Many men and women have difficulty urinating. Faced with her once convinced that delaying contacting a doctor in this situation is unreasonable. A neglect of such symptoms can cause the development of pathologies in a chronic form and the health of the patient as a whole. In some cases, surgical intervention may be required.
Treatment, as well as identifying the causes of difficulty urinating in men, is not fast, it is necessary to quickly make the correct diagnosis on the basis of the examination and get an appointment for effective therapy. In this article, we consider the causes of pathology, diagnostic methods and types of therapy and prevention.
Reasons for Men
There are a number of causes of difficulty urinating in men. The origin of this violation can be of a very different nature. This can be either mechanical damage or infection of an infectious nature. Therefore, it is very important to correctly diagnose, since the effectiveness of the therapy will also depend on this.
Characteristic signs
In the medical field, difficulty urinating in men is called stranguria. This is one of the characteristic signs of dysuria, which indicates problems with urination. The presence of stranguria is determined by a number of signs that accompany the disease. For difficulty urinating, the following symptoms are characteristic:
- Lethargy and bifurcation of the stream.
- Spraying urine.
- Frequent urination.
- Discomfort in the genital area and perineum.
Stranguria is a dysfunction that is localized in the urinary canals, so this symptom is an occasion to see a doctor.
Among women
The difficulty of this process in the fair sex can be observed at any age, but still more often suffer from women aged 30 to 50 years. This prevalence can be explained by the fact that at this age there is a high risk of progression of pathologies of the genitourinary system.
Difficulties in urine excretion are due to:
- the presence of chronic urethritis or cystitis;
- bladder neurogenic dysfunction;
- various neurotic disorders leading to sphincter spasm;
- urinary stenosis;
- urolithiasis;
- disorders of the physiological innervation of the bladder ;
- hormonal disorders (with PMS, menopause, mastopathy, pathologies of the pituitary gland, thyroid and adrenal glands, as well as endocrine ailments);
- progression of malfunctions in the reproductive system - the development of adnexitis, fibromyoma, endometriosis and others;
- prolonged overstretching of the walls of the bladder due to the inability to urinate;
- improper consumption of diuretics;
- the presence of tumors in the urinary system, benign or malignant;
- large amounts of alcohol;
- improper use of pharmaceuticals, side effects;
- overlapping the lumen of the urethra with blood clots or mucus;
- the presence of ailments with an increase in intra-abdominal pressure;
- the presence of degenerative and dystrophic diseases of the brain.
Therapy is prescribed depending on the cause that provoked a violation of urine output. Two treatment methods are used - conservative and operable. As a rule, conservative methods are applied first.
Diagnostics
Difficult urination requires a detailed examination. To find out the reasons, the doctor must collect the patient’s history, evaluate the patient’s complaints and determine other specific signs of the disease.
The diagnosis goes through several stages:
1. Blood sampling of the patient to detect prostate-specific antigen.
2. Palpation of the prostate gland, ultrasound and biopsy to exclude prostate cancer.
3. If urine and blood tests show the presence of an inflammatory process, bacterial urine culture is performed to study the flora and sensitivity to antibacterial drugs.
4. A smear from the urethra. It is carried out in order to determine the causative agent of the disease.
5. Computed tomography is performed to examine the bladder and kidneys, determine the size of the adenoma or the presence of calculi, as well as their location.
6. Urofluometry makes it possible to assess the amount of urine, the time of onset and the rate of urination.
7. Urethroscopy allows you to examine the ureters and the urinary canal in order to detect obstacles to normal urination.
In some cases, an X-ray examination is also used. Sometimes you may need to consult a neurologist and other specialists.
Drug treatment
Treatment of difficulty urinating should be multifaceted and aimed not only at eliminating the symptom, but also at the cause of its appearance. The duration of a standard treatment regimen can range from ten days to a month. Therapy is carried out both at home and in the hospital. The decision about which therapeutic regimen to choose should be made by the doctor. Self-medication is a danger to human health and can cause complications.
If the cause of difficulty urinating is cramping or convulsive syndrome, the best way to solve the problem is to use sound stimuli. It can be flowing water in the sink or the sound of a boiling kettle.
The most effective remedies
The most common drugs that are prescribed to treat difficulty urinating are:
1. Antibacterial drugs.
2. Antibiotics with a wide spectrum of action.
3. Urological preparations.
4. Anticholinergic drugs, for example, Pro-antin, Oxybutin, etc.
5. Nonsteroidal anti-inflammatory drugs.
6. Painkillers.
7. Antispasmodics, such as Papaverine, No-shpa, etc.
8. Physiotherapy.
In especially severe or advanced cases, in the treatment of difficulty urinating in men, additional measures may be required, including surgical intervention. This may be due to the identification of large calculi in the kidneys and bladder, as well as in the presence of cancer. Complete or partial removal of the prostate may also be required . With a malignant neoplasm, drugs are prescribed that can stop the process of tumor development. Treatment is selected individually, depending on the nature of the disease and its course.
Additional measures
In exceptional cases, the following measures may be necessary to remove fluid that has accumulated in the bladder:
1. Insertion of a catheter into the bladder.
2. Drugs that dissolve calculi and facilitate their elimination from the body.
3. Crushing stones with ultrasound.
4. Massage of the prostate through the rectum.
5. Magnetotherapeutic and electrostimulating procedures.
6. Transplantation of tissues of the mucous membranes in order to expand the urinary canal.
Diet
In addition, doctors recommend that patients with difficulty urinating adhere to a special diet. The patient should abandon the use of alcohol, carbonated drinks, strong tea and coffee, as well as products that include caffeine, fatty and spicy foods. Quitting smoking will also help reduce the severity of symptoms. If difficulties with urination are identified, it is necessary to refuse to take drugs of urological, anti-inflammatory and antibacterial action.
When a patient visits a doctor on time, who carries out a thorough diagnosis and prescribes the correct treatment regimen, the therapy does not present any particular difficulties and recovery occurs in the vast majority of cases. The main rule is to strictly comply with all the recommendations recommended by a specialist and timely pass all the necessary tests to monitor the treatment for difficulty urinating.
Folk remedies
Along with traditional, medical or surgical methods of treatment, you can use it with the consent of the attending physician folk remedies. In some cases, traditional medicine is as effective as traditional methods of treatment. To do this, you need to choose the right methods that are suitable for a specific diagnosis. Stop taking the pills prescribed by your doctor while doing this should not be.
Therapy of difficulty urinating can be carried out with the help of decoctions and compresses from herbs and fruits that have healing properties. Onions are considered the most effective in folk medicine. They are placed in the lower abdomen for an hour in the morning and evening. Alternatively, sit down 15-minute baths. Warm water allows you to relax your muscles and relieve spasm. Sometimes warm lotions and wraps can be effective.
In addition, alternative methods of treatment involve taking decoctions and tinctures. With difficulty urinating, the following drinks are most effective:
1. Hibiscus (a decoction obtained from the fruits of tea roses).
2. Infusion on the shell, leaves and fruits of a walnut.
3. A decoction of the fruits of juniper and the use of its fruits.
4. Infusion on the fruits, leaves and flowers of nettles.
5. Juice obtained from celery root.
6. Infusion on rowan berries.
7. Decoction of birch leaves, honey and white wine.
8. Infusion of rose hips.
Some herbalists claim that other folk remedies for treating difficulty urinating may also be effective. For example, jam from rose petals is an antibacterial agent. Juniper can have a positive effect even when visiting a park where these bushes are. The air around the juniper is saturated with volatile and has a healthy effect on the body.
Prevention
Difficult urination in women and men is amenable to therapy, in most cases, treatment leads to recovery. However, it’s easier to follow some preventive measures to avoid such troubles. Experts recommend:
1. An active lifestyle with moderate physical activity and sports.
2. Balanced and proper nutrition.
3. Quitting bad habits such as smoking and drinking.
4. Regular sex.
5. The use of barrier methods of contraception to prevent infection by sexually transmitted infections.
6. Preventive visit to the urologist up to 4 times a year.
We looked at how to treat difficulty urinating.