Causes of difficulty urinating in men. Sluggish (slow) urination

Difficulty urinating (strangury) is a condition that occurs in a number of urological and non-urological diseases.

This may be a long absence of urination when wanting to urinate, the release of urine in a weak stream or drop by drop, a prolonged or interrupted act of urination, accompanied by painful sensations in the process. It is usually impossible to immediately identify why the disorder arose.

Causes of difficulty urinating in women:

• For example, very often urination is difficult in patients with chronic cervical cystitis (inflammation of the bladder neck).
• Urinary retention is a common symptom of pregnancy, in which the growing uterus puts pressure on the organs of the urinary system, making it difficult to release urine. This condition cannot be considered a pathology, however, it can also bring a lot of inconvenience.

Causes of difficulty urinating in men:

• In men, common causes are prostate diseases - prostatitis, prostate adenoma (BPH), prostate cancer.

Difficulty urinating can occur with a number of other disorders:

• narrowing of the urethra - urethral stricture.
• pelvic trauma with damage to the urethra, spinal injuries.
• kidney and bladder stones,
• the presence of tumors,
• blood clots or mucus in the urinary tract,
• entry of foreign objects into the urinary tract,
• narrowing of the lumen of the urinary tract,
• disorders of the innervation of the bladder.

Sometimes urinary disorders can occur as a result of nervous disorders, but this is extremely rare. Another negative factor is overdistension of the bladder, which is a consequence of a decrease or loss of sensitivity of the bladder - a hyporeflex bladder. In this condition, the patient is forced to urinate in a thin, sluggish stream, pressing on his stomach, thus helping to empty the bladder. Such patients experience chronic urinary retention, which is dangerous for the development of infection in the urinary tract, the spread of this infection to the kidneys through the ascending route, the formation of stones in the bladder, the development of renal failure up to the complete loss of kidney function. This is already a life-threatening condition.

Due to the variety of causes of the disorder itself, the first step in treatment is identifying the causes. For diagnosis, cystoscopy, ultrasound of the pelvic organs, complex urodynamic examination (CUDI) are used, and a general urine test is performed. For example, if you have a urinary tract infection, you should start by eliminating it: antibacterial drugs are prescribed. If strangury is caused by the presence of stones, neoplasms, or foreign objects entering the body, the most important measure is their surgical removal. In cases where the disorder has psychological causes, you should start with the treatment of neurosis.

You need to understand that trying to cure yourself is a bad idea. For example, if the cause of urinary retention is a tumor or the presence of stones, the lack of timely medical attention can be critically dangerous to health and life. In the most severe cases, a catheter or suprapubic drainage is used to remove urine - a cystostomy.

Sometimes lifestyle adjustments are enough to cope with the disorder. Urinary retention and absence can often be caused by excessive consumption of alcohol or caffeinated drinks, poor diet, taking certain medications (including diuretics) and interaction with a number of chemicals. As a rule, with a competent approach, it is possible to quickly find out what is causing the urination disorder and cope with its manifestations. However, only a specialist can do this.

Difficulty urinating in men has its own definition in urology – stranguria, or severe dysuria. This problem is not isolated; it often signals the development of several diseases in the male part. Patients complain of prolonged bladder emptying time and sluggish pressure, calling it in one phrase: “I can’t pee normally.” What is hidden behind this problem? What are the causes of strangury and how to treat it? Why is urinary dysfunction more common in men than in women?? All questions will be covered within the framework of this article.

To understand the reasons for problems with urination in men, it is necessary to understand physiology. Urologists consider normal urination to be the painless release of biological fluid under pressure with a volume of 1500 ml/day. The frequency of visiting the toilet should be 4–5 times during the day and once at night. The bladder volume of an average healthy man is 300 ml (small deviations from the norm are acceptable). A healthy body is able to control urination and even restrain it for a while if necessary.

The main reasons for the development of dysuria in men are inflammatory processes occurring in urethral canal, prostate gland, bladder and vulva in women. The pathology is often associated with urethritis, which is provoked by one of the infections - viral, ureaplasma or protozoal bacterial.

Non-infectious urethritis occurs due to injuries caused by excessive masturbation or aggressive foreplay. Non-infectious urethritis can also be caused by situations of physical overexertion, which results in the release of a sterile portion of urine into the epididymis and ejaculatory ducts.

Let's look at a few more reasons for incomplete emptying of the bladder in men:

• Urethral stricture, or narrowing of the walls of the urethra due to physiological characteristics, often occurs in the stronger sex, and not in women (the male urethra is much longer than the female). The causes of stricture are any inflammatory diseases of the genital area.
• Urolithiasis disease. The process of stone formation in the kidneys and bladder is accompanied by unbearable pain and leads to blockage of the canal with solid elements.
• Prostatitis. The causes of this disease, which provokes difficulties with emptying the bladder, are active pathogenic bacteria that have penetrated into the intimate area. The affected gland, swollen and enlarged, presses on the urethra. Therefore, urine flows in a weak stream.
• BPH. A peculiarity of the location of the prostate gland is its location at the point of transition of the urethra to the bladder. When the gland enlarges, the urethra becomes deformed and creates obstacles to full urination. Therefore, the man says “I can’t urinate, I have to push to do it.” After 50 years, in the absence of cramps, pain and strange discharge from the genitals, difficulties with urination are usually associated with an adenoma.
• Malignant changes in the prostate gland. Cancer is much more dangerous than adenoma. In this case, difficulty urinating in men is explained by the growth of the organ. In advanced forms or due to incomplete diagnosis, doctors fail to recognize cancer in time, and the situation becomes more complicated.

Diagnostic methods

Having figured out why strangury occurs more often in men than in women, we will describe in detail the answer to this question: “What to do if I can’t pee normally, which doctor can I go to and what kind of examination is necessary to get the right treatment.”

When urination causes discomfort and there is a feeling of incomplete emptying of the bladder, both men and women are referred to a urologist. Considering the multifactorial nature of dysuria, the specialist refers the patient for a comprehensive examination.

Laboratory tests for weak urination are as follows::

1. Digital rectal examination of the prostate.
2. Blood test to determine prostate-specific antigen.
3. Ultrasound/TRUS of the prostate.
4. Biopsy (if there is a suspicion of cancer).
5. Ultrasound of the kidneys and bladder (helps determine the size of the stones and determine their position).
6. Urethroscopy. The examination reveals any obstructions to the normal flow of urine.
7. Urofluometry. The technique specifies the volume of urine, the speed of its flow, and the expected time of urination.
8. Culture of a smear from the urethra. Biological material will inform about the presence of pathogens and their resistance to antibacterial agents.

Clinical symptoms of dysuria

With erectile dysfunction, urethral discharge and general malaise, poor urination is usually observed in the morning. These symptoms indicate prostatitis, which is the source of the disorder in question.

But no matter what the cause of strangury is, its classic symptoms will be:

• Lack of pressure when urinating.
• Noticeable discomfort when trying to urinate.
• Urine discharge in drops or a weak stream.
• Bifurcation of sluggish fluid flow.
• Intermittent urination.
• Increased frequency of trips to the toilet with the release of small portions of liquid.

How to be treated

Acute urinary retention in men is dangerous due to the inability to pee on their own, excessive filling and rupture of the bladder, which can be fatal. This cannot be allowed, so when the first signs of a disorder appear, you must rush to see a doctor.

The doctor will prescribe treatment for problematic urination, taking into account the factor that influenced the condition of the urinary system. For example, with benign hyperplasia (enlargement of the prostate), the patient is prescribed tumor growth inhibitors (medicines that slow down the oncological process).

If incomplete release of the organ and sluggish flow of the stream is associated with prostate cancer or adenoma, the patient is referred for surgery. Surgical intervention involves partial or complete excision of the altered organ, which created the prerequisites for intermittent abnormal urination.

If a urethral stricture is detected, the patient undergoes an endoscopic procedure, during which the narrowed area is excised.

When urolithiasis is detected, a man is prescribed drugs to dissolve them or undergo manipulations to destroy/remove the elements. Treatment of dysuria with antibacterial agents is indicated for infectious lesions of the urethra and prostatitis. Anti-inflammatory medications are prescribed to relieve symptoms of prostatitis.

A condition such as urinary retention in men necessarily requires the use of anticholinergic drugs. The essence of their effect is to weaken the spasms that compress the urinary organs. After a course of treatment with anticholinergic medications, the patient undergoes cystoscopy and x-ray of the urinary system.

Folk remedies

If treatment for urinary retention is carried out at home, men and women are allowed to additionally use folk remedies. For internal use, you can prepare an infusion of rose hips. The fruits are infused for a week in vodka or alcohol. Light brown medicine is taken 2 times. per day in the amount of 10 drops, diluted with a small amount of water.

Celery juice as a folk remedy for treating difficulty urinating is useful to drink half an hour before meals. Squeeze it out from the freshly dug rhizome of the plant. Drink 2 tsp several times a day.

During the flowering period of lily of the valley, it is easy to find fragrant flowers. In the amount of one pinch, they are brewed with a glass of boiling water. Take 2 tsp of useful steam. up to 5 r. in a day.

When a man complains “I can’t pee,” his condition will be alleviated by an infusion of common chicory. Phyto-raw materials (1 tsp) are doused with a small amount of boiling water and left for a couple of hours. Use the product 2 times. before meals, adding sugar if desired.

For acute spasms of the bladder, a herbal collection of the following components will be useful::

• Rue herb – 3 parts.
• Potentilla greens – 3 tsp.
• Valerian roots – 2 tsp.
• Melissa roots and leaves – 2 tsp each.

The plants are thoroughly mixed, 1 tbsp is taken. and pour a glass of boiling water over the mixture. Infuse the liquid for half an hour and take it warm.

A pumpkin stalk, one of the most effective folk remedies, will save men and women from dysuria. 20 g of crushed product along with 400 ml of water are brought to a boil and immediately removed from the stove. Drink pumpkin broth 1/2 cup up to 4 r. per day.

For strangury, an infusion of hop cones is effective. 1 tbsp. the raw materials are steamed in a glass of boiling water. It is recommended to drink the resulting tea 3 times a day. 1 large spoon per day.

For painful urination with sluggish, cutting pressure, this recipe is suitable for women and men:

1. Take equal parts of fennel and caraway seeds and elderberry and adonis inflorescences.
2. Place three times more juniper fruits and parsley seeds.
3. Mix the ingredients and take 1 tbsp.
4. Pour a glass of boiling water over the mixture and leave for 6 hours.
5. Additionally, boil the infusion for 15 minutes.
6. Take the entire volume in small portions throughout the day.

Any problems of the urinary system with weakened urine pressure and pain in the abdomen have long been eradicated by folk healers with bearberry leaves. The plant is known as bear's ear. 1 tbsp. raw materials are brewed with a glass of boiling water and wait until the liquid cools. Take the medicine three times a day, 1 tbsp.

Here is another recipe that will help you forget forever about the symptoms of strangury (insufficient urinary pressure, discomfort when visiting the toilet, frequent episodes of urination in small portions). Its ingredients are:

• Nettle – 3 parts.
• Horsetail herb – 6 parts.
• Rose petals, black currant and birch leaves, cape grass, juniper berries and lavender flowers - 1 part each.
• Herb medicinal cap and leaves of bearberry, plantain, lingonberry - 2 parts each.

A few grams of the resulting mass are poured over 2 cups of boiling water and covered with a lid for half an hour. The drug is consumed warm, 150 ml several times a day.

Prevention of dysuria

Preventing urinary problems is always easier than treating them. In order for urine to pass easily, painlessly, with pressure, men are advised to give up bad habits, change their diet towards avoiding fried, fatty and spicy foods and eat more fruits, herbs and vegetables.

Also, you should not overcool and enter into casual relationships with untested partners (you can get STDs from them). At the same time, sex life should be regular, and the overall lifestyle should be active.

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If the process of emptying the bladder is disrupted, a person feels pain and discomfort that interferes with a full life. To get rid of them, it is necessary to determine the causes of difficulty urinating in men.

Urological problems are diagnosed in many males today. The most common of them is difficulty urinating, which has two types:

There are two types of urinary retention

Most often, problems occur in the morning and are accompanied by the following symptoms: unusual discharge, pain, lack of erection, general weakness. To avoid suffering, a man tries to go to the toilet less often, which worsens his situation. Problems with urination are the competence of a specialist - a urologist. By following all his recommendations, you can quickly determine the cause of the disease and choose adequate treatment.

Difficulty that occurs in men when urinating is a common problem that affects many males over the age of thirty. This pathology is characterized by symptoms such as:

• discharge of urine in drops;
• weak stream and its interruption;
• prolonged process of urination;
• tension when trying to go to the toilet.

Difficulty urinating with a weak stream is a common problem.

If you notice any of the above signs, you should visit a doctor. Only a specialist can determine an accurate diagnosis and select appropriate medications to treat difficulty urinating in men.

Provoking factors

The process of urine excretion may be disrupted due to narrowing of the ureters or their deformation. The causes of urinary problems that occur in men should be investigated by a qualified doctor. Among the main ones we can note:

1. BPH. The prostate gland is located next to the urethra and bladder. When inflamed, it enlarges and puts pressure on neighboring organs, so urine cannot escape. The stream becomes sluggish and may even be interrupted. When urinating is difficult, emptying causes tension in men.
2. Urethritis - against the background of inflammation, the urethra changes its shape and narrows, and urine is not able to leave the body. The disease is accompanied by severe pain.
3. – this disease causes a narrowing of the organ. The culprit is inflammatory processes affecting the genital organs.
4. Prostatitis is a disease that affects the prostate gland. Its causative agent is bacteria that penetrate the organ. They cause swelling of the urethra, which is why problems with stool appear.
5. Prostate cancer is a serious disease that can be fatal. The prostate gland grows, and its basic characteristics change. Unfortunately, many patients mistake cancer for an adenoma and begin to treat themselves, which is very dangerous.
6. Neurological disorders - diabetes mellitus, spinal cord or brain injuries, etc.
7. Stones are another cause of urinary problems in men. The patient is forced to constantly run to the toilet, and the process of emptying is accompanied by severe pain. Stones can move into the urethra, narrowing it or completely blocking it. Only surgery can correct the situation.
8. Male diseases - balanitis, balanoposthitis, etc. Inflammation affects the foreskin or the head of the male genital organ.
9. Sexually transmitted infections - infection occurs during intimate intimacy when partners are not protected.

Poor urination in men that requires treatment can occur for a variety of reasons. Even age has an effect. The disease is usually diagnosed in patients over fifty years of age, but is sometimes observed in young people. For a successful recovery, it is necessary to undergo an examination - it will help determine the pathology that leads to unpleasant sensations.

If the process of emptying causes pain, you need to carefully look at the urine, pay attention to the frequency of urges and the presence of pain. Any unusual changes are a reason to visit a urologist. Only he will help solve the problem.

Consultation with a urologist is required

Drug therapy

After the patient contacts the doctor, they carry out a series of diagnostic procedures aimed at establishing the causes of the pathology. Only after this the optimal treatment regimen is selected. The main task is to relieve symptoms and eliminate the source of infection. Most often, patients are prescribed antibiotics, which must be taken together with urological drugs. Additionally, anticholinergic medications can be prescribed - they quickly relieve spasms and make you feel better. If the cause of the disease is prostatitis, you cannot avoid taking antibiotics. If the measures taken do not produce results, surgery is performed.

The specialist will prescribe the necessary treatment

If urination in men is difficult, treatment with tablets is carried out taking into account the factor that led to the disorder. For example, if the prostate is enlarged, the doctor prescribes tumor growth inhibitors - specialized medications that slow down the pathological process. When a patient is diagnosed with prostate cancer or adenoma, surgery is required. Treatment of stricture involves endoscopy, during which the affected area is excised. If the problems are related to stones, you need to take medications to destroy them and subsequently remove them. Antibacterial agents are needed for infections.

Alternative medicine

In some cases, folk remedies can be used to treat difficulty urinating in men. But first you need to talk to a urologist. Some patients benefit from irritating sounds, such as running water. For frequent relapses, it is recommended to consume juniper fruits.

Another effective treatment method is tea rose infusion. The raw materials are poured with hot water and left to infuse for several days. Dried birch leaves have a good effect if you add them to dry white wine and boil for fifteen minutes. Cool the finished product and mix with honey. The medicine should be kept in the refrigerator and consumed up to three times a day after meals. Many patients use onion-based lotions - they apply it to the lower abdomen. Useful moist warm compresses for the lumbar region.

Among the popular folk remedies are celery juice, which should be drunk half an hour before meals, and lily of the valley flowers - they are brewed and drunk up to five times a day. Pumpkin stalks, hop cones, and bearberry leaves will help relieve unpleasant symptoms. When treating difficulty urinating, it is necessary to adjust your diet and stop drinking alcohol, carbonated and caffeine-containing drinks. You should not self-medicate, as it can lead to negative consequences. Folk remedies are allowed to be used only in addition to drug therapy prescribed by a doctor.

Prevention

Difficulty urinating is a serious disease that causes discomfort and pain, as a man is forced to constantly run to the toilet.

If left untreated, the bladder may rupture when full and the patient will die. To prevent this, you need to follow certain preventive measures:

1. Change your lifestyle - physical activity strengthens the body's defenses and prevents the occurrence of stagnation. If your job requires you to sit constantly, you need to do regular warm-ups.
2. Healthy diet - any fatty, smoked and spicy foods can cause blockage of the urethra, so it is recommended to exclude them from the menu.
3. Avoid hypothermia. Prolonged stay on the street in bad weather often provokes disturbances in the functioning of the urinary system.
4. Give up bad habits. Alcohol and nicotine poison the body, and it is not able to work at full capacity.
5. Avoid casual sex. A stable sex life with one partner is the best prevention of any problems. But at the same time, it is necessary to use a reliable method of protection so as not to catch the infection.
6. Protect yourself from scandals and quarrels - any emotional shocks undermine the immune system.
7. Regular examination by a urologist. Many diseases do not manifest themselves in any way in the first stages, so once every six months you should go to a specialist and undergo an examination.

If you already have problems, do not put off visiting a urologist so as not to trigger the disease. It is necessary to start treatment urgently, but first you must undergo a thorough examination. Therapy takes a long time and requires some effort from the patient. Therefore, it is easier to prevent the development of the disease than to treat it later.

One of the dangerous symptoms of inflammatory diseases is difficulty urinating in men. This sign may indicate the presence of prostatitis, urethritis, or other pathologies of the genitourinary system. If the problem is not treated, the patient may subsequently develop erectile dysfunction.

The rate of daily urination is determined by the person’s gender, age and body characteristics. Small deviations up or down are not considered pathology. Also, the number may fluctuate due to the liquid you drink, a heavy lunch and heredity.

Frequent and painful urination is a reason to consult a doctor. A specialist will help identify the cause and prescribe appropriate treatment. The number of urinations per day is different for each age. It changes under different environmental temperature conditions and depends on many external indicators.

Age		Number of trips to the toilet per day
Adults	Men	4-6
	Women	4-8
Children under 1 month		20-30
Children under 1 year		10-15
Children from 3 to 5 years old		6-8
Children from 5 to 10 years old		5-7
Senior students		4-6

For any illness, including ARVI and colds, the number of trips to the toilet may vary. When the body is intoxicated, metabolic processes slow down and dehydration occurs.

At night, a healthy person can get up no more than once from the urge to go to the toilet.

What are the violations?

Difficulty urinating in men can indicate a number of diseases of the genitourinary system. Sometimes such a sign can even indicate problems with the digestive system. All types of urinary disorders are combined into a general category of diseases called dysuria.

Main violations:

• frequent urination;
• difficulty excreting urine;
• urinary retention;
• incontinence (including nocturnal enuresis);
• complete impossibility of urine outflow.

Most often, in men, the symptom indicates inflammation of the prostate gland; in women, it signals an attack of cystitis. The causative agents are usually bacteria: ureaplasma, chlamydia, mycoplasma - and even some types of fungi.

Problems with urination in men and women can be caused by the following reasons:

1. Pollakiuria. Usually this disease signals damage to the urinary tract, but it may also indicate kidney disease. It can also develop against the background of other diseases that provoke excessive urine production. This may be nephrosclerosis, convergence of edema. It is provoked by prostatitis, urolithiasis or other disorders.
2. . In this case, the patient loses control over the self-management of physiological needs. Deviation can occur due to stress, psychological trauma, an overfull bladder, or all of the above.
3. Nocturia. The volume of urine increases at night and decreases during the day. As a result, patients practically do not feel the need to urinate during the day, and at night they can get up to go to the toilet quite often. The reasons may be a number of pathologies of the body that provoke this condition. Among them, a violation of the ligamentous apparatus of the bladder, a decrease in its plasticity, cellular atrophy and dysfunction of the epithelium, a decrease in hormone levels, the acquisition of somatic diseases, and vascular atherosclerosis are noted.
4. Polyuria. This is the body's excretion of excess urine per day. With polyuria, the number of visits to the toilet may remain the same (5-6 times a day). But the volume of urine produced is higher with each urination. The causes may be diabetes, hormonal problems, or urolithiasis.
5. Oliguria. A disease in which the amount of urine produced is less than normal. Oliguria is usually diagnosed when urine output is less than 500 ml per day. The reasons may be dehydration, severe illnesses (acute gastroenteritis, esophageal cancer, liver damage), impaired blood supply to the kidneys, glomerulonephritis.
6. Anuria. Complete cessation of urine excretion from the body. Usually it is evidence of critical conditions of the body. There are three types of anuria: prerenal, renal and postrenal. This is indicated by the localization of the pathology. The deviation is provoked by the presence of kidney stones, cancerous lesions of internal organs, cardiovascular abnormalities and other pathologies of the urinary system.

Such signs can appear not only in men, but also in women. Elderly patients suffer more often, but children are not immune from the occurrence of nocturnal enuresis due to emotional overload or health problems.

Causes of difficulty urinating

A weak urinary stream in men may have other causes than problems in women. Such differences lie in the anatomical features of the structure.

In men

The most popular cause of delicate problems is inflammatory diseases of the prostate gland. Due to the fact that the prostate increases in size, it puts pressure on the urinary canal, and a narrowing of the lumen of the urethra may occur.

Poor urine pressure in men occurs for a number of reasons:

• infectious processes in the prostate gland;
• urinary tract diseases;
• allergic reactions to cosmetics;
• diabetes;
• multiple sclerosis;
• syphilis;
• prostate diseases (prostatitis, adenoma, cancer);
• metabolic diseases;
• pathologies of the central nervous system;
• severe injuries of the musculoskeletal system.

Infection is the second most common cause of urinary dysfunction. Sexually transmitted diseases or contact with the mucous membrane of the genital organs of bacteria, fungi or viruses can make urination difficult. Even harsh chemicals can cause itching and burning in the urethra.

Among women

Representatives of the fair sex are less likely to suffer from this problem. The most common cause of toilet problems is cystitis and urethritis, which develops against the background of hypothermia or infection.

Problems with urination in women occur due to:

• mechanical damage to the urinary canal (narrowing of the lumen, presence of foreign bodies);
• chronic cervical cystitis;
• urolithiasis;
• chemical exposure to cosmetics and certain medications;
• presence of blood clots or mucus;
• pinching;
• tumor processes in the genitourinary system;
• sexually transmitted diseases;
• urethral stenosis;
• increased intra-abdominal pressure;
• alcoholism;
• diabetes mellitus and metabolic diseases;
• misuse of contraceptives;
• injuries

There are many similarities with men's reasons. However, women more often experience false urges to go to the toilet against the background of the development of psychosomatic diseases. Also, vaginal contraceptives and their improper use can have similar side effects.

Symptoms

In order to make an accurate diagnosis, it is important to tell your doctor about the accompanying symptoms. Women and men may experience pain in the lower abdomen and discharge from the urethra. Most often, unpleasant symptoms appear in the morning.

Itching and burning in the urethra may also occur. It is worth paying attention to the speed of urine outflow, strength and even the feeling of complete or incomplete emptying of the bladder.

Additional symptoms of the problem:

• prolonged urination;
• a thin, poor stream directed downward;
• urinary retention even with a strong desire to urinate;
• splashing and splitting of the jet;
• reduction in speed.

Diagnostics

The first step is to consult a doctor. Both men and women can visit a urologist. The examination is aimed at identifying the cause of difficulty urinating, determining the condition of the muscular wall of the bladder, the presence or absence of residual urine and other complications.

Diagnostics includes:

1. Palpation. This is palpation of the bladder and other organs. A man needs a rectal examination of the prostate to detect an inflammatory process.
2. Ultrasound. An examination of the conditions of the bladder, kidneys and prostate gland is carried out.
3. Urethrocystoscopy. It will help to most accurately assess the location of the problematic emission.
4. X-ray and other studies. Prescribed if the cause of the symptoms has not been found.

Treatment in men

Drug therapy is prescribed only by a doctor. Self-medication can only make the situation worse. Usually, medication and lifestyle modification are indicated. The patient can also use additional conservative treatment methods, such as folk remedies or physical therapy.

Drugs

There are many pills for treating male problems. The goal of therapy is to eliminate the cause, not to overcome the main symptom.

The most popular medicines:

1. Phytocaps Adeno-Complex. Prescribed for prostate diseases.
2. Oxybutynin. Eliminates frequent urges.
3. Sonizin. Indicated for adenoma.
4. Spasmex. Has an anticholinergic effect (against enuresis and frequent urge).
5. Duloxetine. Eliminates pain and pain when emptying the bladder.
6. Imipramine. Helps control urination and relieve enuresis.

For diabetes, you will need insulin-based medications that can lower blood sugar levels. Treatment prescribed by a specialist may vary depending on the cause of the disease and the patient's medical history.

Folk remedies

Grandmother's recipes also have medicinal properties, but are used only as additional treatment. Alternative therapy must be agreed with your doctor. Even herbal remedies can cause allergic reactions.

Folk remedies for treating weak urination in men:

1. Celery juice. Every morning you need to consume about 2 teaspoons of fresh stem extract. After a month, the patient will notice relief.
2. Walnut shell. It is ground in a coffee grinder and consumed 5-10 g daily with water. The course of treatment is 3-4 weeks.
3. Hop cones. The raw materials need to be ground into powder and brewed like tea. You need to drink 200 ml during the day. The course of treatment is 3 weeks.

Such recipes will also help restore libido. Do not drink traditional tinctures and powders for less than 3 weeks. Herbal recipes have a cumulative effect.

Treatment in women

It is important for women to determine the cause of the problem. In case of inflammation of the bladder, you need to take a course of antibacterial drugs, uroseptics and auxiliary medications. Such therapy will help improve the condition of the organ tissues, improve its functioning, and speed up recovery.

If a tumor process is detected, radiation therapy is prescribed. For urolithiasis, drug therapy or surgery can be used. If an STD is detected, antibiotics are prescribed and you will need to visit an additional gynecologist and venereologist.

Complications

Those patients who do not take any measures to treat difficult urination are at risk. Chronic pain may appear and infection may spread to other organs.

Timely treatment is the key to full recovery.

Prevention

To avoid long-term drug therapy, you should start taking care of your health right now.

Preventive measures:

• sports moderate loads;
• rejection of bad habits;
• balanced diet;
• regular sex life without frequent changes of partner;
• temperature regime of the genital organs;
• stable emotional state;
• preventive examinations by doctors.

Don’t put off going to the urologist; tell us about the problem now to prevent complications from developing.

Video

Find out more about what to do if you have urinary problems.

Difficulty urinating (strangury) is not an independent disease, but is a symptom that reflects any pathological processes in the genitourinary system. Therefore, if difficulty urinating occurs, the doctor always performs a differential diagnostic search for possible causes of this condition.

Symptoms

Difficulty urinating in women and men can manifest itself as symptoms such as:

• a sluggish stream of urine directed vertically downward;
• bifurcation of the stream of urine, splashing it during the act of urination;
• drip of urine;
• long wait for the act of urination, straining during this process;
• urine excretion in small portions when the bladder is full;
• feeling of discomfort when urinating.

Any of the above symptoms requires contacting a urologist.

Causes

The main link in the development of difficulties with urination is a violation of urodynamics, i.e. normal urine flow. Obstacles in the path of urine outflow often lead to disturbances in urodynamics. In this regard, it becomes important. The formation of stones, i.e. , bladder, ureters can contribute to mechanical blockage of the natural passages of urine and cause difficulty urinating. This development mechanism is also reflected when the stone moves through the urinary tract, when, against the background of complete physical well-being, pain in the lower abdomen and symptoms of impaired urination suddenly appear.

An important reason for the development of strangury are various small pelvises, which, by squeezing the lumen of the urethra and ureters, can lead to difficulty urinating. As a rule, in such cases, the formation of strangury occurs gradually, as the volumetric formation grows. The clinical picture in later stages of the disease also includes general malaise, weight loss, and pale or gray skin. However, in the initial period of the pathological process, only difficulty urinating may be noted, which is a rather alarming sign.

Development of the urinary tract (narrowing of the urethra, urethral valves, etc.) should not be excluded.

A common cause of difficulty urinating in men is benign hyperplasia (enlargement) of the prostate gland. By squeezing the urethra, an enlarged prostate causes problems with urination. As a rule, when prostatic hyperplasia occurs, the clinical picture also includes problems with erection, discharge from the penis, and malaise are characteristic.

In women, the main cause of difficulty urinating is sexually transmitted infections.

Difficulty urinating during pregnancy is considered normal. As a rule, this condition manifests itself from the 13th to 14th week of pregnancy and can continue until childbirth. The increase in size of the fetus as it grows leads to mechanical compression and displacement of the pelvic organs (ureters, bladder), which causes difficulties when urinating.

In addition, the cause of strangury can be damage to the brain and spinal cord. The presence of foreign bodies in the urinary tract cannot be ruled out.

Treatment

Since difficulty urinating is not an independent disease, the main direction of treatment is to eliminate the underlying disease. The patient often undergoes additional consultation not only with a urologist, but also with other specialists (oncologist, gynecologist, neurologist).

Depending on the cause of strangury, therapy may consist of prescribing antibacterial drugs, cytostatics, nootropics, etc.

Prevention of this disease consists of the general principles underlying a healthy lifestyle: regular physical activity, giving up bad habits, nutrition that is adequate in both quality and quantity, hardening, etc.