The bladder does not empty completely: treatment. Causes and treatment of a feeling of a full bladder in women and men Incomplete urination in women treatment

Anatoly Shishigin

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Both men and women often have the feeling that when urinating, the bladder is not completely emptied. The feeling of incomplete emptying of the bladder occurs if there is even only 50 ml of urine left in it, called residual urine. If there is no pathology of the urinary tract, the urge to deurinate appears when the bladder is full to a volume of 200 or 250 ml. The act of excreting urine depends entirely on a person's reflexes.

Normally, many different processes occur in the genitourinary system, which complement each other and form the correct flow of urine. When the bladder is full, a signal is sent to the central nervous system that it needs to be emptied. Further, during urination, the brain sends a signal to relax the sphincter and contract the muscles, while urine exits through the ureter and the bladder is emptied.

Causes of pathology

The feeling of an incompletely emptied bladder in women and men can occur for many reasons. The most common of them are the following:

chronic and acute forms of cystitis;
stones and any formations in the organ;
phimosis in males, as well as prostate adenoma;
benign and malignant formations in the bladder, cancer metastases;
inflammatory processes in any organs of the pelvic area, in which the bladder reflexes are excited;
abnormally small bladder size;
hyperactivity of the excretory system;
damage to the innervation of the urinary system due to tumor or injury;
infections introduced into the body that damage the kidneys;
myelitis and other injuries of the spinal cord and brain, other pathologies of the nervous system;
intoxication with drugs in case of their long-term use or excess dosage;
for women – the state of pregnancy or the postpartum period;
infection with herpes viruses;
emerging urethral stricture;
in elderly people - due to a natural decrease in the muscular functionality of the organ.

It should be noted that such symptoms can occur due to the consumption of alcoholic beverages, prolonged exposure to low temperatures in a damp room, as well as disorders of the gastrointestinal tract and digestion. In women, the feeling of incomplete emptying occurs most often during inflammatory processes in the genitourinary system.

Development of the disease

In most cases, the development of the disease with characteristic symptoms of incomplete emptying is associated with residual urine in the organ. Typically, this occurs when there are stones in the urethral canal or a fusion of the urethra that prevents the normal movement of urine out of the body.

Pathogenetic factors also include hypotension or atony of the bladder, in which its walls cannot contract properly. One way or another, this is due to disruptions in the innervation of organs. There may be cases when the impossibility of completely emptying and getting rid of urine is caused by psychological problems of a person.

Infections of various etiologies introduced into the body can cause excessive stretching of the walls of the organ, and the frame is also susceptible to increase in case of fluid retention inside. In this case, the patient feels fullness in the pubic area and acute pain. With such problems, the bladder cannot contract normally.

The reasons include organ hyperactivity, as a condition opposite to atony. At the same time, the muscles of the bladder are in constant tone, which determines the person’s desire to urinate frequently. Since there is little liquid in the reservoir, it comes out in insufficient quantities and is accompanied by a feeling of incomplete emptying.

In pregnant women, the functioning of the organ is impaired due to the growth of the fetus, which puts pressure on all neighboring organs and systems. Also, in the body of the expectant mother, the genitourinary system does not have time to adapt to new conditions, due to which the bladder is constantly activated. In older people, problems with bladder tone occur after 60 years of age.

Pathologies

Of the pathologies, 2 types can be noted:

complete retention of urine in the bladder, in which the patient cannot squeeze out a single drop. In this case, it is necessary to use catheterization;
incomplete retention, in which the patient can urinate, but the fluid released is small and the procedure is not completed.

It is also necessary to note the factor of residual urine, when urination is interrupted in the middle of the process with the impossibility of continuing it.

Symptoms

The main symptoms of a full bladder are the frequent urge to deurinate, which occurs immediately after completion of the act of urination. The process itself is very painful, accompanied by discomfort and burning, as well as heaviness in the area above the pubis.

This occurs due to the stretching of the walls of the organs by a significant volume of fluid inside it. The psychological component is equally important, since the patient worries that he cannot leave the toilet and do normal activities. Fatigue, aggressiveness and irritability accumulate and only make the situation worse.

Men have special signs of pathology, which include potency, periodic involuntary leakage of urine, and an intermittent stream during urination. If the patient experiences general weight loss and lack of appetite, this indicates malignant formations in the prostate gland.

Cramping pain occurs with urolithiasis, especially if one of the stones or its fragments moves along the urinary tract. Sediment appears in the urine, bleeding and hematuria are possible.

Pain in the lower back, altered urine composition, and elevated body temperature are symptoms of developing pyelonephritis and glomerulonephritis. With a frequent desire to empty the bladder, accompanied by burning and pain when urinating, there is a suspicion of the development of urethritis and cystitis.

Establishing diagnosis

In order to make a diagnosis of incomplete bladder emptying, several stages must be followed. The attending physician finds out the patient's medical history, asks him about the symptoms experienced and the condition before them. The presence of chronic diseases and previous surgical interventions is also important.

The woman needs to be told about her menstrual cycle and her last birth. The specialist palpates the area of the bladder and when it is full, it is felt under the fingers. You can also visually observe its bulging.

Based on the data obtained, the doctor assumes that the bladder is full and prescribes additional examination. Laboratory tests are required for blood and urine, and blood is also tested for biochemistry and bacteriological culture.

Urine is examined for microflora balance. Additionally, a urographic examination, cystoscopy, and pelvic ultrasound are required. If all these methods are ineffective, isotope techniques and MRI and CT scanning will be required.

Treatment methods

The prescription of a treatment regimen with drugs is made after diagnosis. If it is necessary to remove the infection that has caused the bladder to overflow, then antiviral and antibacterial drug therapy is required.

If the problem is urolithiasis, then drugs are used to dissolve stones and small stones. If they are very large, they need to be crushed using instrumental methods and then removed with diuretics.

With urethral stricture, the only way to eliminate unpleasant symptoms is surgery. If there are psychological factors that caused the disease, the patient is recommended to undergo psychotherapy and a course of sedatives. For formations, both benign and malignant, it is necessary to perform excision of the tumor, possibly radiation and chemotherapy.

There are some ways to relieve the symptoms of the disease, which will make the patient feel much better:

№	Helpful information
1	When urinating, the patient is advised to relax; it is important not to squeeze the abdominal and bladder muscles
2	deurination requires solitude and a calm, comfortable place
3	When emptying your bladder, do not rush
4	slight palm pressure on the area above the pubic bone can slightly reduce the soreness and promote successful bowel movement
5	The sound of flowing water also psychologically promotes urination
6	When urinating, you should not interrupt the stream, as many do to train muscle function, as this will only aggravate the situation

If these methods do not help, the doctor will install a catheter that can remove excess fluid and accumulated urine from the body. If urinary retention has entered the acute phase, catheterization is done urgently. To do this, the urethra is disinfected, the external opening is lubricated with glycerin or petroleum jelly and a catheter is inserted. Its terminal part is inflated, due to which it is attached.

Catheterization cannot be done with prostatitis and formations in the urethra.

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Often patients with diseases of the genitourinary system complain that their bladder does not empty completely. This condition can be a symptom of a number of diseases, which requires the intervention of a doctor to identify the true causes of urinary retention.

Causes of incomplete emptying of the bladder

Among the reasons that can provoke a condition described by patients as a constantly full bladder, experts identify:

True non-emptying of the bladder, caused by:
- benign prostatic hyperplasia (adenoma), which leads to compression of the urethra and a decrease in the lumen. As a result, the urge to urinate becomes more frequent, but urine is released drop by drop or in a thin stream;
- prostate cancer, accompanied by patients with a feeling that the bladder does not completely empty;
- pathological narrowing of the internal lumen of the urethra (urethral stricture), resulting in difficulty urinating and urine remaining in the bladder;
- sclerosis of the prostate gland, which occurs against the background of chronic prostatitis.
False non-emptying of the bladder, which occurs when:
- inflammatory diseases of the genitourinary system (prostatitis, cystitis). In this case, even with an empty bladder, patients complain of the feeling that they have a constantly full bladder, since there is a constant urge to urinate;
stones in the bladder;
small bladder size;
reduction/absence of contractility of the muscular lining of the bladder (detrusor), caused by neurological damage to the lobes of the brain or the sacral part of the spinal cord.

What to do with a “perpetually full bladder”?

If you experience a feeling that the bladder is not completely emptying, you should consult a doctor to determine the disease that is causing this unpleasant condition. To diagnose the true causes of the pathology, the doctor prescribes:

urine and blood analysis;
Ultrasound of the pelvic organs;
bacteriological culture to determine microflora;
cystoscopy and contrast urography.

Since the inability to completely empty the bladder, which patients complain about, is only a symptom, the actions of the attending physician are aimed at:

establishing an accurate diagnosis through a comprehensive examination;
selection of an effective method of treating the identified disease.

Diseases that cause incomplete emptying of the bladder usually have a number of additional symptoms. Almost immediately after visiting the toilet, the patient again feels the desire to defecate, the urge comes again, it is impossible to forget about it for a long time. Painful symptoms prevent a person from continuing to lead a normal lifestyle.

Emptying the bladder is painful. The process is accompanied by a burning sensation and pain. Discomfort occurs due to an increase in the organ's volume and stretching of its walls. The stream can be very weak, sometimes urine is released uncontrollably.

If after emptying there is a feeling of a full bladder, this indicates the development of one of the pathologies.

The pain can radiate into the abdominal cavity, causing an increase in body temperature and chills. The pain usually spreads only on one side and is characterized as pulling. Less commonly, discomfort appears in the lumbar region.

The quality of the patient's urine also changes. It becomes less transparent, flakes or bloody clots are present.

Causes of the problem

The main diseases that cause discomfort in men and women are the following:

adenoma, prostatitis;
tumors;
insufficient supply of tissue nerve cells;
small organ volume;
narrowing or fusion of the walls of the urethra;
neurogenic bladder;
other acute inflammatory diseases.

Women more often face this problem due to a tendency to cystitis and urethritis. Complications occur when the course of the disease becomes chronic.

Diseases of any pelvic organ of an inflammatory nature can irritate the bladder and cause a reflex contraction.

Foreign formations, such as tumors, polyps, stones in the kidneys and urinary tract, can cause the feeling of incomplete emptying of the bladder.

The symptom of insufficient emptying does not occur as a separate disease and is most often the cause of a more serious pathology.

In women, this problem can also arise due to genital herpes, postoperative or postpartum complications. Inflammation in the vagina or vulva has a negative effect. The infection can spread to the urinary canal, and it is possible that microbes can enter from the outside.

The reason may lie much deeper.
Injuries to the spine, spinal cord, multiple sclerosis, sciatica, increased brain impulses, and diabetes can lead to problems with the urinary system.

Prolonged stress and a state of shock can also lead to problems.

An incompletely emptied bladder can serve as a breeding ground for infection, which leads to ascending pyelonephritis and other inflammatory diseases of the pelvic organs.

Diagnostics

Timely diagnosis and treatment will help you get rid of discomfort and avoid complications.

To begin with, the doctor will prescribe a general blood and urine test. This will reveal the presence of inflammatory processes and determine the causative agent of the infection.
A more detailed picture of the bladder, kidneys and pelvic organs in men and women will be shown by ultrasound.
Women also have a vaginal smear.
An additional research method is x-ray diagnostics using a contrast agent.
Cystoscopy will help assess the condition of the inner wall of the organ.

The above methods are usually sufficient to make a diagnosis. If not all aspects could be revealed, the patient is sent for MRI, CT, and radioisotope examination.

Treatment

Surgery cannot be avoided if tumors are found in the pelvic area.

If the cause is psychological, then treatment is carried out by a psychotherapist. Sedatives and special techniques are prescribed.

Gynecological causes in women are treated with anti-inflammatory drugs, antibiotics, and sometimes hormonal therapy is required. Men are prescribed prostate massage.

To make the patient’s life more comfortable during treatment, it is important to follow several rules:

During urination, you need to relax as much as possible; tense muscles can retain fluid in the bladder.
You can achieve contraction of the bladder by pressing on it with your palm.
The organ will begin to reflexively contract if you turn on the water. With the sound of flowing water, you can achieve complete release of liquid.

Treatment with folk remedies

Folk remedies will help relieve inflammation in bladder diseases.

To treat cystitis, horsetail, plantain and cinquefoil are mixed in a ratio of 3:4:3. Add 1 tbsp to 1 liter of boiling water. spoon of dry herb mixture. You need to take two glasses a day until relief occurs.
4 tablespoons of lingonberry leaves are poured with a liter of boiling water. You need to drink the infusion two days in advance. Lingonberry has not only an anti-inflammatory, but also a diuretic effect.
For male diseases, it is recommended to use celandine. A tablespoon of dry herb is poured into a glass of boiling water. You need to take 3 tbsp. spoons a day. The course of treatment is up to 1 month.
Parsley will help relieve prostate problems. The roots of the plant are dried and crushed, 100 grams of raw materials are poured with a liter of boiling water and infused. You need to take the medicine half a glass 3 times a day.

The presence of residual fluid in the bladder after urination is considered a sign of diseases of the genitourinary system.

If the patient does not completely empty the bladder, then he experiences a number of symptoms that significantly worsen the quality of life. In this case, it is very important to quickly establish a diagnosis and begin treatment of the pathology.

In humans, urine is produced in the renal tubules. They receive blood containing waste products. Through the pyelocaliceal system, urine enters the ureter, from which it passes into the bladder. This organ is necessary to collect fluid and store it for a certain period of time until a sufficiently large portion has accumulated.

There are several types of muscle fibers in the bladder. The longitudinal ones ensure the expulsion of fluid from the organ, the transverse sphincter muscles retain urine in its cavity. At rest, the longitudinal fibers are relaxed and the transverse fibers are contracted.

After the organ is filled, a person has the urge to excrete urine. They begin when 150 ml of fluid accumulates. At this stage, the patient can still hold back urination. After the formation of 200-300 milliliters of urine, the act of excreting it is triggered reflexively.

In the presence of a full bladder, the sphincter suddenly relaxes and the exit to the urethra opens. At the same time, the longitudinal fibers contract, facilitating the release of the entire volume of fluid accumulated in the cavity of the organ.

Violation of the coordinated work of the muscles can lead to the fact that the bladder does not empty completely. This symptom is considered a sign of pathology.

Why does the bladder feel full?

The reasons for incomplete emptying of the bladder are associated both with disruption of the genitourinary system and with pathologies of other organs and systems. Most often, the feeling of incomplete urination occurs when there is inflammation in the urinary organs.

The patient may have cystitis, an inflammation of the lining of the bladder. Against this background, swelling of the mucous membrane of the organ develops, the lumen of the hole through which urine is discharged out decreases. Due to the development of cystitis, fluid accumulates in the bladder cavity, which is why the patient develops symptoms.

Another inflammatory disease – urethritis – can also cause a feeling of urine retention in the organ cavity. The pathology is localized in the urethra. Swelling of the tissue in this area interferes with the normal flow of urine and contributes to its accumulation in the bladder.

A possible cause of the symptom is urolithiasis. It is characterized by the appearance of solid formations - stones. They can form in all parts of the urinary system. When stones form in the bladder, they can block the entrance to the urethra, which leads to impaired urine output.

More rare causes of the symptom may be the following diseases:

tumors of neighboring organs that compress the bladder and interfere with its emptying;
diseases of the spine (sciatica, herniated discs), in which the regulation of the urinary drainage process is disrupted;
urethral stenosis;
a significant decrease in the tone of the muscle tissue of the bladder walls;
constant constipation, in which feces compress the urinary organs.

When establishing the causes of unpleasant sensations, it is necessary to take into account gender characteristics. Thus, in women, the appearance of symptoms can be caused by tissue growths in the uterus (fibroids, endometriosis), as well as ovarian cysts.

The feeling of incomplete emptying of the bladder in men often indicates the presence of pathologies of the prostate gland - prostatitis or adenoma.

Associated symptoms

The feeling of incomplete emptying of the bladder is often accompanied by other symptoms:

lower back pain, which can be cutting, stabbing or aching (the nature of the symptom is determined by the disease due to which it develops);
dribbling of urine, involuntary release of small portions of urine;
feeling of heaviness in the lower abdomen;
painful urination;
increased temperature, fever, weakness;
dysuria – urinary disorders.

The listed symptoms do not necessarily appear due to urinary disorders. Pain, a feeling of heaviness and other unpleasant manifestations indicate specific diseases; the doctor takes their presence into account when making a diagnosis.

Possible consequences of incomplete urine output

If the bladder is not completely empty of urine, this causes other problems with the urinary system. The fluid stagnates in the organ cavity, microorganisms begin to develop in it, which can cause an inflammatory process in the urethra and bladder.

Pathogenic bacteria spread up the urinary system, successively affecting the ureters and kidneys. Therefore, against the background of stagnation of urine, severe kidney diseases, for example, pyelonephritis, can occur.

In extremely rare cases, against the background of weakened immunity, generalization of the infection is possible - the development of sepsis. In this case, the patient’s condition sharply worsens, damage to vital organs is possible, which will lead to death.

In the absence of specific therapy, inflammation in the urinary organs becomes chronic. The patient will periodically experience exacerbations, during which a clinical picture of intoxication appears - weakness, headache, sharp rise in temperature.

Urine stagnation is especially dangerous for pregnant women. Expectant mothers may notice incomplete emptying of the bladder, which is explained by an increase in the size of the uterus. Against the background of this process, complications caused by the spread of infection throughout the body quickly develop.

In addition, when treating women, certain difficulties arise related to the selection of medications. Many effective antibacterial drugs are strictly prohibited for use during pregnancy, as their use can adversely affect the development of the fetus.

Therefore, if symptoms of pathology appear, the expectant mother should urgently consult a specialist in order to prevent the development of severe consequences.

Other possible complications are related to the effect of a full bladder on the organs that are located near it. If urine excretion is impaired, the enlarged bladder puts pressure on them. This can, for example, lead to constipation.

Diagnosis of the disease

If a person does not empty their bladder, it is necessary to determine the cause of this symptom. A wide range of research methods are used to diagnose the disease:

general clinical blood test. Against the background of inflammatory processes, the cellular composition of the patient’s blood changes - leukocytosis develops, and younger elements predominate among the white cells. Due to infection, the erythrocyte sedimentation rate increases;
general urine examination. The analysis is one of the most informative studies in diagnosing diseases of the urinary system. It allows you to detect changes characteristic of certain pathologies. Thus, with cystitis and pyelonephritis, the content of leukocytes increases, in the case of urolithiasis - erythrocytes. A result that corresponds to the norm is a reason to suspect the neurological nature of the disease;
bacteriological analysis. A sample of the patient's urine is cultured for pathogenic bacteria. To do this, the material is placed in a nutrient medium and cultivated for several days. During the study, it is possible to accurately determine the type of bacteria that caused the disease, as well as determine which antibiotics it is sensitive to. This technique is widely used for the diagnosis of cystitis, pyelonephritis, urethritis;
Ultrasound of the kidneys. An instrumental examination of the urinary system allows us to assess the condition of its organs. Using ultrasound diagnostics, it is possible to identify pathological formations that arise in a patient due to urolithiasis;
cystoscopy. For accurate diagnosis, endoscopic examination is used - examination of the bladder cavity using special equipment. An endoscope with a camera is inserted into the organ through the urethra. The sensor transmits an image to the screen of the device, and the doctor can see signs of pathological changes in the bladder and make a diagnosis.

If necessary, other instrumental and laboratory methods can be used for diagnosis. For example, when other methods are ineffective, MRI and CT are often used. These studies provide a layer-by-layer image of all organs of the urinary system. The high information content of these research methods makes it possible to determine the disease even in the most difficult diagnostic cases.

Treatment

If the bladder does not empty completely, the patient requires specific treatment. The choice of therapy is determined by the disease that caused the disturbances. In the presence of infectious processes (cystitis, pyelonephritis), the patient is prescribed antibacterial agents.

The selection of a specific drug depends on the type of pathogen. It can be accurately determined only after urine culture. Before receiving the results of this analysis, the patient is prescribed a broad-spectrum drug, which is then replaced with a more narrowly targeted drug.

Antibiotics must be prescribed by the attending physician. It is strictly prohibited to use these drugs on your own, as their uncontrolled use can cause severe side effects.

If the bladder does not empty due to urolithiasis, it is necessary to remove the stones from the organs of the urinary system. This often requires surgery. Small lesions that can easily come out naturally can be treated with non-surgical methods.

This is done by dissolving the stone with special preparations or crushing it into fragments using special devices. The method of treatment is selected by a specialist taking into account the characteristics of the course of the disease, the characteristics of the stone and the general condition of the patient.

If incomplete emptying of the bladder in women is associated with neurological disorders, then treatment will include taking medications that restore normal innervation of the bladder.

In addition to treating the underlying disease, symptomatic therapy is prescribed to alleviate the patient’s condition. In the presence of severe pain, antispasmodics are used. If the temperature is elevated, non-steroidal anti-inflammatory drugs are used.

To relieve pain, you can use folk recipes, but they should not replace full-fledged drug therapy. Traditional medicine techniques help eliminate the symptoms, but the disease itself will continue to progress. Therefore, self-medication without following the doctor’s recommendations is fraught with serious consequences.

After completion of therapy, the patient is prescribed a course of rehabilitation. It includes:

physical therapy, special gymnastics;
massage;
physiotherapeutic procedures;
long walks in the fresh air;
therapeutic diet, limiting the consumption of harmful foods;
correct drinking regime, in some cases – limited consumption of liquid and salt.

Complete rehabilitation ensures rapid recovery of the patient and prevents the development of complications. Preventive procedures are aimed at combating relapse of the disease and the transition of the pathology to a chronic form.

Conclusion

Thus, incomplete excretion of urine is a sign that indicates a dysfunction of the urinary organs. When there is a feeling of incomplete emptying, especially if it persists for a long time, you need to consult a doctor and undergo all the necessary examinations.

Ignoring a symptom or prolonged absence of treatment can cause a number of serious consequences that significantly reduce the patient’s quality of life.

One of the common symptoms of diseases of the genitourinary system is the feeling of incomplete emptying of the bladder. Modern medicine knows how to get rid of such a problem. The main thing is to identify the cause of this condition and begin competent therapy in time.

Why is this happening?

Pathologies of the genitourinary system manifest themselves as follows:

First.

After going to the toilet there is a feeling of a full bladder.

Second.

The patient again and again experiences the urge to urinate. This is inconvenient, especially if it is not possible to have bowel movements as often.

Third.

When urinating, other symptoms of the disease may be felt, such as burning and stinging.

In most cases, this condition is caused by the presence of urine that remains in the organ cavity. Obstacles prevent its outflow from moving normally.

Sometimes the reason that the bladder does not empty completely is atony, in which it cannot contract normally. The tone of its walls is weakened, and the muscles can no longer support it in the desired position.

Some patients have no obstacles to the outflow of urine, however, it is still not completely eliminated from the body, and the person always wants to go to the toilet. This may indicate the presence of erroneous signals received by the brain.

This condition is typical in the case of the development of certain pathologies: adnexitis, appendicitis, salpingoophoritis etc. Prolonged stress, shock and nervous strain can also act as a psychological cause.

The problem cannot be left to chance. After all, constant bladder fullness worsens the quality of life and can have serious consequences. Urine that remains in the organ is a good breeding ground for bacteria, which can trigger an inflammatory process.

Associated symptoms and types of diseases

To accurately make a diagnosis, it is necessary to evaluate the accompanying symptoms of the diseases.

Prostate diseases

The patient complains of pain in the lower abdomen and has problems with erection. The urine stream is weak and intermittent, and blood may be released. With a malignant prostate tumor, the patient loses weight and develops a fever.

Urethritis, cystitis, pyelonephritis

Often incomplete emptying of the bladder in women can indicate the development of and. These diseases are accompanied by burning, stinging and pain during urination. This may cause a headache and a rise in temperature. The urine becomes cloudy. With inflammation of the kidneys, pain is felt in the lower back and abdomen.

Bladder stones

Expressed in renal colic and severe pain in the lumbar region and lower abdomen. Its signs also include traces of blood in the urine, frequent trips to the toilet, the number of which increases with movement.

Adnexit

This is a female disease in which the body temperature rises, pain is felt in the groin, and discharge may be observed. The woman feels insufficient emptying, she is tormented by chills, weakness, and gastrointestinal disorders.

Hypotension

Along with urination disorders, the patient experiences problems with the gastrointestinal tract, tension in the pelvic muscles, and painful sensations. A person constantly feels the presence of fluid in the bladder, the act of urination itself is sluggish and weak. Chronic disease provokes fecal and urinary incontinence.

Urethral stricture

The narrowing of the urethra prevents the patient from adequately urinating. The flow of urine is weak, accompanied by a constant feeling of a full bladder. Pain appears in the pelvic area and when going to the toilet, there is blood in the urine.

Overactive bladder

This diagnosis is often made by excluding other diseases. Incomplete emptying overactive bladder is rare. This disease is characterized by frequent urination, urgent and strong urges. In some cases, urinary incontinence occurs.

Other pathologies can also cause the unpleasant sensation: diabetes, sciatica, spinal cord injuries, multiple sclerosis. A feeling of a full bladder can be a consequence of serious illnesses, so if this symptom occurs, you should immediately consult a specialist.

Which doctor should I contact?

A urologist diagnoses and treats diseases of the genitourinary system. A woman may need to have her ovaries and uterus examined. Then the urologist will refer the patient to a gynecologist, who will take a smear from the vagina to rule out the presence of infection. A urologist also treats diseases of the genital organs in men.

There is no need to be embarrassed to tell your doctor about your problem. A detailed description of the symptoms will help him diagnose the disease more quickly. It is better to choose a high-class specialist, because health and even life are at stake.

Diagnosis and treatment

After taking a history, the doctor determines changes in the size of the bladder by palpation. He usually prescribes the following studies:

General blood analysis;
General urine analysis;
Urine culture;
Ultrasound of the genitourinary organs;
Cystoscopy;
Contrast urography.

In some cases, a CT or MRI may be required. Only after the results of the examination can the doctor accurately diagnose and prescribe treatment, which will be aimed at eliminating the root cause of the pathology.

To eliminate infectious diseases, a course of antibiotics and antibacterial agents is prescribed; in the presence of urolithiasis, drugs to remove stones are prescribed. If the illness is psychological in nature, the doctor usually prescribes sedatives that calm the nervous system.

Some gynecological diseases, due to which the bladder is not completely emptied, require the use of hormonal drugs. In cases, the patient may be prescribed surgery.

Unfortunately, even complete relief from unpleasant symptoms cannot guarantee that a person will not be bothered by relapses in the future.