The bladder is not completely emptied: treatment. Causes and treatment of full bladder sensation in women and men Incomplete urination in women treatment

Anatoly Shishigin

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

Normally, many different processes occur in the genitourinary system that complement each other and form the correct flow of urine. When the bladder fills, 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 muscle contraction, while the urine goes out through the ureter and the bladder is emptied.

Causes of the appearance of pathology

The feeling of an incompletely empty 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 formation in the body;
  • phimosis in males, as well as prostate adenoma;
  • benign and malignant formations in the bladder, cancerous metastases;
  • inflammatory processes in any organs of the pelvic area, in which bladder reflexes are excited;
  • abnormally small bladder size
  • hyperactivity of the excretory system;
  • damage to the innervation of the organs of the urinary system due to a 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;
  • stricture of the urethra;
  • in the elderly - due to a natural decrease in the muscle functionality of the organ.

It should be noted that such symptoms may occur due to the intake of alcoholic beverages, a long stay at 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 with 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 stones in the urethra or urethral fusion, which prevents the normal movement of urine out of the body.

Also, pathogenic factors include hypotension or atony of the bladder, in which its walls cannot contract properly. One way or another, this is due to malfunctions in the innervation of organs. There are cases when the impossibility of complete 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 prone to increase in case of fluid retention inside. In this case, the patient feels fullness in the pubic area and acute pain. The bladder with such problems cannot contract normally.

The causes include hyperactivity of the organ, as a state opposite to atony. At the same time, the muscles of the bladder are in a constant tone, which causes a person's desire to conduct frequent urination. Since there is little liquid in the reservoir, it comes out in insufficient quantities and is accompanied by sensations 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 drop. In this case, it is necessary to use catheterization;
  • incomplete retention, in which the patient is able to urinate, but there is little fluid released and the procedure is not completed.

It is also necessary to note the residual urine factor, 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 the 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 is due to the stretching of the walls of organs by a significant volume of fluid inside it. The psychological component is equally important, as the patient worries that he cannot move away from the toilet and go about his usual activities. Fatigue, aggressiveness and irritability accumulate and only aggravate the situation.

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

Cramping pains occur with urolithiasis, especially if one of the stones or its fragments moves along the urinary tract. A sediment appears in the urine, blood discharge, hematuria are possible.

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

Establishing diagnosis

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

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

Based on the data obtained, the doctor assumes an overflow of the bladder and prescribes an additional examination. Laboratory studies are required for blood and urine, blood is also examined for biochemistry and bacteriological culture.

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

Treatment Methods

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

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

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

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

Useful information
1 when urinating, the patient is advised to relax, it is important not to compress the muscles of the abdomen and bladder
2 deurination requires solitude and a quiet, comfortable place
3 when emptying the bladder should not be in a hurry
4 slight palm pressure on the area above the pubic bone may slightly reduce the sensation of soreness and facilitate successful emptying
5 the sound of flowing water also psychologically promotes urination
6 when urinating, do 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 places a catheter that can remove excess fluid and accumulated urine from the body. If urinary retention has passed into the acute phase, catheterization is done urgently. To do this, the urethra is disinfected, lubricated with glycerin or petroleum jelly in the outer hole, and a catheter is inserted. Its terminal part is inflated, due to which it is fastened.

Catheterization can not 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 is not completely emptied. 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 distinguish:

  1. True non-emptying of the bladder caused by:
    • benign prostatic hyperplasia (adenoma), which leads to compression of the urethra, a decrease in the lumen. As a result, the urge to urinate becomes more frequent, but urine is excreted drop by drop or in a thin stream;
    • prostate cancer, accompanied in patients by the feeling that the bladder is not completely emptied;
    • pathological narrowing of the internal lumen of the urethra (urethral stricture), as a result of which urination is difficult, and urine remains in the bladder;
    • sclerosis of the prostate, which occurs against the background of chronic prostatitis.
  2. False non-empty 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 a feeling that they have a constantly full bladder, because there is a constant urge to urinate;
  3. stones in the bladder;
  4. small size of the bladder;
  5. decrease / absence of contractility of the muscular membrane of the bladder (detrusor), caused by neurological lesions of the lobes of the brain or the sacral spinal cord.

What to do with a "perpetually full bladder"?

If there is a feeling that the bladder is not completely emptied, you should consult a doctor to establish the disease that causes such an unpleasant condition. To diagnose the true causes of pathology, the doctor prescribes:

  • analysis of urine and blood;
  • Ultrasound of the pelvic organs;
  • bacteriological culture to determine the 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 bladder emptying usually have a number of additional symptoms. Almost immediately after using the toilet, the patient again feels the desire to empty himself, 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 life.

Emptying the bladder is painful. The process is accompanied by a burning sensation and pain. Discomfort occurs due to an increase in the body in volume, stretching of its walls. The jet 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.

Pain can radiate to the abdominal cavity, cause fever, chills. The pain usually spreads only on one side, it is characterized as pulling. Less often, 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 as follows:

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

Women are more likely to experience a similar 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 reflex contraction.

A foreign formation, such as tumors, polyps, kidney and urinary tract stones, can cause a 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 occur due to genital herpes, postoperative or postpartum complications. Inflammation in the vagina or on the vulva has a negative effect. The infection can go into the urinary canal, microbes from the outside cannot be ruled out.

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

Prolonged stress, experienced shock can also lead to a problem.

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

Diagnostics

Timely diagnosis and treatment will help to 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 take a vaginal swab.
  • 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 provide a diagnosis. If not all aspects could be revealed, the patient is sent for an MRI and CT scan, a radioisotope examination.

Treatment

Surgery is indispensable if tumors were found in the pelvic area.

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

The gynecological cause in women is treated with anti-inflammatory drugs, antibiotics, and sometimes hormone therapy is required. Men are prescribed prostate massage.

To make the patient's life during treatment more comfortable, it is important to follow a few rules:

  1. In the process of urination, you need to relax as much as possible, tense muscles can retain fluid in the bladder.
  2. You can achieve contraction of the bladder by pressing on it with the palm of your hand.
  3. The organ will begin to contract reflexively if you turn on the water. Under the sound of flowing water, you can achieve complete liberation from the liquid.

Treatment with folk remedies

Folk remedies will help relieve inflammation in diseases of the bladder.

  • For the treatment of cystitis, horsetail, plantain and cinquefoil are mixed in a ratio of 3: 4: 3. In 1 liter of boiling water is added 1 tbsp. teaspoon dry herb mixture You need to take two glasses a day until relief comes.
  • 4 tablespoons of lingonberry leaves are poured with a liter of boiling water. You need to drink the infusion in two days. Lingonberry has not only anti-inflammatory, but also a diuretic effect.
  • For male diseases, it is recommended to use celandine. A tablespoon of dry grass is poured with 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 alleviate the condition of the prostate. The roots of the plant are dried and crushed, 100 grams of raw material is 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 has a number of symptoms that significantly impair 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. Urine passes through the pyelocaliceal system to 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 is accumulated.


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

After filling the organ, a person has the urge to remove urine. They begin with the accumulation of 150 ml of fluid. At this stage, the patient can still hold back urination. After the formation of 200-300 milliliters of urine, the act of its excretion starts reflexively.

In the presence of a full bladder, the sphincter relaxes sharply and the exit to the urethra opens. At the same time, the longitudinal fibers contract, contributing to 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 will not empty completely. This symptom is considered a sign of pathology.

Why does the bladder feel full?

The causes of incomplete emptying of the bladder are associated with both a malfunction of the genitourinary system and pathologies of other organs and systems. Most often, the sensation of incomplete urination occurs when there is inflammation in the urinary organs.

The patient may have cystitis - inflammation of the lining of the bladder. Against its background, edema of the mucosa of the organ develops, the lumen of the hole through which urine is excreted decreases. Due to the development of cystitis, fluid accumulates in the cavity of the bladder, which is why the patient develops symptoms.

Another inflammatory disease, urethritis, can also cause a feeling of urine retention in the organ cavity. Pathology is localized in the urethra. Swelling of tissues in this area prevents 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 a violation of the excretion of urine.

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 process of urination is disturbed;
  • urethral stenosis;
  • a significant decrease in the tone of the muscle tissue of the walls of the bladder;
  • constant constipation, in which feces compress the urinary organs.

When establishing the causes of discomfort, it is necessary to take into account gender characteristics. So, in women, the onset of symptoms can be caused by tissue growths in the uterus (myoma, endometriosis), as well as ovarian cysts.

The appearance of a 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);
  • instillation of urine, involuntary release of small portions of urine;
  • feeling of heaviness in the lower abdomen;
  • painful urination;
  • fever, fever, weakness;
  • dysuria - urination disorders.

These symptoms do not necessarily appear with 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 freed from urine, then this causes other disorders of the urinary system. The fluid stagnates in the cavity of the organ, 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, such as pyelonephritis, can occur.


In extremely rare cases, against the background of a weakened immune system, generalization of the infection is possible - the development of sepsis. At the same time, the patient's condition deteriorates sharply, 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, in which a clinical picture of intoxication appears - weakness, headache, a sharp increase in temperature.

The stagnation of urine is especially dangerous for pregnant women. Expectant mothers may notice incomplete emptying of the bladder, which is due to an increase in the size of the uterus. Against the background of this process, complications are rapidly developing, caused by the spread of infection throughout the body.

In addition, in the treatment of women there are certain difficulties associated with the selection of drugs. Many effective antibacterial drugs are strictly prohibited during pregnancy, as their use can adversely affect the development of the fetus.


Therefore, when symptoms of the pathology of the expectant mother appear, it is urgent to consult a specialist in order to prevent the development of serious consequences.

Other possible complications are associated with the effect of a full bladder on the organs that are located next to it. In case of violation of urine excretion, an enlarged bladder presses on them. Because of this, for example, the occurrence of constipation.

Diagnosis of the disease

If a person does not empty the bladder, you need 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 urinalysis. The analysis is one of the most informative studies in the diagnosis of diseases of the urinary system. It allows you to detect changes characteristic of certain pathologies. So, with cystitis and pyelonephritis, the content of leukocytes increases, in the case of urolithiasis - erythrocytes. The result corresponding to the norm is a reason to suspect the neurological nature of the disease;
  • bacteriological analysis. A patient's urine sample is cultured for pathogenic bacteria. For this, the material is placed in a nutrient medium and cultivated for several days. During the study, you can 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;
  • Kidney ultrasound. Instrumental examination of the urinary system allows you to assess the condition of its organs. With the help of ultrasound diagnostics, it is possible to identify pathological formations that occur in a patient with urolithiasis;
  • cystoscopy. For accurate diagnosis, endoscopic examination is used - an 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 allow you to get a layered 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, then the patient needs specific treatment. The choice of therapy is determined by the disease that caused the violations. In the presence of infectious processes (with cystitis, pyelonephritis), the patient is prescribed antibacterial agents.

The choice of a specific drug depends on the type of pathogen. It can be accurately established only after urine bakposev. Until the results of this analysis are obtained, the patient is prescribed a broad-spectrum agent, which is then replaced by a more narrowly targeted drug.


The attending physician should prescribe antibiotics. It is strictly forbidden 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 stones from the organs of the urinary system. This often requires surgery. Small growths that can easily come out naturally can be treated with non-surgical methods.

For this, the dissolution of the stone with special preparations or crushing it into fragments using special devices is used. The method of treatment is chosen by a specialist, taking into account the characteristics of the course of the disease, the characteristics of the calculus 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 drugs that restore the 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 to eliminate the symptoms, but the disease itself will continue to progress. Therefore, self-medication without following the recommendations of a doctor is fraught with serious consequences.

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

  • physical therapy, special gymnastics;
  • massage;
  • physiotherapy procedures;
  • long walks in the fresh air;
  • therapeutic diet, restriction of the use of harmful products;
  • proper drinking regimen, in some cases - limited fluid and salt intake.

Full rehabilitation ensures a quick recovery of the patient and prevents the development of complications. Preventive procedures are aimed at combating the recurrence of the disease and the transition of pathology into a chronic form.

Conclusion

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

Ignoring the symptom, prolonged lack of treatment can cause a number of serious consequences that significantly reduce the quality of life of the patient.

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 start competent therapy in time.

Why is this happening?

Pathologies of the organs of the genitourinary system are manifested 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 brings inconvenience, especially if it is not possible to empty so often.

Third.

When urinating, other symptoms of the disease may also be felt, for example, burning and pain.

In most cases, this condition is caused by the presence of urine that remains in the cavity of the organ. Obstructing factors do not allow its outflow to move 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.

In some patients, there are no obstacles to the outflow of urine, however, it is still not completely excreted from the body, and the person wants to go to the toilet all the time. 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, salpingo-oophoritis etc. Prolonged stress, shocks and nervous tension can also act as a psychological cause.

You can't let the problem run its course. After all, the constant fullness of the bladder worsens the quality of life and can have serious consequences. The urine that remains in the body is a good breeding ground for bacteria, which can provoke an inflammatory process.

Associated symptoms and types of diseases

To accurately diagnose, it is necessary to evaluate the accompanying symptoms of diseases.

Diseases of the prostate


The patient complains of pain in the lower abdomen, he has problems with erection. The stream of urine is weak and intermittent, and blood may be excreted. With a malignant tumor of the prostate, the patient loses weight, his temperature rises.

Urethritis, cystitis, pyelonephritis

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

Stones in the bladder

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

Adnexitis

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

Hypotension

Together with urination disorders, the patient has problems with the gastrointestinal tract, tension in the pelvic muscles, and pain. A person constantly feels the presence of fluid in the bladder, the very act of urination passes sluggishly and weakly. Chronic illness provokes incontinence of feces and urine.

Urethral stricture


The narrowing of the urethra does not allow the patient to carry out adequate urination. The flow of urine is weak, accompanied by a constant sensation of a full bladder. There are pains in the pelvic area and during a trip to the toilet, there is blood in the urine.

Bladder overactivity

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 urge. In some cases, urinary incontinence occurs.

Other pathologies can also cause discomfort: diabetes mellitus, sciatica, spinal cord injuries, multiple sclerosis. The feeling of a full bladder can be the result of serious illness, so if this symptom occurs, you should immediately consult a specialist.

Which doctor should I contact?

The urologist deals with the diagnosis and treatment of diseases of the genitourinary system. A woman may need an examination of the ovaries and uterus. Then the urologist will refer the patient to the gynecologist, who will take a smear from the vagina to exclude the presence of infection. A urologist is also involved in the treatment of diseases of the genital organs in men.

Don't be afraid 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 collecting an anamnesis, the doctor determines the change in the size of the bladder using palpation. He usually orders the following tests:

  • 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, the doctor can 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 for removing stones. If the disease is psychological in nature, the doctor usually prescribes sedative drugs 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 surgical intervention.

Unfortunately, even the complete elimination of unpleasant symptoms cannot guarantee that a person will not be disturbed by relapses in the future.

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