Retention of urine in men

The disorder of the genitourinary system is a very common phenomenon in older men. The deterioration of the flow of urine causes pain and is accompanied by a feeling of discomfort, in addition, the general well-being of the males deteriorates significantly.

Violation of the natural flow of urine and the inability of the bladder to empty completely contributes to the appearance of a disease called ischuria. It is characterized by urinary retention. In the absence of timely treatment, this pathology becomes chronic, and obstruction of the urinary tract becomes permanent.

Disease classification

The classification of the disease displays its degree. Based on the rate of development and the individual characteristics of the patient's health status, the attending physician chooses the most effective method of treatment. Urologists divide ischuria into:

• Acute;
• Chronic.
• Complete;
• Incomplete;
• Paradoxical.

Acute ischuria progresses quite quickly and is accompanied by such signs as: pain in the lower abdomen, too frequent visits to the restroom, the feeling that there is still urine after urination. At first, a man is still able to excrete a little urine, but in the future, the outflow of urine completely stops. Acute delay in men is a very dangerous disease that requires immediate medical attention.

The chronic form proceeds without obvious signs of problems. Only in the event of a significant narrowing or closure of the urinary tract, a man seeks medical help.

With complete ischuria, independent emptying is impossible, with incomplete ischuria, the so-called residual urine accumulates.

Paradoxical ischuria characterizes the situation, in the event of which, the patient is unable to urinate, and urine is involuntarily discharged drop by drop.

Symptomatic of ischuria

Problems with the presence of a malfunction in the genitourinary system, for the most part, are not related to the kidneys. It is not difficult to determine the presence of difficulties with the urinary tract: there are problems with urinary retention, with a natural flow of urine - there are no problems. As additional signs that you need to pay attention to, the following can be distinguished:

• Increased temperature;
• Appearance of bouts of nausea and urge to vomit;
• Sensation of pain on palpation of the groin area;
• Cutting pain in the lumbar spine;
• External changes in the genitals;
• Isolation of blood clots (often this happens when the injury caused the pathology);
• During the process of urination, the jet became sluggish ;
• Presence of a feeling of incomplete emptying;
• Increased urge to urinate;
• Pain in the process of passing urine.

Causes of urinary retention in the body

In addition to neurogenic dysfunction and the appearance of pathological changes in the pelvis and urinary organs, urinary retention in men has its own causes and methods of treatment, which depend on the stage of the disease.

The most common cause of the formation of an acute form of this disease is considered to be the development of prostate adenoma in the patient's body.

With the growth of this benign tumor, the urethra passing through the prostate is transformed, which contributes to the deterioration of the full flow of urine. In addition, swelling of the prostate itself leads to the development of ischuria. Also, urinary retention of the acute stage in representatives of the strong half of humanity can appear due to the following reasons:

• In case of various injuries of the brain or spinal nerve endings;
• In case of surgery on the spinal column or abdominal internal organs, the recovery procedure of which requires adherence to bed rest standards;
< li>In case of intoxication with drugs, alcoholic beverages or drugs;
• In case of experiencing a severe stressful situation;
• With physical exertion;
• Due to hypothermia;< /li>
• When blood clots are present.

Chronic retention of urine has its own causes of the onset of the disease. Traumatic injury to the bladder or urinary canal is one of them. Also, urologists identify the following reasons for the development of pathology in men:

• Obstruction of the urethra;
• Obstruction in the vesicourethral segment due to the presence of a polyp or malignancy;
• Due to cancers of the internal organs;
< li>In case of inflammatory reactions in the prostate gland;
• In case of inguinal hernia;
• In case of inflammation of the head of the penis or foreskin.

Diagnosis

To establish the fact of ischuria, the doctor only needs the presence of a man's complaint about urinary retention.Diagnosis, in most cases, is aimed at establishing the cause of the pathology and preventing negative consequences. The following procedures are usually prescribed for the patient:

• Analysis of urine, which, if necessary, is taken by a catheter;
• Analysis of blood from a vein to rule out infectious diseases;
• Ultrasound of the urinary system;
• Cystoscopic examination;
• MRI and CT of the internal organs of the abdominal cavity;
• Various urodynamic tests to help determine the rate of excretion and residual amount of urine, as well as the contractile properties of the bladder.
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Complications of urinary retention




In the absence of timely medical intervention, very unfavorable complications for the body of a man can occur. Doctors consider the following to be the most serious consequences:




• Rupture of the bladder and poisoning of the body with harmful waste products;
• Development of peritonitis;
• The appearance of renal failure;
• Formation of urogenic sepsis.
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Urine retention treatment




The most common method used to combat ischuria is catheterization. In this procedure, a catheter is inserted into the bladder through the urethra. The catheters used in this pathology can be metal or rubber. The latter are able to be present in the urethra from 24 hours to 2 weeks. After the onset of improvements, in which the man is able to urinate on his own, the catheter is carefully removed. For a more effective and faster achievement of a positive result, the patient is prescribed medications from the group of alpha-blockers used to combat prostate adenoma.




Of the negative factors in the use of catheterization, it should be noted that there is a possibility of microtrauma to the urethral mucosa, which, in turn, can cause urosepsis. In addition, some catheters can cause infectious inflammation and develop urethritis.




In a situation where a patient suffering from urinary retention is sick with prostatitis or has various injuries of the urethra, the attending physician prescribes a capillary puncture. In this procedure, a needle about 15 cm long is inserted into the bladder in a patient under anesthesia, and urine is very quickly exited through its outer end. After a full outflow of urine from the bladder, the needle is removed, and the injection site is treated with iodopyrone. The frequency of such procedures can reach several times within one day.




Another effective way to get rid of difficulties when urinating is drainage. After the trocar reaches the bladder and punctures it, the doctor inserts a rubber catheter, which drains the urine. This surgical procedure does not cause urinary leakage and does not damage the prostate.





Folk remedies




Traditional medicines alone are not able to cure this pathology, they only help get rid of pain and improve the general health of a man. Decoctions and tinctures from rosehips, tea roses, and juniper bark have a very beneficial effect on the body. A decoction of crushed walnut bark and leaves, diluted with honey, is very effective. Folk remedies should be taken on the recommendation of the attending physician or after consultation with the therapist.




As a preventive measure, patients are advised to turn to dietary nutrition and exercise therapy.




Adjustments made to the diet have a positive effect on overall health, and the men's diet itself is characterized by limiting the intake of protein, salt and belongs to table No7. Physiotherapy exercises helps to improve the functions of the genitourinary system, and also normalizes the blood circulation process, corrects metabolism.