Services for Men
POOR URINARY SYSTEM
Difficulty starting or maintaining a urine stream is called urinary hesitancy.
Urinary hesitancy affects people of all ages and occurs in both sexes. However, it is most common in older men with an enlarged prostate gland. Urinary hesitancy most often develops slowly over time. You may not notice it until you are unable to urinate (called urinary retention). This causes swelling and discomfort in your bladder.
The most common cause of urinary hesitancy in older men is an, enlarged prostate. Almost all older men have some trouble with dribbling,, weak urine stream, and starting urination. Another common cause is infection of the prostate or urinary tract.
Symptoms of a possible infection include:
- Burning or pain with urination
- Frequent urination
- Cloudy urine
- Sense of urgency (strong, sudden urge to urinate)
The problem can also be caused by:
- Some medicines (such as remedies for colds and allergies, tricyclic
- antidepressants, some drugs used for incontinence, and some
- vitamins and supplements)
- Nervous system disorders
- Side effects of surgery
- Scar tissue (stricture) in the tube leading from the bladder
Steps you can take to care for yourself include:
- Keep track of your urination patterns and bring the report to your doctor.
- Apply heat to your lower abdomen (below your belly button and above the pubic bone). This is where the bladder sits. The heat relaxes muscles and aids urination.
- Massage or place light pressure over your bladder to help the bladder empty.
When to Contact a Medical Professional
Call your doctor if you notice urinary hesitancy, dribbling, or a weak urine stream.
Call your doctor right away if:
- You have a fever, vomiting, side or back pain, shaking chills, or are passing little urine for 1 to 2 days.
- You have blood in your urine, cloudy urine, a frequent or urgent need to urinate, or a discharge from the penis or vagina.
- You are unable to pass urine.
What to Expect at Your Office Visit
Your doctor will take your medical history and do an exam to look at your pelvis, rectum, abdomen, and lower back.
Your doctor may ask questions such as:
- How long have you had the problem and when did it start?
- Is it worse in the morning or at night?
- Is the force of your urine flow decreased? Do you have dribbling or leaking urine?
- Does anything help or make the problem worse?
- Do you have symptoms of an infection?
- Have you had other medical conditions or surgeries that could affect your urine flow?
- What medicines do you take?
Tests that may be performed include:
- Catheterization of the bladder to determine how much urine remains in your bladder after trying to urinate and to get urine for culture (a catheterized urine specimen)
- Transrectal ultrasound of the prostate
- Urethral swab for culture
- Urinalysis and culture
- Voiding cystourethrogram
Treatment for urinary hesitancy depends on the cause, and may include:
- Medicines to relieve the symptoms of an enlarged prostate.
- Antibiotics to treat any infection. Be sure to take all your medicine as directed.
Surgery to relieve a prostate blockage (TURP)
Now there is a minimally invasive procedure, UroLift.
The UroLift System: made by NeoTract Inc. of Pleasanton, Calif. is the first permanent implant to relieve low or blocked urine flow in men age 50 and older with an enlarged prostate. By pulling back prostate tissue that presses on the urethra, the system allows more natural urine flow. This procedure is compared to pulling back the curtains with a sash. The procedure can be done in the doctor’s office under a local anesthetic and will actually open up the urethra to allow the flow of urine and reduce the urinary symptoms of frequency of urination, improve the force and caliber of the urine stream, and, decrease the number of times a man needs to get up at night to empty his bladder.
Of course with any procedure there may be side effects and complications. Some b patients reported pain or burning during urination, increased urgency, decreased urine flow, incomplete bladder emptying, and blood in the urine. Most of these symptoms, and side effects were temporary and resolved a few days or weeks after the UroLift was performed.
Bottom Line: Millions of American men suffer from symptoms as a result of an enlarged prostate gland. Certainly medications are a first line treatment option. However, the UroLift may be a permanent solution to this common problem and help men get a good night’s sleep!
WHAT PATIENTS ARE SAYING...
You turned my life around
Dr. Baum has taken care of my elderly father for many years. He has an elevated PSA level but Dr. Baum has explained the concept of "wacthful waiting" and I and my father appreciate this plan of management.
PSA Testing For Prostate Cancer-To Screen or Not Screen, What’s the Answer?
I am frequently asked by patients about screening for prostate cancer with PSA testing. This article will discuss the evidence as well as my recommendations for my patients.
Drip, Drip, Drip-When the Prostate Gland Causes Constant Dribbling
Some men have a blockage to the flow of urine and the bladder no matter how much it contracts or squeezes cannot fully empty the urine contents residing in the bladder. As a result, there may be a constant dribbling of urine. This is referred to as overflow incontinence. Overflow incontinence is more common in older men and is often due to an enlarged prostate.
5 Things Men Should Know About Benign Prostate Gland Enlargement
Benign enlargement of the prostate gland is natural consequence of aging. Benign prostatic hyperplasia (BPH) will be present in about one quarter of men by the time they reach the age of 55. This figure reaches 50% of all men age 75 and older. The prostate gland that produces fluid for the transport of sperm and surrounds the urethra that carries urine from the bladder to the outside of the body, can have a tendency to grow with age for reasons not entirely known and results in compression of the urethra resulting in symptoms of decrease in urine flow, dribbling after urination, and getting up at night to urinate. Here are 5 facts men should know about their prostate and benign enlargement of the prostate gland:
3525 Prytania St, Suite 614
New Orleans, LA 70115
In The News
Sex & Seniors