Urine comes out in men what to do. Chronic and acute urinary retention in men: causes and treatment of accumulation of urine without the ability to withdraw from the bladder

One of the troubles associated with the process of urination is urinary retention. This problem, also called ischuria, affects women and children, but most often it occurs in men. Persons suffering from ischuria do not have the opportunity to completely empty the bladder, or they excrete urine intermittently and with difficulty. Symptoms such as enlargement of the abdomen, discomfort in the bladder area, frequent daytime and nighttime urge to urinate or their absence at the right time are the main signs that a person has a problem with urinary retention. What are the causes of this trouble, what kind of danger does it pose for the stronger sex, and how is urinary retention diagnosed and treated in men?

About the varieties of ischuria

There are several types of urinary retention, each of them proceeds differently. Ischuria is chronic and acute, as well as complete and incomplete. When urinary retention begins unexpectedly in a person, accompanied by painful sensations in the abdomen or bladder, overflow of the latter and frequent urge to urinate, then this is an acute complete form of the disease. And with an acute incomplete variety of urinary retention, urine can occur in men in small quantities.

Chronic ischuria is able to be asymptomatic for some time, and as it develops, it becomes more noticeable and reminds of itself more and more. With chronic complete urinary retention, a person is not able to independently perform the process of urination, only a catheter installed in the urethra can help him in this.

In this way, the patient can empty the bladder for more than one year. With an incomplete form of chronic ischuria, a man manages to urinate himself, but his bladder is still not completely emptied and part of the urine remains in it.

There is another form of urinary retention called paradoxical ischuria. With this disease, a person's bladder is greatly stretched, and he cannot voluntarily urinate, but urine is involuntarily released in the form of droplets from the urethral canal. The most severe and painful form for a man is acute ischuria; he may not even be aware of the existence of chronic urinary retention.

Pathological factors for the occurrence of urinary retention

There are a variety of reasons for urinary retention. So, chronic urinary retention can cause the following pathological factors:

Various traumatic injuries of the urethra or bladder.
Blockage of the urinary organs. The lumen of the canal may be clogged due to the ingress of a stone or other foreign body into it. The blockage occurs either in the vesicourethral segment or in the urethra itself. In the first case, it may be a congenital patency disorder of this segment, a malignant tumor of the bladder or a polyp. In the second case, the blockage is formed due to a diverticulum (protrusion of one of the walls of the bladder) or urethral stricture (narrowing of the lumen in the urethra).
Compression of the bladder. It can be caused by pathologies of the urinary and genital organs. These include prostatitis (inflammation of the prostate gland), phimosis, balanoposthitis (inflammation of the head of the penis or foreskin), cancer,. The urinary bladder is also compressed in case of pathologies of organs located in the small pelvis (perineal hematoma, rectal cancer, hernia in the groin, aneurysms of the hypogastric arteries).

Urinary retention, which is chronic, is formed in diseases of the central nervous system, for example, neurogenic bladder dysfunction.

Causes of acute ischuria

In addition to neurogenic dysfunction and pathologies of the genitourinary system and small pelvis, there are other factors that cause problems with urination in men.

Acute ischuria may occur if the following events have occurred:

trauma to the brain or spinal cord;
multiple sclerosis;
operations on the spine or on the abdominal organs, requiring patients to stay in bed for a long time;
poisoning with drugs or sleeping pills;
severe alcohol intoxication;
stress and physical tension;
hypothermia of the body;
filling the bladder with blood clots;
forced delay in the process of urination.

Acute urinary retention, as mentioned above, occurs in men suddenly. But the most common cause of its occurrence is a complication of a disease such as prostate adenoma. When this benign tumor begins to grow, the segment of the urethra that passes through the prostate usually changes: it becomes crooked, stretched in length. All these changes in the urethra affect the outflow of urine, making it difficult and delaying it. With prostate adenoma, the gland itself swells, an increase in its size also leads to urinary retention in men.

Diagnostic measures and methods of treatment of ischuria

Symptoms characteristic of acute urinary retention and the late course of chronic ischuria should not be ignored. Every man who cares about his health should, having the above symptoms, be sure to consult a doctor. A qualified specialist will not only make the correct diagnosis, but also identify the causes of urinary retention, and also prescribe a quality treatment for the disease.

According to the symptoms described by the patient, it will be quite easy for the doctor to understand that we are talking about ischuria, but before treating it, additional diagnostics can be carried out. During a physical examination of the bladder, the doctor can palpate the area above the pubis and thus detect an increase in the size of the bladder. Another diagnostic method is an abdominal ultrasound, which must be done after the patient has urinated. You can measure the volume of urine left in the bladder after the process of urination. If more than 200 ml of urine remains there, we are talking about its delay.

One of the most common methods of treating acute ischuria is catheterization. Its essence lies in the fact that a metal urethral catheter is inserted through the urethra into the bladder, it helps the urine to come out of the bladder to the outside. Catheters are also made of rubber. So, the Timan device has a beak-shaped bend at the end, which allows the catheter to better pass through the urethra to the bladder. Rubber catheters, unlike metal ones, can stay in a man's body from a day to 1-2 weeks. Then there is an improvement, and the person can urinate fully in the future, urinary retention disappears. To make the treatment more effective, along with catheterization, patients are prescribed alpha-blockers, which are also used in the treatment of prostate adenoma.

The disadvantage of urethral catheterization is the possibility of causing microtrauma to the mucous membranes of the urethra. The latter can lead to the development of urosepsis. Some catheters can introduce infections into the urinary tract, and a man may develop urethritis. It is forbidden to use urethral catheters in cases where a person has damage to the urethra or suffers from prostatitis.

How, in this case, to treat ischuria? There is such a method of removing urine from the bladder as a capillary puncture. The method consists in the fact that a long needle (about 15 cm) to a depth of 5 cm is inserted into the patient in a supine position, under anesthesia, 1.5 cm above the pubis and at a right angle to it. A soft tube is put on the outer end of the needle.

The needle should enter the bladder and help the urine flow out of the bladder through the tube. When the organ is emptied of urine, which happens very quickly, the needle is removed and the injection site is lubricated with iodopyrine. This procedure can be performed several times a day. It is especially effective for prostate adenoma.

Difficulty in spontaneous urination in men can be treated with bladder drainage. So, after anesthesia, patients are cut through the skin along the line of the middle of the abdomen above the pubic joint and carefully insert the trocar inside. When this instrument reaches the bladder and the stylet makes a puncture, a rubber catheter is inserted through the hollow tube of the trocar, and urine flows out of the bladder through it. This operation is quite simple and safe, since the prostate is not damaged by the trocar and urinary streaks do not occur.

Frequent drainage of the bladder causes it to shrink, the elasticity of the walls decreases, so people with urinary retention should always flush the bladder with antiseptic solutions, periodically fill it with fluids and keep them inside for a while. Competent doctors will take a responsible approach to the treatment of ischuria and, choosing the most appropriate method, will help patients get rid of problems with urination.

The difficulty of such a habitual process as urination signals disorders in the body. In men, it is observed more often due to the structural features of the urethra. If there is an urge, but it doesn’t work out normally to go to the toilet “in a small way”, urine must be “squeezed out” with difficulty from oneself - urgently to the hospital!

Urinary retention (ischuria) is a condition when a patient, for reasons beyond his control, cannot empty the bladder, although it is filled with urine. Pathology is associated with both physiological and psychological grounds. Urinary dysfunction occurs at any age.

But most of those who make such a complaint are older men. The fact is that after 60, many have an enlarged prostate gland with the development of adenoma or prostatitis.

In general, the delay occurs under the following circumstances:

Pathologies of the urinary and reproductive systems, and other organs of the small pelvis lead to the latter situation. If a problem is found, you need to contact a urologist for examinations.

Why does urinary retention occur in men

According to various sources, from 1 to 7% of patients with ischuria are suffering from prostate adenoma. The overgrown formation bends the urethra and urine passes through it with difficulty.

Also, blockage of the urethra and squeezing of the bladder occur in such cases:

with congenital patency disorder;
urethral stricture;
diverticulum (protrusion of the bladder wall);
stones;
the formation of polyps;
in the presence of a malignant formation in the urethra or urea;
prostatitis;
inflammation and injury to the penis.

The bladder is also squeezed in case of violations, at first glance, not related to urination. For example, with a hematoma or inguinal hernia.

Problems with urine excretion are often observed after surgery, in the abdominal organs or spine, when the patient is forced to remain in bed in a horizontal position for a long time.

If found, in men, the reasons may be as follows:

addiction to alcohol or drugs;
CNS disorders;
freezing;
physical and nervous strain;
bleeding in the bladder;
use of sleeping pills or antidepressants.

Taking certain drugs is a medical cause of ischuria.

In addition to antidepressants, such drugs include non-steroidal anti-inflammatory drugs, antihistamines, and hormones.

Urinary problems are related to the functioning of the brain and central nervous system.

Therefore, such violations sometimes lead to failure:

brain pathology;
injuries affecting the spinal cord;
cerebrovascular disease;
polio;
multiple sclerosis;
diabetes.

Often, problems with urination begin after, due to some circumstances, a person deliberately restrained himself from going to the toilet. Therefore, when urging, doctors strongly recommend not to endure.

Classification of violations

Depending on how difficult urination is, the following types of delay can be distinguished:

Complete. Even with obvious urges to go to the toilet does not work. A special tube is used to remove fluid from the bladder.
Incomplete. Urine flows out with difficulty, you have to strain your muscles. A tiny volume or intermittent jet is released.
Paradoxical. Urinary is strongly filled, but is not emptied. Discharge from the urethra appears on its own.

Incomplete delay often worries for a long time, but the patient does not attach importance to it, aggravating his condition.

Depending on the course of the disease, ischuria is of two varieties:

Acute. It makes itself felt suddenly, accompanied by pain in the lower abdomen, constant urge to go to the toilet.
Chronic. It develops asymptomatically, gradually starting to disturb a person. Often the exit of urine is impossible without a catheter installed in the urinary canal.

Chronic incomplete ischuria has been bothering some patients for years, and in other cases it progresses imperceptibly for a man.

A severe form of ischuria, one of the serious complications, is called paradoxical. Due to the strong stretching of the urea and its sphincters, the patient begins a kind of incontinence - urine is voluntarily released from the canal in drops.

Associated symptoms in men

Against the background of complications with urination, patients have:

stomach ache;
heat;
flatulence of the intestine;
strong gases;
headache;
nausea;
urination with discomfort at the beginning of the process.

The patient complains of weakness, feeling of fullness in the groin. When probing, the perineum responds with pain.

This is due to the fact that not being able to completely empty, the bladder puts pressure on the walls of the groin.

Consequences of the syndrome

In addition to the development of dangerous forms of the pathology itself, it also leads to other negative consequences:

The main "blow" at falls on the kidneys and the urea itself.

But patients can also begin urogenic sepsis - spreading the infection through the bloodstream.

Diagnostics

To determine why a patient cannot urinate, a number of tests are performed at the hospital.

Survey	Purpose to determine
General urinalysis	infections, hematuria
Biochemical blood test	kidney failure
Blood sugar	Previously undetected diabetes mellitus or its complication
PSA blood test	An increase in PSA, which indicates prostatitis, oncology, confirms the fact of an acute form of the disease
Ultrasound of the kidneys and bladder	The amount of urine that remains in the bladder. Stones in the canal or bladder, hydronephrosis
Ultrasound, CT of abdominal organs, pelvic organs	Neoplasms in the pelvis, abdominal cavity
MRI of the spine	Herniated disc, spinal cord compression
MRI/CT of the brain	The state of the brain. The presence of pathologies, including stroke, tumors, sclerosis
Cystoscopy	The presence of stones and neoplasms in the ureter, urethral strictures
urodynamic	Evaluation of the "performance" of the bladder

Only on the basis of the results of examinations, the doctor is able to prescribe the correct treatment.

Urgent help at home

You can find many different tips for providing emergency care in a similar situation, but it is important to remember: the doctor should perform the treatment.

If a man suddenly finds himself unable to urinate, and there is no pain, the cause may be hiding in stress. Then you should give him cool water to drink, calm him down.

With severe pain, it is better to immediately call an ambulance.

Complex treatment

With acute stasis of urine and the development of complications, the treatment of urinary retention implies the need to urgently catheterize the bladder to release fluid.

But if you carry out the procedure once, up to 70% of those suffering during the week turn to the urologist with repeated complaints.

In order for the treatment to ultimately bring relief, patients are prescribed appropriate therapy. Basically, doctors prescribe alpha-blockers. With the help of these drugs, prostate adenoma is also treated.

Patients with a chronic form are advised to periodically self-connect a catheter. Thanks to this procedure, complications such as urosepsis and kidney dysfunction can be avoided. How, if necessary, to carry out self-catheterization, the urologist will explain.

The disadvantage of introducing a tube is the potential for microtrauma of the mucous membranes of the urethra, which lead to the development of sepsis. Sometimes the catheter introduces an infection.

It is also forbidden to use it if the patient has already damaged the urethra or he suffers from prostatitis.

In such cases, a puncture is prescribed to release the accumulated fluid. They carry it out like this. The patient is under anesthesia. At a height of 1.5 cm above the pubis, at right angles to the man's urea, about a fifteen-centimeter needle is inserted to a depth of 5 cm.

If the removal of fluid from the urea and therapeutic treatment does not lead to a positive result, there is a need for a surgical operation.

When the cause of the problem is identified, a consultation of specialists is appointed, who will determine how to properly treat it.

Traditional medicine in the process of getting rid of the disease can only be used as an aid and after consultation with the attending physician.

In some cases, for example, it is useful to take tea rose or rosehip tinctures.

Prevention

Prevention of the disease consists in the increased efforts of the patient himself to prevent pathologies that provoke the development of the problem.

To avoid the unpleasant state of ischuria, it is recommended:

Drink as little alcohol as possible.
Avoid hypothermia.
From the age of 40, regularly examined by a urologist, undergo consultations with an oncologist.
To be protected from injuries of the lower abdomen and the ingress of foreign bodies into the urethra.
Always treat any inflammation in the body, especially pathologies related to the genitourinary system.

Before you start a course of medications, it is advisable to consult with doctors about side effects.

In this case, problems with urination can be avoided, or at least it will become known what could have caused the disease.

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1 Causes of the disease

Urine is poorly discharged as a result of various factors. The main reasons for the accumulation of urine in the genitourinary system are:

infectious diseases of the prostate;
BPH;
traumatization of the genitourinary organs;
changes in the structure of the urethra as a result of an infectious disease, inflammation;
dysfunction of the nervous system;
spinal injury;
urolithiasis disease;
malignant neoplasms in the urinary organs;
abuse of alcoholic beverages, drugs.

Urine does not depart as a result of surgical treatment of the digestive system, perineum, intoxication of the body with medications, prolonged stay in bed, and stressful situations.

2 Symptoms

The accumulation of fluid in the bladder is accompanied by a strong urge to urinate, while urine is absent or is excreted in the form of drops. Urinary retention is characterized by increasing severe pain in the lower abdomen.

Pain is aggravated during urination, with downward bending, physical exertion. Depending on the cause of the disease, symptoms such as:

headache;
nausea, vomiting;
increased body temperature;
unstable blood pressure;
frequent urge to defecate;
bleeding from the urethra.

An overfilled bladder is visible on visual inspection, and when pressed on the abdomen, it causes acute pain in the patient.

3 Methods of treatment

When the first signs of dysfunction appear, you should seek help from a specialist. The accumulation of fluid can lead to rupture of the bladder, damage to the urethra, infection in the genitourinary organs, and the development of acute prostatitis.

The systematic accumulation of fluid is the main cause of the development of renal failure, which requires specialized medical treatment.

You can temporarily relieve symptoms with:

warm bath,
water bottles,
heating pad, which is located in the bladder, perineum.

Antispasmodics will help relieve pain for a while. The course of therapy depends on the cause of dysfunction, the stage of development of the disease.

First aid for urinary retention is catheterization. A catheter is inserted into the genitourinary system by the doctor, through which the bladder is emptied. Manipulation is also carried out for diagnostics. Analysis of the urine obtained allows you to accurately determine the cause of the development of the disease. Catheterization is characterized by an instant effect. After urine is removed, tension and pressure on the internal organs are relieved, pain disappears, the patient immediately feels relief.

In some cases, catheterization cannot be performed. To remove urine, a bladder puncture is performed, a surgical intervention in which an incision is made in the anterior wall of the abdominal cavity to install a catheter. If the urethra is damaged, an implant is installed in the wall of the bladder. It stimulates the contraction of the muscles in the urethra, the urine departs in full.

To normalize the process of urination, a course of medications is prescribed that have anti-inflammatory, antibacterial, antiseptic effects. In combination with drug treatment, folk methods are used. Herbal preparations accelerate the action of medicines, eliminate symptoms, relieve inflammation and pain. Favorably on the work of the genitourinary system, alcohol tinctures of tea rose, wild rose, juniper, walnut shells affect.

To completely eliminate dysfunction, folk remedies alone are not enough; treatment should be comprehensive. Urinary retention occurs with various dysfunctions of the genitourinary system. The accumulation of fluid leads to various pathologies, disorders, and malfunctions of the normal functioning of the body. To eliminate urinary retention, a course of drug therapy is prescribed, catheterized is performed. When the first signs of pathology appear, you should immediately contact a specialist. Untimely treatment or its complete absence can lead to the development of negative consequences and complications.

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Why is urine bad and what to do about it

If urine does not come out, it means that a disease develops in the body. When the fluid accumulates in the bladder and is poorly excreted, it gives the patient inconvenience, discomfort, sometimes this condition is accompanied by pain. In this case, only an emergency visit to the doctor in the clinic can help. He will make a diagnosis and prescribe special treatment.

Causes of pathology

Poor urine output may be due to the development of certain diseases in the body. These include:

uterine fibroids;
BPH;
kidney disease;
infectious diseases;
bladder stones;
vertebral injuries;
irritation;
problems in the endocrine system;
failures in cerebral circulation;
autoimmune pathologies;
sexual dysfunctions.

Uterine fibroids in a woman is a dangerous disease in which urine can hardly pass. The reasons are different, for example, squeezing the urethra. If the fibroid is enlarged, then the fluid is secreted little by little, and this leads to discomfort.

A man may have a disease such as prostate adenoma. At the same time, the liquid also leaves the body in small portions. In this case, doctors prescribe various pills that can positively affect the body, improve the patient's condition.

Medicines such as Tamsulosin, Revocain, Alfinal, Finast and others significantly improve health, radically affect the problem and relieve pain. Prostamol is a herbal medicine. Before starting treatment, it is necessary to consult a doctor about contraindications to taking certain groups of drugs.

Kidney pathologies, such as nephritis, pyelonephritis, or the presence of kidney stones, can cause difficulty in passing urine. Infectious diseases can cause inflammatory processes, which negatively affects this problem. If the body is supercooled, it is also fraught with inflammation. In this case, urine is excreted in small portions, and the whole process is accompanied by pain.

Bladder stones cause discomfort when a person moves. But they also affect the intensity of fluid excretion from the body.

When patients use low-quality intimate hygiene products, this is fraught with irritation. Urine in this case is also excreted with pain and discomfort.

Causes of burning sensation after urination in women

Damage to the nervous system can lead to the fact that urine does not leave. In addition, in this case, it can stand out uncontrollably. A severe form can turn into multiple sclerosis, so patients need to consult a doctor at the first problems with urine output and consult for the presence of the disease.

All brain pathologies are often associated with urination. Injured kidneys and bladder are the causes of such problems. Other causes include diabetes and other diseases of the endocrine system, deterioration in the quality of sexual life and prolonged abstinence.

If the organs adjacent to the urethra are affected, then injuries, inflammatory processes can adversely affect urination.

How to deal with the problem?

Urinary retention is not always safe for health. This does not lead to a fatal outcome, if you do not start the treatment process or do not refuse it at all. However, the problem needs to be eradicated. The patient should contact a qualified specialist. It is necessary to discuss with the doctor the advisability of using adjuvant therapy. He will tell you what to do to improve the process of urination.

People with the absence of pronounced and progressive diseases are recommended to eat foods that have the ability to improve urination. These include milk, coffee, and almost all foods that contain a lot of potassium. Magnesium affects the proper absorption of potassium and sodium in the human body, so it must be present in the human diet in sufficient quantities.

Doctors may suggest taking vitamin B 6 (pyridoxine), which is a powerful diuretic. It is prescribed in tablets and in the form of injections.

This is an adjuvant therapy that will help make the process of urination less uncomfortable. In addition, there are some other reasons why you should take it. Vitamin B6 strengthens the immune system and improves the processes of urination, it is able to rejuvenate cells, fight lesions in organs.

Difficulty urinating is no reason to give up. People suffering from this disease can continue to live a normal life, go to work and communicate with friends. However, if you do not pay attention to this harmful process in time, then the disease can lead to fatal consequences. Timely treatment will eliminate all symptoms.

Acute and chronic urinary retention in men

About the varieties of ischuria

Pathological factors for the occurrence of urinary retention

There are a variety of reasons for urinary retention. So, chronic urinary retention can cause the following pathological factors:

Various traumatic injuries of the urethra or bladder.
Blockage of the urinary organs. The lumen of the canal may be clogged due to the ingress of a stone or other foreign body into it. The blockage occurs either in the vesicourethral segment or in the urethra itself. In the first case, it may be a congenital patency disorder of this segment, a malignant tumor of the bladder or a polyp. In the second case, the blockage is formed due to a diverticulum (protrusion of one of the walls of the bladder) or urethral stricture (narrowing of the lumen in the urethra).
Compression of the bladder. It can be caused by pathologies of the urinary and genital organs. These include prostatitis (inflammation of the prostate gland), phimosis, balanoposthitis (inflammation of the head of the penis or foreskin), cancer, prostate sclerosis. The urinary bladder is also compressed in case of pathologies of organs located in the small pelvis (perineal hematoma, rectal cancer, hernia in the groin, aneurysms of the hypogastric arteries).

Urinary retention, which is chronic, is formed in diseases of the central nervous system, for example, neurogenic bladder dysfunction.

Causes of acute ischuria

In addition to neurogenic dysfunction and pathologies of the genitourinary system and small pelvis, there are other factors that cause problems with urination in men.

Acute ischuria may occur if the following events have occurred:

trauma to the brain or spinal cord;
multiple sclerosis;
operations on the spine or on the abdominal organs, requiring patients to stay in bed for a long time;
poisoning with drugs or sleeping pills;
severe alcohol intoxication;
stress and physical tension;
hypothermia of the body;
filling the bladder with blood clots;
forced delay in the process of urination.

Diagnostic measures and methods of treatment of ischuria

urinary retention

Uncontrollable cessation of urination is a significant problem. Urinary retention in women and men (ischuria) is a pathological condition caused by various causes and having various manifestations. Indisposition in the absence of proper treatment is fraught with complications and the transition from acute to chronic form. Why does obstructed outflow of urine occur, how to diagnose and cure the pathology?

general information

Ischuria is a state of urinary retention during which it is impossible to empty the bladder, despite the fact that it is full. Such a condition, as a result of which urine is poorly discharged, occurs not only in adults, but also in children. There are several types of ischuria, each of which has its own characteristic symptoms. In addition, in men and women, the causes and symptoms of the pathology are different from each other, respectively, and the treatment of this condition will be different.

Types and forms of urinary retention

With a complete delay in the outflow of urine, catheterization is performed.

Depending on the symptoms of the disease, there is a classification of types and forms of difficult urine separation. So, the types of urinary retention:

Complete retention of urine outflow is a condition in which urine does not leave even with a clear urge to urinate. With this type of ailment, you have to use a tube to remove urine from the bladder.
Incomplete retention of urine. May accompany the patient for a long time, but she is not given attention. With incomplete emptying, urine does not pass well. It is released in a small volume or in intermittent jets - during the process, you have to strain the muscles of the organ.
paradoxical delay. With this type of ailment, the bladder is overfilled, but it cannot be emptied. Urine comes out of the urethra involuntarily.

Acute retention of urine. It has a violent onset: the lower abdomen hurts and there are repeated desires to urinate. A quick start is followed by an equally quick end. Men endure the acute form of the disease much harder than women.
Chronic retention of urine. The process in the remission stage mostly proceeds quietly, without the appearance of special symptoms. A person often does not even realize the existence of the disease, and only with an exacerbation of the disease caused by certain factors, it is possible to identify its chronic course with the help of diagnostics.

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Causes of urinary retention

An inflamed prostate prevents the normal separation of urine. Back to index

Common Causes

An existing obstruction that interferes with the normal separation of urine from the bladder. An obstacle can be various diseases of the genitourinary system (inflamed prostate, urolithiasis, malignant formations in the rectum, provoking obstruction).
Posterior urethral valves - folds of the urethral mucosa can delay the outflow of urine.
Nervous diseases - stroke, epilepsy, concussions, Parkinson's disease, etc.
Conscious delay occurs with a strong nervous breakdown, in a state of fright and in the postoperative period.
The causes of acute urinary retention are side effects of the uncontrolled use of certain drugs.

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Causes of obstructed outflow of urine in men

BPH.
Impaired separation of urine (delay or complete absence of urination) with prostatitis in the acute stage. Symptoms of an exacerbation of the prostate are also accompanied by a sharp pain in the kidneys and urethra, fever and signs of intoxication.

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Causes of the condition in women

Urinary retention in women can be triggered by prolapse of the internal genital organs.

Acute urinary retention in the female half of the population is provoked by such factors:

Prolapse of the internal genital organs (uterus, vagina).
Difficult childbirth and as a result - urine passes poorly.
Age changes. Acute urinary retention often occurs in older women. This disrupts the patency of the urethra.
Stopping urination after surgery on the genitourinary organs.
Mental disorders and nervous diseases.
The cause of urinary retention is a malignant tumor of one of the internal genital organs.
Urinary retention during pregnancy (in most cases, ectopic) and after childbirth.

Men often have problems with urination, especially later in life. One of the main problems is that a man does not pass urine well. In medical terms, this condition is called ischuria.

Urinary retention is usually caused primarily by psychological difficulties and physical discomfort. Moreover, in a man with such congestion, the general condition of the body worsens. If timely measures are not taken to eliminate the problem, complications may occur. That is why the treatment of pathologies that cause urinary retention should be timely.

Urinary retention in men: types of pathology

Ischuria is a disease that can develop at different rates. As a rule, depending on this symptom, pathology is divided into two main types

acute form

As a rule, acute urinary retention in men is quite unexpected for a man. At the same time, he experiences a number of symptoms that accompany the disease. These signs include pain in the lower abdomen and the urge to go to the toilet more often than usual.

In addition, a man may feel an unpleasant feeling that the bladder is not completely empty. At the beginning of the development of the disease, the patient's urine is excreted in small portions, however, over time, even with stress, urine ceases to be excreted at all. At the same time, urine accumulates in the bladder, causing an increase in the abdomen in a man, which becomes very noticeable externally. This condition is dangerous for the body, and therefore it is necessary to urgently consult a doctor..

Chronic form

The chronic form, in which urine is poorly discharged in a man, usually proceeds for a long time. In this case, a man may not notice the signs of the disease and not pay attention to the difficulties that have arisen when urinating. However, sooner or later the urinary canals will narrow so much that it will begin to cause a certain discomfort to the man. Chronic urinary retention in men can, under the influence of external factors, turn into acute.

Incomplete urinary retention allows a man for a long time not to notice the appearance of a problem at all. With the full form of pathology, a man feels a sharp deterioration in well-being, and therefore, as a rule, urgently seeks medical help. In such cases, when a man cannot urinate outside on his own, the doctor uses a catheter.

It is possible to determine the development of ischuria by a characteristic feature - the need to strain to go to the toilet. In this case, urination often occurs intermittently. Sometimes in men there is a so-called paradoxical ischuria, in which the patient is not able to empty the bladder voluntarily, but drops of urine are involuntarily released from the urethra. In any case, the pathology requires medical intervention, and therefore it is highly not recommended to delay the problem.

Causes of urinary retention in men

Ischuria can develop in a man under the influence of many factors. The most common reasons are the following:

Urinary obstruction in men can occur due to various reasons and at different ages. Even some disorders in the central nervous system, trauma or damage to the brain or spinal cord can have an impact. Frequent violations in urination after operations on the spine or abdominal organs.

Sometimes the abuse of alcohol or drugs leads to ischuria in men.
In some cases, urinary retention appears as a result of prolonged use of drugs, for example, sleeping pills or sedatives, antidepressants have a strong effect.
Sometimes urine can stop being excreted after severe hypothermia of the body, after serious stress or heavy physical exertion.

The chronic form of the disease, as a rule, appears in elderly men.. If for a long time a man has experienced various or problems with the organs of the genitourinary system, pathology may appear over time.

One of the most dangerous causes of ischuria is neoplasms in the prostate, including benign hyperplasia. As a rule, in most cases, urination becomes difficult due to the enlargement of the prostate gland. In this case, the gland on both sides squeezes the urethra, making the urethra narrower, which is why the urine does not pass completely, or does not come out at all.

In addition, diseases that occur in other organs near the genitourinary system can cause urinary retention. For example, fibrosis and sclerosis, as well as inflammatory processes in the intestines, can affect. In older men, neurogenic dysfunction in the bladder is sometimes observed.

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Signs of ischuria in a man

The main symptom of ischuria is, of course, a violation of the normal process of urination. In the acute form, such symptoms are more noticeable, because due to the accumulation of urine in the bladder, its walls are greatly stretched, which causes quite severe pain and a lot of discomfort.

Sometimes, if the cause of urinary retention is a blockage of the urinary canal, then a man may also feel pain in the urethra due to stones that linger there. If the cause of urinary retention is an injury to the penis, then discharge in the form of blood clots from the urethra is possible.

The acute form of ischuria can be seen even with the naked eye, since the man's belly increases significantly in size. In addition, the man experiences, but no urine is excreted. If the cause of urinary retention lies in inflammatory processes, the man will feel sharp pains in the lower abdomen and lower back.

If the chronic form of ischuria is caused by prostate adenoma, then the man will experience the following signs of the disease:

Frequent urge to go to the toilet.
Constant feeling that the bladder is not completely emptied. As a rule, only a small portion of urine is excreted during urination.
The stream of urine is sluggish.
Frequent urination at night.

In the absence of proper medical care, intoxication can occur in the body due to harmful substances that are in the urine. In addition, due to the strong overflow of the bladder with urine, rupture of its walls may occur. At the same time, the man has symptoms of an "acute abdomen", in which irritation occurs in the abdominal cavity.

In order to make a correct diagnosis, the doctor may additionally prescribe a urinalysis, ultrasound, cystoscopy or computed tomography. These studies help to determine the presence of neoplasms in the organs of the genitourinary system, as well as other disorders and pathologies.

Poor urine output - how to treat

With an acute form of urinary retention in order to alleviate the patient's condition and prevent intoxication or rupture of the bladder. However, the use of a catheter to remove urine is a one-time procedure that cannot be used on an ongoing basis. Therefore, to improve the patency of urine, complex therapy is needed to eliminate the cause of the disease:

There are also folk recipes that help improve the process of urination and get rid of diseases. However, if symptoms of ischuria are detected, the first thing to do is to consult a doctor and conduct an examination.

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Urination is a completely natural act in which excess fluid and metabolic products are excreted from the body. Any disturbances in this process can signal the development of problems in the activity of the urinary system and other parts of the body. If you ignore urination disorders, they may well worsen, and the diseases that provoked them can become chronic and especially neglected, hardly giving in to further treatment. Let us clarify why urinary retention can occur in men, we will discuss the treatment and causes of this phenomenon.

Urinary retention is a fairly common symptom that many men have to deal with. Its cause may lie in the influence of a variety of factors and in the development of various health problems. Accordingly, the treatment of such a disorder may differ.

Causes of urinary retention in men

There are quite a few factors that can provoke urinary retention in the stronger sex. True, it is worth recognizing that most often such a problem is provoked by the presence of prostatitis - an inflammatory lesion of the prostate gland, or a benign formation develops in the prostate gland - prostate adenoma in men.

Much less often, urinary retention is due to other factors. Among them, there may be diseases associated with the activity of the genitourinary system - stone formation in the bladder, prostate cancer, symptoms of tumor lesions of the urethra, etc. Also, such a symptom can provoke diseases of the central nervous system, for example, myelitis, problems in the activity of the spinal cord or brain.

Sometimes urinary retention in men is due to drug intoxication. Sleeping pills and narcotic substances can act as aggressive medications.

In some cases, urinary retention occurs after surgery on the genitals or on the rectum. In addition, it can be provoked by severe stress and a state of intoxication.

How is urinary retention corrected in men, what is its effective treatment?

If urinary retention is acute, and the patient is completely unable to urinate, even with a strong urge to urinate, treatment should begin with diversion of urine from the bladder. At the same time, doctors can carry out catheterization of the bladder - insert a rubber or metal tube into it through the urethra, after which urine is excreted.

A cystectomy may also be performed. In this case, doctors make a small puncture of the skin above the bladder and insert a rubber tube into its cavity.

Further therapy depends on the factor that caused urinary retention.
So the correction of prostatitis is carried out using antibiotics and symptomatic agents - analgesics and antispasmodics. Rectal suppositories or thermal microclysters are often used. After the acute symptoms subside, they resort to physiotherapy, massage, etc.

With an adenoma of the prostate that causes urinary retention, doctors most often raise the question of the need for surgical intervention. Surgeons may perform a transurethral resection of the prostate (TURP) by removing prostate tissue through the urethra. An open surgical procedure, called a prostatectomy, can also be performed.

In some cases, specialists can also advise minimally invasive methods for reducing the volume of prostate adenoma, for example, microwave thermotherapy, cryodestruction, and laser exposure. In addition, balloon dilatation of the urethra (expansion of the lumen of the urethra with the help of a special catheter) and stenting of the prostatic urethra (expansion of the lumen of the urethra by inserting a stent into it) can be performed.

If urinary retention is caused by a stone in the bladder or urethra, it is necessary to eliminate the stone formation. For this purpose, the formations are crushed, after which they are excreted from the body.

Malignant and benign tumors that can cause urinary retention are most often eliminated by surgery. If necessary, appropriate treatment can be carried out: chemotherapy, radiation therapy, etc.

If urinary retention is caused by reflex factors, it is quite easy to correct. To eliminate this problem, antispasmodics, sedatives and adaptogens can be used.

Other methods of therapy are selected exclusively by the doctor on an individual basis. Self-medication is not indicated, since urinary retention in the absence of adequate correction can be complicated by acute renal failure, acute pyelonephritis, acute cystitis, gross hematuria, etc.

Folk remedies

For many men suffering from urinary retention, not only medicines, but also traditional medicine methods can be useful. So healers advise patients with such a problem to use birch leaves, the medicinal properties of which improve the condition with urine diversion. Thirty grams of crushed and dried vegetable raw materials, brew a liter of boiling white wine. Boil this mixture for a quarter of an hour under the lid, then let it cool and strain. Sweeten the finished medicine with honey and drink it in a third of a glass three times a day about an hour after a meal.

Even patients with urinary retention may need a medicine that can be prepared from rose hips - its tincture. In this case, it is worth using the fruits of this plant - chop them well and remove the bones from the raw materials obtained. Fill a glass bottle halfway with rose hips, and then fill it to the top with vodka. Leave the medicine to infuse in a dark place for one week. Do not forget to shake the prepared tincture from time to time. Take ten drops of it, dissolving this amount in a tablespoon of water. Take it twice a day shortly before meals.

The feasibility of using traditional medicine should be discussed with your doctor.