24.06.2021

Sluggish (slow) urination

Sluggish urination is a very common pathology in urological field. Such as sluggish or difficult urination is not an independent disease, and is excreted in the form of the symptom of any diseases of the genitourinary system.

Sluggish urination in men is much more than women in connection with the peculiarities of the structure and functioning of the urinary tract. So, male length urethral channel 3-4 times longer than women and an average of 18-25 see the Urethral canal in males is agile and has a smaller diameter in comparison with the female. And performs not only the urinary function but also reproductive.

In the male urethra can be divided into 3 zones corresponding to the tissue located in the vicinity of the urethra. Release: prostatic, membranous and spongy part of the urethral tract, in women, the prostate and membranous part absent. Knowing the anatomical features of the genitourinary system in men and women, it is much easier to understand what is a violation of urination.

Difficulties with urination

Sluggish urination, when the jet is weak, in the field of urologists called stranguria, i.e., difficult urination. This symptom may occur under a wide variety of diseases sometimes are not associated with the genitourinary system. The presence of difficult urination has nothing to do with the age of the patient and is quite common in young people.

Sluggish urination can be varied, so in some cases, difficult urination accompanied by significant discomfort, sometimes there is no pressure and urine is very bad for this man you have to strain to carry out the urination. Often patients report that they find it difficult to urinate because of too frequent urination, and a one-time urine samples are very small. Strangury serious symptom. You want to start fighting immediately, because he can talk about how easy pathology and serious illness.

The presence of stranguria is a significant reason to consult a qualified professional for medical care. We’ll talk in more detail about the most common reasons that can cause sluggish urination in men and women.

A comparison of male and female urethral channel

Reasons sluggish urination

As sluggish urination only symptom of any disease, we can distinguish three main groups of reasons leading to stranguria: mechanical, inflammatory, neurological. Each of the reasons have to drill down to obtain a holistic picture about the pathology of urination.

Mechanical

Such reasons are directly related to a violation of the lumen of the urethral channel, leading to expectoration of urine. Narrowing of the urethra can be due to past inflammatory disease – urethritis, cystitis or gonorrheal infection. At an older age come first diseases associated with the presence of tumors. In most cases, dominated by benign hyperplasia of the prostate tissue, but it is necessary to exclude cancer of the urethra and prostate gland.

The tumor may compress the urethra and almost completely block the urethral canal, and for urination men have to be significant efforts in this way when the pressure inside the urethra is impossible to carry out the discharge of urine.

In 70% of cases in men older than 50 years to the development of weakness of the urinary tract causes BPH. For less common diseases, but having a place to be, is urolithiasis.

Inflammation

Almost any inflammatory disease involving the pelvic organs, leads to disruption of urination of different severity. In this group the ratio of men and women is approximately equal, and the age ranges from 20 to 45 years. Inflammatory diseases of the urinary system often affect young people, sexually active, which greatly increases the risk of sexually transmitted diseases.

Purulent-inflammatory diseases of the external and internal genitalia accompanied by swelling of the mucous membrane of the urethra and its surrounding tissues, which leads to a narrowing of the lumen of the urethral canal and difficulty urinating. Sluggish stream in bacterial infection is accompanied by discomfort like stinging or itching and even pain.
Cystitis in women can occur sluggish urination

Neurological diseases

Neurological disease in which flaccid urination are less common than in the other two groups. Disorders neurological in nature can develop due to metabolic disorders associated with diabetes or as a result of injuries of the urinary organs, in which there is damage to the nerve fibers of external and internal genital organs. The violation of innervation of the sphincters and smooth muscle fibers of the urethra causing a slow and painful urination due to spasm of the internal sphincter of the bladder.

Diseases associated with a sluggish urination

Almost always sluggish urination associated with serious pathological conditions occurring in the field of external and internal genital organs.

A common cause of difficult urination it becomes enlarged prostate gland. The urethral canal passes through the entire thickness of the prostate and this part is called the prostatic. In benign hyperplasia of the prostate occurs tissue growth cancer and a significant narrowing of the lumen of the urethra. Another, more serious disease is prostate cancer. Very often the cancer has invasive growth and grows in a wall of the urethral canal, thereby narrowing the lumen.

If a man appears sluggish urination is to consult a urologist be sure!

In second place after the prostate is prostate inflammation – prostatitis. If prostatitis is severe swelling of the prostate gland, it increases significantly in size and going through a lumen of the urinary tract. Typically, a violation of urination occurs in acute form of prostatitis, but it is possible the occurrence and chronic course of the disease.

It is important to note that almost all sexually transmitted diseases can cause the symptom strangury.

Treatment

Medical tactics at a sluggish urination depends on the pathology that caused it, that is why it is necessary to ascertain the clinical diagnosis. A mandatory step before the diagnostic test is a conversation with the patient. The collection of data of disease history and external examination. During the initial consultation, we can already suspect which group the disease, to mechanical, inflammatory or nervous.

To diagnose a sluggish urination uses a standard complex of diagnostic examinations, which includes:

  • Ultrasound diagnosis of external and internal genitals and pelvic organs. In some cases, to enhance the information content studies ultrasound diagnosis of a rectal sensor, which helps to clarify the nature of the lesion of the prostate gland;
  • Comprehensive urodynamic study;
  • Excretory urography.

Direct treatment is divided into two large groups: conservative and surgical.

Conservative treatment

Applies to all inflammatory diseases of the external and internal genital organs, and in diseases, sexually transmitted. Treatment involves a complex of measures aimed at preventing the progression of disease and the suppression of pathogenic microflora. This applies to antibacterial therapy with broad-spectrum antibiotics. To antibiotic treatment must be maintenance therapy, which uses complex vitamins, therapeutic physiotherapy on the affected area. On average, most infectious processes of the urinary tract fails to cope over 2-3 weeks.

Good support and increase the effectiveness of primary therapy is the treatment of folk remedies. Herbal renal collecting, tincture and decoction of the most popular herbs contribute to the rapid elimination of pathogenic organisms from the urethral tract, and possess a good anti-inflammatory effect. Herbal teas help reduce swelling of the tissues surrounding the urethral tract and expanding the lumen of the urethra, which improves the quality of urination.

Surgical treatment

For surgical treatment is resorted to in cases where conservative therapy is ineffective or does not help. These cases include tumor formation urinary tract BPH and malignant neoplasms. In modern medicine, techniques are developed that provide minimally invasive surgery, in particular, widespread surgery TUR – transurethral resection of the prostate.

A schematic description of a transurethral resection of the prostate

Preventive measures

To avoid this unpleasant ailment. As limp and difficulty urinating you must adhere to quite simple rules. Lead a healthy lifestyle. Follow personal hygiene to avoid the development of inflammatory diseases of the external genitalia. Use protection when having sex, especially if you are unsure about your partner, as they often cause stranguria be sexually transmitted diseases.

It is very important not to sit at home and try to fight the symptom alone, and immediately contact the specialist for advice, as strangury just a symptom that may indicate serious disease and the sooner you are examined, the more effective the treatment. Pay close attention to your body and be healthy!

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