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Retention of urine in the male body
Retention of urine in the male body
Chronic Urinary retention is the process of the impossibility of emptying urea, another term for the disease is ishuria. For the appointment of therapeutic therapy, it is necessary to consult a doctor with the clarification and elimination of the pathological state of the body.
Delayed outflow of urine, a fairly common pathology among the male population, especially in old age. Difficulty urinating is accompanied by painful symptoms, discomfort, and a deterioration in overall health. In case of delayed treatment, symptoms and urinary retention have fraught complications that provoke obstruction of urine through the ureter on an ongoing basis. This is a chronic form of the disease.
Difficult outflow of urine begins spontaneously, and the kidneys do not play any role in the manifestation of this pathological process. When the urea overflows, the bladder creates pressure on the walls in the groin, which leads to distension.
Patients report:
- temperature rise;
- gag reflex;
- nausea;
- headaches;
- weakness throughout the body;
- painful palpation of the groin area;
- larger sizes.
When the symptoms of ischuria appear, the retention of urine is considered an exacerbation of the underlying pathology. Urine emptying should be done urgently by catheterization by a healthcare professional.
Otherwise, complications are possible:
- peritonitis;
- urogenic sepsis;
- renal colic failure;
- rupture of urea with penetration of urine into the peritoneal cavity.
The pathological process begins its development with a decrease in the rate of urine outflow. In this case, the analysis of the dog in patients shows overestimated results.
When urine is completely retained (acute pathology), emergency help is needed to remove accumulated fluid through a soft or metal catheter. For this, patients are called in an ambulance. Acute painful syndrome is relieved with a warm heating pad, which is applied to the groin area.
Causes of urinary retention
Rare urination becomes when:
- urolithiasis (tubular blockage);
- tapered foreskin;
- hematomas, aneurysm of organs in the small pelvis;
- infections;
- inflammation of the prostate, foreskin, glans;
- trauma to the urethral canal or urea.
Urinary retention other reasons:
- bleeding with discharge of blood clots;
- tumors of the bladder, prostate, other organs in the small pelvis;
- a congenital abnormality in the urinary system that prevents the flow of urine;
- inflammation, trauma to the urethral canal, which leads to narrowing of the lumen;
- adenoma is the most common cause.
Retention of urine can sometimes carry a neurogenic predisposition, which includes:
- multiple sclerosis;
- injury to the brain or spinal cord;
- severe intoxication with alcohol, drugs, sleeping pills;
- hypothermia;
- strong frequent stressful situations;
- impossibility of timely emptying.
Additional obstacles to normal urination
There are a number of pathologies that are directly related to urinary retention:
- prostatitis;
- stones in the urinary tract or urethral canal;
- prostate adenoma;
- phimosis;
- neoplasms;
- malignant tumors in the prostate;
- CNS pathology due to trauma.
Signs of an acute condition associated with a delay in outflow during severe intoxication, stress, hysteria, after undergoing surgery on the rectum, in the perineal area.
Possible reasons for the sudden or acute cessation of urine outflow include men who have adenoma. These are usually patients aged 58-65 years. Sedentary work, frequent diarrhea or constipation, and severe congestion of the prostate are also causes of acute retention.
Typical symptoms of delay in patients with prostate adenoma:
- urine passes in small portions;
- painful emission;
- fever;
- temperature rise.
Acute urinary retention in men is characterized by: with an outflow, a stream appears, then a sudden interruption occurs, after which the outflow can improve again. After emptying, residual urine remains in the urine, which is the first sign that there are stones in the urinary tract that block the urethral or urinary canal.
When a man changes position, urination improves.With a constant phenomenon of acute urinary retention, there is a gradual stretching of the muscle tissue of the urea and sphincter, which leads to drip of urine.
With an acute delay in the emission of urine, pain in the groin, pain during outflow, urge are felt. In this case, urea catheterization and treatment are required. Treatment is carried out based on the diagnosis of identifying the initial causes of the pathology that led to this phenomenon.
Recommended manipulations
Since the cause of urine retention is the patient's primary illness, the man must undergo a thorough examination. After diagnosis, the specialist selects the desired effective treatment. The use of anti-inflammatory medicines, antibacterial agents is recommended. After insertion of the catheter, the acute manifestation of the disease is minimized. This manipulation is carried out once, then therapy is prescribed to eliminate the cause of the pathology.
Treatment involves the use of various methods, including home medicine. If conservative methods did not give the expected result, then surgery is used with operations on the urinary and genital organs.
Drug therapy
As already mentioned, catheterization is initially used, which allows urine to be removed from the urea.
- If the cause of urine retention is urolithiasis, then a solution must be made to dissolve and remove the stones.
- After childbirth, women are treated with antidepressants, antispasmodics, diuretics for urinary retention.
- In conditions of prolapse of internal organs, only surgical treatment (colpopexy) is provided.
When a man has an Acute urinary retention, with a complete lack of urination, a catheter is inserted through which urine is slowly rejected. After the urine is completely emptied, the diagnosis is carried out and the treatment is selected.
Most often, doctors prescribe adrenergic blockers, such as Artezin, Doxazosin, Miktosin. It is a corrective urodynamic therapy. If the positive effect does not take place, then a surgical solution is applied.
When urine excretion is disturbed by a mechanical cause, an operation is used, antibiotics with sulfonamides are prescribed for an infectious-inflammatory process.
In some cases, special implants are sewn into the walls of the urea, which stimulate normal muscle tissue spasm. Into the urinary canal, which improves the outflow of urine.
Unconventional treatment method
Traditional medicine does not contribute to the complete cure of diseases, however, this is an excellent additional effect on the body in addition to the main treatment. With the help of folk remedies, you can eliminate painful symptoms, discomfort, which makes the patient's condition easier.
Rose (tea) fruits prepared in alcoholic infusion, decoction of juniper bark, rosehip tincture, walnut shells have beneficial properties. Before starting to use folk remedies, you should consult with a specialized specialist. This will help to get an answer to the question of why urine retention occurs in one case or another, and which method is best to choose for therapy.
In order to start self-treatment, you need to know the root cause of the pathology. Here are some recipes for acute urinary retention.
In any case, before choosing a therapeutic therapy, the entire urinary and reproductive system is initially diagnosed. To do this, you need to pass the prescribed tests and conduct a number of studies.