If there is no urination, then which organs are tied. Urinary retention in men: causes and treatment

These problems, when urination is accompanied by frequent urges, urine accumulates in the bladder and is excreted in small portions, sometimes drops and a thin stream, and also when it comes out with difficulty, creating some inconvenience and discomfort, or causing pain, have names.

Dysuria.

This is a systemic disease that is accompanied by difficulty urinating for various reasons.

For example, in women, uterine fibroids can compress the urethra, creating certain inconveniences. Urine, with large fibroids, usually leaves in small portions, which is not always accompanied by pain - more discomfort.

In men, prostate adenoma, infection of the prostate, enlarged prostate (hyperplasia), prostate cancer prevents the timely discharge of urine.
Some pills can make it easier to urinate.
For example, tamsulosin, also sold under the names hyperprost, omnic, revocain, are highly selective alpha-A1 blockers; avodart, alfinal, prosterid, zerlon, finast - 5-alpha reductase enzyme blockers; prostamol, prostagut, prostaplant - preparations of plant origin.

All drugs are of different groups, many have contraindications.

How palm oil is hidden in food

Kidney diseases such as nephritis, nephrosis, pyelonephritis and kidney stones (urolithiasis) can be accompanied by difficulty urinating, also called hesitant urination.

Infections and infectious diseases can also make their own adjustments to the process of urination. For example, syphilis, genital herpes, other genitourinary and urogenital infections and concomitant inflammation of the lower urinary tract.

Hypothermia, sitting on cold objects and subsequent inflammation of the bladder (cystitis, acute cystitis), tuberculous cystitis is accompanied by difficulty urinating and pain.

Bladder stones make themselves felt at the time of physical exertion, in a calm state, they are rarely active.

Irritation of the lower urinary tract, for example from the use of poor-quality cosmetics (care products, cleansers) can cause symptoms similar to cystitis and be accompanied by painful urination.

Autoimmune diseases, especially diseases of the nervous system, can lead to uncontrollable urination, ranging from involuntary to difficult. If a person began to be disturbed by frequent urge to urinate, and little urine is released, if there are signs characteristic of diseases of the nervous system (weakness, uncertainty, unsteady gait, unruly arms and legs or one part of the body, poor vision), it is necessary to take appropriate tests and be checked . Many bladder problems that are attributed to cystitis are the result of other, more serious diseases. For example, multiple sclerosis.

Violation of cerebral circulation, all disorders in the brain may be accompanied by problems with urination.

Injuries to the spine, injuries to the kidneys and bladder can also explain why urination is difficult or accompanied by pain.

Diseases of the endocrine system, such as diabetes, hypothyroidism, can complicate the process of urination.
More about diabetes.
Diabetes is a good incentive to carefully check your blood for an excess of iron in the body. Many people with iron overload (hemochromatosis) often have an enlarged liver, most have an enlarged spleen, and nearly all have been diagnosed with diabetes. All other endocrine glands are disrupted, including: thyroid gland, pituitary gland, epiphysis, adrenal glands, gonads -

Violations of sexual life (long-term abstinence, for example) affect everyone differently, for some they are quite noticeable and even cause physical pain.

Diseases of organs adjacent to the bladder: intestines, uterus, enlargement and tumor / inflammatory processes in them, put pressure on the bladder, almost always make it difficult to urinate.

Difficulty urinating always has its reasons. The feeling that urination is delayed, the bladder is not completely emptied, part of the urine is retained, and certain efforts must be made to remove it, always cause some kind of dissatisfaction, which is difficult to get used to.

To help yourself and not experience discomfort, you need to know the reasons why urination is difficult.

Urinary retention and poor urination are not so safe, although they do not die from this, but you definitely need to know the reason. But when there is a complete inability to urinate, when the kidneys are practically failing, you must immediately consult a doctor.

For those who do not have any identified diseases, and with a large intake of water / liquid urine, little is excreted, you can use products and consume products that have a diuretic effect. These are milk, coffee, all foods rich in potassium. It is also important to know that magnesium is responsible for the distribution of potassium and sodium, so it should also be in the diet. There are safe natural remedies, foods that increase urination, facilitate the process of urination - www.site/all_question/wayoflive/zdorove/2012/October/48431/146250

Why is the smell of urine sharp and unpleasant -

Vitamin B6 (pyridoxine) is a powerful, safer diuretic. It is sold in tablets and injections. A doctor prescribes, but doctors do not consider this vitamin as a treatment, although B6 does not just drive fluid out of the body, but rejuvenates it.

It is the inability to empty the bladder. With chronic urinary retention, when you want to urinate, you may have a problem with an adequate fullness of the stream or bladder emptying. You may also experience frequent urination or a feeling of incomplete emptying of the bladder. In this case, one way or another, urination is preserved and the outflow of urine occurs. In the case of acute urinary retention, you cannot urinate at all, even though your bladder is full. The presence of chronic urinary retention, in addition to discomfort, also leads to serious disorders of the whole organism.

It occurs at any age, both in men and women, but men over 50 years of age are most susceptible to this problem, the cause of this is a disease - benign prostatic hyperplasia or prostate adenoma. A woman may experience urinary retention when her bladder sags due to weakness in the pelvic floor muscles of the diaphragm and moves out of its normal position through the vagina, a condition called a cystocele. By analogy with a cystocele, a rectocele can also form (in case of sagging of the large intestine), which can also cause urinary retention. Diseases associated with weakness of the pelvic floor muscles are more common in people older than 40-50 years. The function of normal urination may be impaired in individuals with damage to the nerves that conduct nerve impulses that provide the urge to urinate.

What is the urinary tract?

The urinary tract is made up of organs and tissues that work together to form, store, and drain urine from the body. The upper urinary tract includes the kidneys, which filter and remove excess fluid and waste from the blood, and the ureters, which transport urine from the kidneys to the lower urinary tract. The lower urinary tract is represented by the bladder. The bladder is a muscular fibrous reservoir that serves as a reservoir for storing urine. From the bladder, urine enters the urethra. Normally, the bladder holds 250-350 ml of urine. And the time between urges to urinate is from 2 to 5 hours, depending on the fluid you drink.

Spontaneous outflow of urine from the bladder is prevented by circular muscles, which are located on the border with the bladder and urethra. These muscle fibers are called the bladder sphincter. The sphincter tightly closes the walls of the urethra, thereby preventing the spontaneous outflow of urine.

The walls of the bladder contain special nerve receptors that signal the need to urinate if it is full. The first urge to urinate occurs when the bladder is filled up to 150-200 ml, then, if you do not urinate, the sensation may become somewhat dull. The second more pronounced urge occurs when urine is filled up to 300-350 ml. As urine accumulates in the bladder, the urge becomes stronger. This sensation is provided to us by a complex reflex arc, and all the links of this chain act as one mechanism.

During urination, the brain signals the sphincter muscles to relax while the bladder muscles contract. The combination of the normal functioning of the bladder sphincter muscles and the muscles of the bladder allows urine to flow freely through the urethra when you want it to.

What are the causes of urinary retention?

Urinary retention may be due to mechanical disorders, the so-called. obstruction of the urinary tract or functional disorders at the level of nerve fibers. The lack of normal activity on the part of the nervous system leads to the fact that the sphincter muscles work inadequately (relaxed or tense), which is manifested by incontinence or urinary retention, and disorders of the nervous system can lead to a lack of urge to urinate or normal contraction of the bladder.

Nervous disease or spinal cord injury

Some conditions can cause damage to nerves and nerve pathways. Some of the most common reasons are:

natural childbirth
infections of the brain or spinal cord
diabetes
stroke
brain or spinal cord injury
multiple sclerosis
heavy metal poisoning
pelvic injuries
congenital neurogenic disorders of the detrusor-sphinter apparatus of the bladder (appear in childhood)

Urinary retention due to prostate enlargement

As a man gets older, his prostate gland may increase in size, a condition called benign prostatic hyperplasia (BPH), benign prostatic hypertrophy, or prostate adenoma.

Enlargement of the prostate occurs both to the sides and inward towards the urethra. To make this process easier to understand, we can draw an analogy with some kind of fruit. For example, if you do not pick an apple from a tree and make a through hole in it, then the whole apple will look like a prostate, and the hole will look like a urethra (urethra). If you leave the apple to ripen for several weeks, then the apple will increase in size, while the channel inside will become narrower. A similar process occurs with the prostate and the canal within it. The hyperplastic lobes of the gland compress the canal more and more as the man grows older. As a result, compensatory mechanisms are activated - the muscles of the bladder are forced to strain with great effort to expel urine. However, over time, decompensation of the muscles of the bladder occurs, and they are no longer able to contract normally, which is manifested by symptoms of urinary retention.

Urinary retention due to urinary tract infection

The infection causes swelling, irritation, or inflammation of the tissues. Urinary tract infections (UTIs) can cause urinary retention if the urethra becomes inflamed and the bladder sphincter swells.

Urinary retention while taking medication

There are drugs that are prescribed to slow down the transmission of nerve impulses. A side effect of some is urinary retention.

Drugs that can cause urinary retention:

antihistamines to treat allergies
fexofenadine
diphenhydramine
chlorpheniramine
cetirizine
anticholinergic/antispasmodic drugs for relief of abdominal cramps, muscle spasms
hyoscyamine
oxybutynin
tolterodine
propaneline
tricyclic antidepressants to treat anxiety and depression
imipramine
amitriptyline
nortriptyline
doxepin

Urinary retention with bladder stone

A stone in the bladder often causes urinary retention. In this case, you will have a sudden stop of the stream, since a stone floating freely in the bladder does not always block the outflow of urine. The reason for the formation of a stone in the bladder may in turn be urinary retention (usually chronic). The presence of a stone in the bladder is associated with the appearance of frequent recurrent cystitis, which in turn leads to swelling of the bladder mucosa, including its neck, which in turn further aggravates the normal outflow of urine.

A cystocele occurs when the wall between a woman's bladder and her vagina weakens, causing the bladder to sag and even protrude through the vagina. On the part of the act of urination, this condition is accompanied by urinary incontinence or urinary retention.

Urinary retention with urethral stricture

Urethral stricture is a narrowing of the lumen of the urethra as a result of a scarring process due to an infection, injury, or surgery. This pathology is more common in men.

What are the symptoms of urinary retention?

Acute urinary retention causes severe discomfort and acute pain in the place where the blockage of the urinary tract occurred. You feel an irresistible urge to urinate, but it is not possible to do so. The lower abdomen is tense and painful when touched.

Chronic urinary retention does not cause severe discomfort or pain in the womb, but this feeling is constant and debilitating. Difficulty initiating urination is present, and it often occurs after tensing the abdominal muscles or with manual pressure on the lower abdomen. After the start of urination, the urine stream is weak and may be interrupted. After urination, there is often a feeling of incomplete emptying of the bladder, which necessitates a second attempt to urinate after a short period of time. In addition to functional disorders, a number of psychological problems and complexes develop, associated with the need to urinate frequently and for a long time.

What examinations are carried out with urinary retention?

After a detailed conversation with you, the doctor will prescribe a series of tests and examinations to establish the correct diagnosis.

If you are a man older than 40, your doctor will suspect an enlarged prostate due to the growth of an adenoma. This disease occurs in 50% of men over 50 years of age. That is, every second man over 50 is diagnosed to some extent with an increase in prostate adenoma.

From laboratory tests, the doctor will prescribe clinical and biochemical blood and urine tests, PSA (if you are a man over 40 years old). The operation will require additional tests.

Conducted instrumental examinations include:

Ultrasound examination of the bladder with the determination of residual urine after urination. Therefore, before this procedure, it is necessary to have at least 200 ml of urine in the bladder.
An ultrasound examination of the prostate gland is performed to determine the size, shape, consistency, confirmation or exclusion of prostate adenoma and other pathologies.
urodynamic tests. There are a large number of urodynamic tests that allow you to determine the speed of urination, the contractility of the sphincter and bladder, the amount of residual urine, determine the level of damage to nerve fibers, etc. Urodynamic tests allow you to find out the cause of urinary retention and its severity. Without a urodynamic examination, it is not possible to make a correct diagnosis, and, accordingly, the correct treatment.
If necessary, cystoscopy, X-ray studies, etc. are performed.

Urinary retention treatment

In acute urinary retention, treatment begins with drainage of the bladder using a urinary catheter. A flexible catheter is inserted into the bladder through the urethra. However, placement of a catheter is not always possible. Then there is a need to install a special drainage system in the form of a cystostomy. The cystostomy is a thin tube that is placed 2 cm above the pubic symphysis.

In the case of chronic urinary retention, treatment is carried out depending on the cause of the disease.

Treatment of urinary retention in cystocele and rectocele

In women, when the bladder is prolapsed and protruded, an operation called colpopexy is performed. This operation is performed from a small incision on the anterior wall of the vagina. This technique is possible with the use of a special prolene network, which in the future will play a supporting role for the bladder and uterus.

Treatment of urinary retention in urethral stricture

In general, there are two ways to treat urethral strictures: endoscopic and open surgery. The choice of treatment method depends on the length of the stricture and its location. We do not recommend bougienage of the urethra, as this leads to scarring of the urethra and only reduces the chances of successful treatment.

Treatment of urinary retention in prostate adenoma

Depending on the stage of the disease, the size of the prostate, and your age, your doctor will recommend medical or surgical treatment.

There are a large number of drugs, among which alpha-blockers and 5-alpha reductase inhibitors have the greatest effectiveness against prostate adenoma.

To date, this type of treatment is the "gold standard" for the treatment of prostate adenoma.

The article is informational. For any health problems - do not self-diagnose and consult a doctor!

V.A. Shaderkina - urologist, oncologist, scientific editor

Violation of the outflow of urine, the inability to empty the bladder leads to ischuria - urinary retention occurs in men, the causes and treatment of which should be determined by the doctor.

Urinary system disorders are common, especially in older men. Difficulty in the outflow of urine leads to pain and discomfort, worsens the general well-being of a person. The disease is fraught with complications, in the absence of treatment it passes from an acute form to a chronic one, obstruction of the ureter becomes a permanent phenomenon.

Difficulties in the natural outflow of urine occur suddenly, and this is not related to the work of the kidneys. The overfilled bladder begins to put pressure on the walls of the groin, bursting it. Perhaps a sharp increase in temperature, nausea, vomiting, headache, weakness throughout the body, pain on palpation in the groin area, an increase in its size. If these symptoms are present, urinary retention can be considered an exacerbation of the underlying disease, and you need to urgently empty your bladder with a catheter and consult a doctor. Otherwise, this condition can lead to complications:

peritonitis;
urogenic sepsis;
renal colic, insufficiency;
rupture of the bladder with leakage of the urethra into the abdominal cavity.

Most often, the pathology develops with a reduced rate of urine outflow, with a PSA value above the norm of 2.5 ng / ml, with a prostate volume of more than 40 ml.

In the event of acute urinary retention, as an emergency, urine should be urgently removed with a soft or metal catheter, call an ambulance, in case of severe pain, put a warm heating pad on the groin area or take a bath.

Urination becomes rare, painful, with insufficient emptying of the bladder in a man with:

urolithiasis as a result of blockage of the urinary tract;
narrowing of the foreskin;
existing hematomas, aneurysms in the pelvic area;
infectious diseases;
inflammation of the prostate, the foreskin of the head of the penis;
injury to the urethra or bladder.

Additional symptoms may include:

bleeding, discharge of blood clots;
, prostate gland, in other organs in the pelvic area;
congenital irregular structurethat prevents the outflow of urine;
inflammation, damage to the urethra, which led to a narrowing of the lumen in it;
prostate adenoma, which is considered the most common disease in men.

It can be neurogenic in nature and appear when:

multiple sclerosis;
injuries of the spinal cord, brain;
severe intoxication with alcohol, drugs, in case of an overdose of sleeping pills;
hypothermia of the body;
severe and frequent stress;
inability to empty the bladder in a timely manner due, for example, to the lack of a toilet (urinary retention becomes arbitrary over time).

Often interfere with urination if a man has:

prostatitis;
stones in the bladder or urethra;
prostate adenomas;
phimosis;
tumors;
prostate cancer;
diseases of the central nervous system in the form of injuries in the spinal cord or brain.

An acute condition associated with a delay in emptying the bladder is possible if a person is intoxicated with alcohol, under stress, hysteria, after undergoing operations on the rectum, perineum, as a result of a man’s prolonged stay in bed, as well as drug intoxication.

Possible causes of difficulty urinating

Sudden interruption, or acute urinary retention, is most often observed with prostate adenoma in men over the age of 60-65 years. Also with a sedentary lifestyle, frequent diarrhea or constipation, when the gland experiences a strong rush of blood. The delay is characteristic of prostate adenoma: urine does not pass completely, painfully, with blood, the patient has a fever, the temperature rises. Pelvic fractures, urethral injuries also provoke urinary retention.

Acute urinary retention in men can have a peculiar form: first, urine departs, then suddenly interrupts, while the bladder remains not completely empty. This is a clear symptom that there are stones in the bladder that block the opening of the urethra or urinary canal. When the position of the patient changes, urination can be adjusted and continued. If urinary retention becomes a constant phenomenon, the muscular walls of the bladder and sphincter are gradually stretched, involuntary discharge of urine is possible in droplets, in small portions.

Acute urinary retention is accompanied by pain in the groin, pain during urine outflow, urge. It is necessary to carry out with the help of a rubber catheter and treat the disease based on the diagnosis, identifying the initial causes that led to such a disease.

Treatment Methods

As already mentioned, the underlying disease that the patient has leads to urinary retention. Men need to undergo a thorough examination. After making a diagnosis, the doctor will select a treatment, prescribe anti-inflammatory, antibacterial drugs. The introduced catheter minimizes the acute course of the disease, alleviates the patient's condition. But this manipulation is one-time, then you need to eliminate the underlying disease through drug treatment. Additionally, treatment can be carried out with folk remedies.

If the outflow of urine is disturbed for mechanical reasons, surgical intervention is possible. If the disease is associated with inflammatory infectious processes in the body, antibiotics, sulfonamides are prescribed.

It is possible to sew a special implant to the wall of the bladder, which will become a stimulator for normal muscle contraction, which will improve the outflow of urine, make it regular and complete.

Folk remedies

Folk remedies are not able to cure the underlying disease, but serve only as an addition to drug therapy, are able to relieve unpleasant painful symptoms, and alleviate the general condition of the patient. It is useful to take tea rose fruits infused with alcohol, decoctions of juniper bark, rosehip infusion for alcohol, walnut shells ground into powder or infused with alcohol. Before self-treatment, it is better to first consult a doctor, otherwise you can aggravate the situation without knowing the real cause of the disease.

Urinary retention is a consequence of another pathology that develops in the body, to detect and identify which in a timely manner means to get rid of side symptoms in the form of a delay, a painful condition of the urethra.

It will help in alleviating the symptoms if the fruits of the tea rose are poured with water or alcohol, insisted for several days before acquiring a straw-yellow hue. Take this remedy should be 10 drops 2 times a day, after diluting the composition with a small amount of water.

You can grind the bark, walnut leaves into powder, take 8-10 g 2-3 times a day with warm boiled water.

You can grind dry birch leaves, pour dry white wine (1 l), boil the mixture for 20-25 minutes, then cool and strain. Add 3 tbsp. l. honey, take 3 times a day after meals for 1/3 cup.

It will help if you grind the rose hips, put them halfway in a glass bottle, pour vodka, keep for 7 days in a dark place, shaking occasionally. The finished tincture should acquire a light brown hue, you need to take it 10 drops 2-3 times a day, 1 tbsp. l. half an hour before meals.

In the acute phase, with urinary retention, duckweed in a powdered state helps well. Take 3 times a day before meals, 1 tbsp. l., drinking water.

Urinary retention in men requires a diagnosis of the entire genitourinary system. Urine is taken for analysis by removing it from the bladder through a catheter, blood for the presence or exclusion of infection in the urethra, ultrasound of the ureter and bladder in case of weakened muscles, CT, MRI for nervous disorders of the spine or brain. Perhaps the doctor will prescribe a cystomy by a small puncture over the bladder and the introduction of a rubber tube to ensure a full outflow of urine, or the introduction of novocaine, proserpine, pilocarpine into the urethra.

Treatment of urinary retention, or ischuria, should be carried out by competent specialists who are able to choose the right methods for resuming the outflow of urine and getting rid of problems associated with urination.

The impossibility of emptying the urea (ischuria) is observed in various pathologies of the genitourinary system in men. In this case, a person cannot empty the bladder when it is full. Against the background of this condition, intense urge to urinate persists. Acute retention of urine requires urgent care, as it leads to life-threatening consequences. Our article will describe the causes and treatment of urinary retention in men. In addition, we will tell you what to do with urinary retention in men at home.

Why does urinary retention occur in men?

The causes of urinary retention in men are divided into two groups:

associated with mechanical obstacles;
and those that arise due to failures in the nervous regulation.

Mechanical obstacles due to which urine does not leave a man are:

malignant and benign neoplasms of the prostate;
urinary tract injury;
stones in the urea and urethra;
urethral stricture;
tumors of the urethra;
neoplasms in the rectum that compress the urinary canal;
phimosis, due to which the head of the organ does not open completely;
intrauterine anomalies in the formation of the urethra (valve pathology or growth of the seminal tubercle);
infectious lesions of the genitourinary system, leading to a narrowing of the urethra and a sharp swelling.

Among the causes associated with violations of nervous regulation, it is worth mentioning the following:

various neoplasms in the brain and spinal cord;
spinal cord injury;
a disease in which the sheaths of nerve cells are destroyed.

Important! Some drugs can delay the transmission of nerve impulses, which causes ischuria.

In addition, temporary inhibition of the central nervous system and urinary retention occur against the background of:

stress;
alcohol consumption in large quantities;
after operations in the pelvic area, as well as the abdominal cavity;
with prolonged immobility (for example, in bedridden patients).

Types and forms of the disease

Urinary retention is divided into several varieties:

Acute ischuria appears unexpectedly and develops rapidly (literally in a few hours). The patient feels pain in the lower abdomen. Against the background of a strong urge to empty the urea, urine cannot leave.
Chronic ischuria. With this form of the disease, urine goes badly in men, that is, a person carries out the process of urination, but after it a certain amount of physiological fluid always remains in the urea, which should not be normal. With this form of the disease there is no acute urge to empty.
Paradoxical urinary retention in men. This form is characterized by the fact that urinary retention in men is absent, but when the bladder is full, urinary incontinence occurs. This pathology occurs due to overstretching of the valve in the urethra.

Characteristic symptoms

If urine does not flow in men, they decide what to do only after they distinguish anuria from ischuria. In the first case, urine simply does not accumulate in the bladder, so the patient does not have the opportunity to urinate.

The symptoms of acute ischuria are as follows:

sharp discomfort and pain in the area of obstruction of the urinary canal;
a person feels a strong desire to urinate, but cannot do it;
the abdomen in the lower part becomes sharply tense and painful when touched.

Chronic ischuria is accompanied by the following clinical manifestations:

the man has neither pain nor intense urge to empty the urea;
however, there is constant discomfort in this area;
the process of urination is somewhat difficult, for its implementation the patient has to strongly strain the press (in some cases even put pressure on the lower abdomen so that urine begins to drain);
weak intermittent stream of urine;
after emptying, there is no feeling of complete emptying of the urea and there is a repeated desire to urinate.

If at least one symptom appears, you need to consult a doctor to establish the cause of ischuria and start treatment on time.

Methods of drug treatment

If a man’s urine does not pass well, only an experienced urologist will tell you what to do. In acute ischuria, surgical treatment is indicated if the pathology is caused by mechanical obstacles. If the cause of the disease lies in inflammatory processes, then the pathology will be treated with antibiotics, sulfonamides and drugs for symptomatic therapy.

For acute ischuria at home while waiting for an ambulance, try to relax the muscles of the urinary tract as follows:

put a rectal suppository with no-shpa or papaverine;
use a warm shower on the lower abdomen;
in some cases, a regular cleansing enema helps.

In acute ischuria in a hospital setting, they will definitely do urea catheterization. To do this, a flexible catheter is inserted through the urethra into the urethra. Through it, stagnant urine is easily excreted. If the catheter cannot be inserted, a special drainage with a thinner tube is installed. After the restoration of the outflow of urine, the pathology that led to this dangerous condition is treated.

Treatment of the chronic form of ischuria depends on the cause of the pathology. Sometimes endoscopic examination is performed to make an accurate diagnosis. Often, surgery is required to remove the mechanical obstruction.

Folk remedies for treatment

In a situation where urine goes badly in men, traditional medicine will tell you what to do:

On the lower abdomen, every knock for a couple of hours, compresses are made with onions (only raw).
Under the back for ¾ hours put a sheet soaked in water and wrung out, folding it several times. Then for an hour make the same compress on the abdomen. In the first days, the procedure is carried out twice, then once a day.
Inside it is useful to use a mixture of infusion on elderberry roots and grated horsetail. It is consumed in a glass a day.
½ half a liter jar is filled with seeded rose hips. Fill with vodka and infuse for 5-7 days until a mixture of a light brownish tint is obtained. Take twice 5-10 k, diluting them in 15 ml of water.
Juice is squeezed out of freshly grated celery roots and consumed 5-10 ml three times ½ hour before meals.
To improve the outflow of urine, it is useful to chew fresh juniper berries.
Good medicine is prepared from chicory. To do this, 5 g of grass is poured with boiling water (0.2 l). After insisting, sugar is added. Take ½ serving before meals.

Attention! Juniper fruits are forbidden to be used in acute inflammatory renal pathologies.

With ischuria, the following medicine is prepared: 2-3 g of crushed birch buds and dill seeds are poured with boiling water (0.4 l). Infuse for 1.5 hours and filter. Take a sip every half hour. One glass of the drug is drunk during the day.
15 grams of May lily of the valley flowers are poured with boiling water (0.2 l). Use 10 ml three times a day.
You will need rhizomes and burnet roots. 15 g of raw materials are poured with boiling water (0.28 l). Boil ½ hour and insist 2 hours. After filtering, take 15 ml 5 r / day before meals.

Means based on burnet are contraindicated in pregnancy.

The following medicine will also help. 15 grams of cloudberry leaves are poured with boiling water (0.23 l). Let it brew for half an hour and filter. Take ¼ cup four times a day. In addition, it is useful to drink tea from dried blackcurrant fruits. 15 g of raw materials are brewed with boiling water (a glass), like tea, and they drink ½ cup three times.

In the office of a urologist, it is not uncommon for patients to complain that urine does not completely come out. Moreover, both women and men can suffer from such a nuisance. Doctors call this phenomenon residual urine - the liquid remaining in the body, despite the efforts of a person to completely empty. At the same time, 50 ml is already considered a significant volume, although in especially severe cases, “unnecessary weight” reaches the limit of several liters.

Symptoms

Not surprisingly, the main complaint of people with this disorder indicates incomplete emptying of the bladder. There may be several reasons for concern: a weak “signal” to go to the toilet, a process that stretches over several stages, as well as muscle tension and effort to ensure that the desired act takes place. At the same time, patients may not feel any other discomfort. But doctors are sure that even these seemingly minor problems should be the reason for a visit to the clinic. After all, they lead to a number of severe and serious complications.

Chronic provokes impaired functioning of the kidneys - this is easy to detect thanks to isotope renography. As a result, pyelonephritis, diverticula, cystitis, or any other disease develop. If a person has chills, high fever, and severe back pain, doctors may suspect urosepsis. In the body, it can proceed in a malignant form, as evidenced by toxic changes in the blood - high leukocytosis, for example.

Most Common Causes

Based on the above facts, we can draw an absolutely logical conclusion: urine does not completely leave the bladder when the body "eats" a disease - chronic or acute. There are many factors leading to the problem:

Mechanical causes - diseases of the genitourinary system and kidney infections. For example, trauma to these organs, the presence of tumor formations on them, as well as prostate cancer, adenoma, phimosis, the presence of stones.
Diseases of the nervous system: injuries of the spinal cord or brain, tumors, myelitis, and so on.
Drug intoxication. It is diagnosed when the patient has been taking narcotic drugs or sleeping pills for a long time.

The most common cause of urinary retention in men is adenoma. The problem arises when the blood rushes strongly to this organ. The acute form is caused by severe hypothermia, alcohol abuse, a sedentary lifestyle and disorders of the digestive tract.

Some more factors...

But these are far from all the reasons that people complain about when they notice residual urine and pain when emptying the bladder. It happens that the problem occurs against the background of a fracture of the pelvic bones and trauma to the urethra - in most cases in the stronger sex. Less often, such discomfort is a consequence of a disorder in the nervous regulation of the muscular membrane of the bladder or the defective work of the sphincters of this organ. It can lead to hemorrhages in the spinal cord, compression of the vertebrae, etc.

Often has a reflex character. That is, it is observed in a person in the first few days after he underwent a surgical operation on the pelvic organs or suffered from the influence of severe stress. Sometimes the disease is diagnosed in absolutely healthy people who regularly drink alcohol. Alcoholics develop atony of the bladder muscle - weakening of the walls of the bladder, as a result of which the patient cannot fully control the act of emptying.

Varieties of urinary retention

This disorder can be of two types. When urine does not completely exit the bladder, doctors diagnose complete or incomplete retention. The first involves the desire of the patient to go to the toilet, in which the body cannot excrete even a drop of liquid. For such people, urine has been released artificially from the organ for years - through a catheter. With a partial release of the liquid, they say that the act began, but for some reason it was not completed to the end. Usually, trouble occurs against the background of the above diseases. As soon as the problem is eliminated, the process will be restored. If the necessary measures are not taken in time, the delay can become chronic.

Frequent emptying of the bladder without its final emptying leads to stretching of the walls of the organ. This, in turn, provokes the appearance of another trouble - the inability to keep fluid in the middle of the body. At first, a person loses a few drops, after some time he is not able to fully control the process - urination occurs anywhere under different conditions. This phenomenon is called paradoxical ischuria.

Other forms

A disorder called "residual urine" is sometimes associated with rather unusual factors. For example, there is a peculiar form of delay, which is characterized by a sudden interruption of the process with the opportunity to continue it. The patient begins to empty normally, but the act suddenly stops. Often the cause is a stone in the ureter. When the position of the body changes, the manipulation is resumed. Doctors say that some patients with urolithiasis can go to the toilet in only one position - sitting, squatting, sideways.

Delayed emptying may be accompanied by hematuria - the presence of blood in the fluid. Sometimes it can be seen with the naked eye: urine acquires a pinkish or brown tint. If the presence of blood is too small to notice, the liquid is taken for analysis, where it is analyzed under a microscope and conclusions are drawn. By the way, experienced urologists can detect urinary retention even during a routine examination. In such patients, swelling is felt in the lower abdomen, provoked by the presence of an incompletely empty bladder.

How to help the patient?

If urine does not completely exit the bladder, a person needs urgent medical advice. An acute form of organ dysfunction requires emergency care. Usually such people insert a catheter for normal emptying. For these purposes, the outer opening of the channel is treated and disinfected, after which a rubber tube generously moistened with petroleum jelly or glycerin is carefully inserted into it. The tweezers regulate the movement of the catheter, securing it in the urethra. The procedure is carried out progressively - 2 centimeters each, without haste and sudden movements.

If the cause of the patient's problem is urolithiasis or prostatitis, then the manipulation is not carried out. In these cases, the presence of a rubber tube in the organ can lead to serious complications. The catheter may be placed permanently. In this case, the urologist performs the procedure, prescribing antibiotics after it to avoid the development of inflammatory processes. A temporary rubber tube can be inserted by the patient himself immediately before the act of emptying. But before that, he should consult a doctor.

Treatment

The feeling of incomplete emptying of the bladder is quite unpleasant. To get rid of it forever, you must first remove the cause that caused the problem. Get a complete examination by a qualified urologist. After consulting, if necessary, with a nephrologist, gynecologist and oncologist, he diagnoses the disease and takes measures to treat it. Oddly enough, the most difficult to heal reflex delays, as they are psychological in nature. Psychotherapy sessions help here, as well as such simple manipulations as irrigation of the genitals with warm water or the operation of a water tap during urination.

Remember that incomplete emptying can be a lifelong concern. In this case, we speak of a relapse. Moreover, it occurs in cases where the patient picks up a urinary tract infection. Therefore, it is so important to take care of your health and sound the alarm at the slightest manifestation of discomfort. Self-medication is extremely dangerous and often leads to serious consequences and serious complications.