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Difficulty Urinating

Many men experience difficulty with urination, especially as they age, and often these issues (which can include hesitancy in urination or increased frequency) are dismissed as a natural by-product of the ageing process. However, difficulty urinating can also be a result of anatomical abnormalities within the genitourinary tract, and in that case should be examined and treated to avoid further damage or disease.

If you have a weak urine stream, or an increased frequency of urination, you should discuss your symptoms with your physician. More urgently, if these symptoms are accompanied by fever, abdominal or back pain, or bleeding, you should not hesitate to turn to Skyline Urology for care, as these could be stronger indicators of a prostate problem, bladder stones or prostate cancer. 

Symptoms:

Some common symptoms of difficulty urinating are:

  • Painful urination
  • Weak urine stream
  • Frequent and urgent need to urinate
  • Excessive night time urination
  • Dribbling of urine
  • Hesitation in urination (feel the need to go, but cannot)

Causes:

Some of the most common causes for difficulty in urination for men include:

  • Enlarged prostate, or benign prostatic hyperplasia
  • Prostate cancer or tumor
  • Constipation
  • Bladder disease
  • Kidney stones
  • Medications
  • Urethral infection
  • Sexually transmitted disease
  • Diabetes
  • Stroke
  • Neurological disorder or disease
  • Recent surgery

Evaluation & Diagnosis:

Your physician will do a thorough physical examination to determine the cause of your difficulty urinating, paying special attention to the pelvis, urinary tract, and prostate. A blood test and additional diagnostic testing may be ordered to determine the physical cause.

Your physician will want to take a medical and health history, and will probably ask you closely about your urination habits. The physician may also order additional diagnostic tests including:

  • Urinalysis and culture

Treatment:

Depending on the cause of your difficulty urinating, treatment will be tailored to suit your needs and your lifestyle. Skyline Urology is committed to working as your partner in comprehensive health so that your difficulty in urination can be resolved or managed, increasing your quality of life.

If the cause of your difficulty urinating is disease, such as prostate cancer or kidney stones, the physician will treat and eliminate those conditions to improve bladder function.  You may require surgery, using traditional methods or minimally invasive treatments to remove obstructions.

They may also suggest lifestyle changes which could help with your condition, such as changes in your pattern of fluid consumption or exercises to strengthen the pubococcygeal muscles which support the pelvic floor.

You may be prescribed medication which could help with your condition. Some medications, such as antibiotics, will be prescribed to treat an infection which may be contributing to your condition; other medications can treat the urinary issue itself.  Your physician will discuss the pros and cons of this course of action.