What Should Patients with Difficulty Urinating Do?

 

Difficulty in urination refers to obstructed voiding, thin urine line and short range of voiding. Progressive dysuria is a characteristic of BPH patients. The occurrence of dysuria in benign prostatic hyperplasia (BPH) patients is progressive and is not noticed by aged people at first. Initially, when people want to urinate, the urine can not be expelled immediately. It often takes several seconds or even minutes to drain the urine. We call this urinary hesitation.

 

 

 

The hyperplasia of prostate tissue will bend and compress the posterior urethra to narrow, or the proliferated middle lobe of the prostate protrudes toward the bladder neck to form a spherical valve, both of which can increase the resistance to urination. The obstruction of the lower urinary tract depends not only depends on the size of the hyperplastic gland but also on the location of the hyperplasia and whether the prostatic tissue mainly grows inward or outward.

 

In patients with mild BPH, the initial symptoms of urination are slow, weak urine flow, short urination range, the urine flow becomes thin or bifurcated. The bifurcation of the urine flow is mainly caused by mid-lobe hyperplasia which lifts the middle part of the urethra and makes the urine flow out from both sides of the urethra. Patients with severe benign prostatic hyperplasia need to hold their breath for many times, and then abdominal muscles can contract to increase abdominal pressure to assist in urination.

 

When patients need to take a deep breath for adjustment due to long-time breath-holding, the flow of urine will be interrupted with low abdominal pressure, resulting in intermittent micturition. When it becomes heavier in the later stage, the patient's urine flow becomes spot, and it takes a long time to discharge, or even no urination at all.

 

Because the difficulty in urinating is caused by the disease BPH, so if patients want to solve this problem, then he needs to go to the regular hospital and receive the corresponding treatment.

 

 

 

 

For patients with mild BPH, no micturition symptoms or the symptoms are very mild, the score of International Prostate Symptom Score (IPSS) is less than 7 points, which requires regular examination, close observation, and positive treatment is needed once the condition aggravates. This is what we call vigilant observation.

 

 

Drug therapy for BPH is the most commonly used method for the prostate with voiding symptoms, it can greatly reduce the rate of prostate surgery. The main function of drug therapy is to reduce the volume of the prostate to alleviate or eliminate mechanical obstruction factors and relax the bladder neck and prostate capsule to alleviate the functional obstruction. Patients can also take conservative natural medicine, such as Diuretic and Anti-inflammatory Pill, which contains dozens of natural herbs. Its anti-proliferation and anti-fibrosis effect can eliminate the proliferation, alleviate the pain of patients, and it will not produce resistance.

 

 

However, when benign prostatic hyperplasia seriously affects the quality of life of patients or the effect of drug treatment is not good, so surgical treatment should be considered when complications such as urinary retention, repeated naked hematuria, repeated urinary tract infections, bladder stones, large diverticulum, hydronephrosis, and renal insufficiency occur due to BPH. 

 

However, the operation has certain risks, especially in patients with cardiovascular disease and older age. Possible side effects of surgery include bleeding, impotence, retrograde ejaculation, etc.

 

Patients sometimes are blind on diseases and treatments, delaying the opportunity to see a doctor is common in all kinds of common and high-risk diseases. It is recommended that men over the age of 50 should be examined regularly. Once benign prostatic hyperplasia is found, it is necessary to treat it as early as possible and adopt appropriate treatment according to the condition to avoid a series of complications.