difficulty starting or maintaining a urine stream
  is called urinary hesitancy.

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Considerations

• Urinary hesitancy affects people of all ages and
  occurs in both sexes. However, it is most common
  in older men with an enlarged prostate gland.
• Urinary hesitancy most often develops slowly over
  time. You may not notice it until you are unable
  to urinate (called urinary retention). This
  causes swelling and discomfort in your bladder.

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Causes

• The most common cause of urinary hesitancy in
  older men is an enlarged prostate. Almost all
  older men have some trouble with dribbling, weak
  urine stream, and starting urination.
• Another common cause is infection of the prostate
  or urinary tract. Symptoms of a possible
  infection include
• Burning or pain with urination
• Frequent urination
• Cloudy urine
• Sense of urgency (strong, sudden urge to urinate)
• The problem can also be caused by
• Some medicines (such as remedies for colds and
  allergies, tricyclic antidepressants, some drugs
  used for incontinence, and some vitamins and
  supplements)
• Nervous system disorders
• Side effects of surgery
• Scar tissue (stricture) in the tube leading from
  the bladder

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Home Care

• Steps you can take to care for yourself include
• Keep track of your urination patterns and bring
  the report to your doctor.
• Apply heat to your lower abdomen (below your
  belly button and above the pubic bone). This is
  where the bladder sits. The heat relaxes muscles
  and aids urination.
• Massage or place light pressure over your bladder
  to help the bladder empty.

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When to Contact a Medical Professional

• Call your doctor if you notice urinary hesitancy,
  dribbling, or a weak urine stream.
• Call your doctor right away if
• You have a fever, vomiting, side or back pain,
  shaking chills, or are passing little urine for 1
  to 2 days.
• You have blood in your urine, cloudy urine, a
  frequent or urgent need to urinate, or a
  discharge from the penis or vagina.
• You are unable to pass urine.

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What to Expect at Your Office Visit

• Your doctor may ask questions such as
• How long have you had the problem and when did it
  start?
• Is it worse in the morning or at night?
• Is the force of your urine flow decreased? Do you
  have dribbling or leaking urine?
• Does anything help or make the problem worse?
• Do you have symptoms of an infection?
• Have you had other medical conditions or
  surgeries that could affect your urine flow?
• What medicines do you take?

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