Why residual urine in men?

Ischuria or residual urine in the bladder in males: Causes and treatment of opportunistic diseases

Urogenital diseases are among the most common pathologies among all men. Is a group of diseases with similar symptoms. One of them may be residual urine - ischuria when the bladder is not completely emptied.

In normal men may be negligible accumulation of urine (50 ml). In the presence of pathological processes in the organism, the volume of non-output fluid may be up to 1 liter. This phenomenon can lead to serious complications (hydronephrosis, pyelonephritis). The first signs of urinary disorders require early diagnosis and adequate treatment.

The causes of incomplete emptying of the bladder

In men, the syndrome may be a signal of a number of diseases that cause obstruction of outflow of urine along the urethra:

• Adenoma (benign) prostate - prostate hypertrophy and causes compression of the urethra in the vicinity of its entrance into the bladder.
• Prostatitis - an inflammation of the tissue of the prostate swell, increasing the amount of interstitial fluid, the urethra is squeezed.
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• Swelling of the prostate - can lead to urinary retention only if the tumor invades into the urethra and reduces its diameter.
• Injuries to the bladder surgery.
• Neurogenic bladder.
• Tsistolitiaz - presence of stones may cause obstruction of the ureters, urinary stasis.

Additional causes of innervation may be:

• spinal cord injury;
• endocrine disorders;
• multiple sclerosis;
• enterocolitis;
• pathology of the peripheral nervous system.

Typical signs and symptoms

A healthy man emptying the bladder should be full. Acceptable residue rate - about 10% of urine, i.e., for an adult human is not more than 50 ml. If its volume is above the allowed rate, it can be argued about the development of urological pathologies. To confirm or refute the diagnosis it is necessary to ascertain the amount of urine residue.

Is complete or incomplete urinary retention. For a total delay, even with a strong straining a man can not identify all the urine. Partial delay is incomplete emptying of the bladder.

Additional signs pointing to an increase in the amount of residual urine:

• feeling of incomplete emptying after urination;
• sluggish stream of urine;
• strong straining at urination;
• possible pain when allocating urine.

With a gradual increase of residual urine and prevent its long-term outflow of developing chronic ischuria. With incomplete emptying of the illness for a long time may be asymptomatic. The patient can identify the problem only after the occurrence of complications due to stagnation of urine and human kidney health.

The long delay of urine leads to a stretching of the muscles of the bladder and sphincter. From the crowded organ urine involuntarily begins to stand out. Develops paradoxical ischuria.

Constant urination incomplete portions leads to the fact that the sharp delay time can not be recognized.

Developing the second stage of a disease in which there are degenerative-dystrophic changes in the nerve receptors bladder.

In chronic residual urine almost always violated renal function. A man can be confusing:

• back pain;
• fever, chills;
• weakness;
• appetite loss.

Important! Due to the stagnation of urine may join a secondary infection and develop general intoxication of the organism. The manifestations of these symptoms require immediate medical intervention.

possible complications

If a man has disrupted the flow of urine, and he did not take any measures to solve the problem, eventually it will lead to the development of dangerous pathologies:

Diagnostics

Independently determine the residual urine volume is impossible. For this resort to such methods of investigation as bladder catheterization, and abdominal ultrasound.

Quite often diagnostics gives false positive results. The fact is that normally it is performed within 5 minutes after mochespuskaniya. But as a rule, between the toilet and holding of examinations passed more time, and a new urine sample time to accumulate in the bladder.

Distort the results of the diagnostics can diuretics, as well as the use of on the eve of a large volume of liquid. Some patients find it difficult to go to the toilet in a clinic because of a certain psychological discomfort. To get more reliable results, the analysis need to spend at least 3 times.

To find out the reasons that cause stagnation of urine, you may need a more thorough diagnosis with laboratory and instrumental methods:

To get rid of residual urine need to restore patency of the urethra.

Since the pathological condition is a symptom, not a specific disease, then restore normal urination is possible only after the elimination of its root causes:

• conservative or surgically restore the patency of urinary tract;
• arrest the inflammation process;
• bring back to normal contractile function of the organ.

causal treatment

Its main task - to cure the disease, which led to the residual urine. When bladder atony are prescribed medicines, reducing the ability to shrink.

Spasm recommend taking muscle relaxants. If they do not have the desired effect, a selective dorsal rhizotomy.

This cut in the beam of the spinal cord nerves of those who provoke spastic body contraction.

If incomplete emptying in men caused by cystitis, treatment should include the reception of antibacterial drugs that the doctor selects based on the type of pathogen. Effective antibiotic macrolides and fluoroquinolones. Additionally appointed antispasmodics, diuretics, vitamins, immunomodulators, as well as diet food.

When urolithiasis treatment consists in removing concrements. Depending on the species, size, shape stones physician may prescribe conservative therapy using saxifragant preparations.

But in most cases, surgery is used as the drug therapy is ineffective in the presence of large entities and those that are not amenable to dissolution. Effective operational method of treatment - lithotripsy (lithotripsy by ultrasound or laser).

Minimally invasive surgery, does not violate the integrity of the patient's skin. Recovery after crushing is fast enough, without serious consequences.

For the treatment of narrowing of the urethra often used probing - an introduction to the urethra of special tools, which it expanded. This method does not eliminate the main cause constriction and provides only a temporary effect.

catheterization

When large amounts of fluid accumulation in the bladder and impossibility of its natural discharge, it is necessary to resort to the method of catheterization - Introduction of a rubber catheter into the urethra. The procedure is performed by a physician in a hospital. Self introduction of catheter-smoking house - a high risk of infection of the bladder.

First, urethral orifice was treated with a disinfectant. The catheter is wetted with glycerol and using forceps is introduced into the urethra. Movement should be done progressively, gradually moving to 2 cm. You can not forcibly push the catheter forward. In some diseases (eg, kidney stones), this procedure can lead to serious consequences.

Sometimes it may be necessary to establish a permanent catheter. It should be placed in the urethra for several days.

To prevent infection, it is necessary to wash the bladder with antiseptic (furadonin, Nitroxoline). It can be treated with antibiotics inside.

When it is impossible to direct the patient's catheter to the urologist, which will address the issue of the possibility of surgery to remove the reasons for the delay of urine.

Incomplete emptying of the bladder in men can indicate the presence of various diseases. Prolonged stagnation of urine and its violation of divergence eventually causes loss of functionality throughout the urinary system. Early diagnosis and correct treatment prescribed will help get rid of the problem and maintain health.

Video - expert recommendations about the features treatment of the residual amount of urine in the bladder in men:

A source: http://vseopochkah.com/mochevoj/mocheispuskanie/ostatochnaya-mocha.html

Residual urine in the bladder in men treated

Home »Bladder" residual urine in the bladder in men treated

The bladder is designed so that under normal urination it is not emptied until the end. It is a residual urine in small amounts. The norm of each is different, depending on age. In adults, it is not more than 50 ml for children - 10% of the total, that fit to the body.

If residual urine dimensions exceed the normal amount, it is a clinical sign of any disease. After all, this means that violated urination, and this is possible only if some disease processes. If the urological symptoms seen in children, it is a very alarming sign, which indicates that it is necessary to conduct a full examination.

Stagnation of urine to the same painful enough, and if you do not take action, the symptoms and the amount of will grow with each passing day, provoking bacterial inflammation, urinary incontinence and education stones.

Causes

This symptom can occur due to various excuses, and some of them are not even associated with abnormalities of the genitourinary system. Conventionally, they can be divided into several categories.

1. Inflammatory and infectious. Because of these diseases the swelling of the urethra occurs, and can also be a symptom of spastic muscle contraction body tissues, as is its stimulation of the reflex nature. Residual urine in men indicates the presence of such diseases of the floor:

• prostatitis;
• urethritis;
• balanitis;
• cystitis.

1. Obstructive. These are the cases when there are a mechanical barrier, which crush the flow of urine from the outer or inner side. This can be:

• prostate adenoma in males;
• uterine fibroids, ovarian cysts in the female;
• adhesions, narrowing of the urethra and stones;
• the appearance of tumors.

1. Medications. Also body tone may weaken from the effects of certain medications. It can be:

• muscle relaxants;
• diuretics;
• antidepressants;
• hormonal;
• Painkillers based drugs;
• medicines to treat Parkinson's disease.

1. Neurological. The emergence of such factors depends on impaired bladder innervation. This means that the control of the central nervous system over urination is becoming weaker. The organ itself in this situation is absolutely healthy, and urine flow is not obstructed. But there is a status of "neurogenic bladder hypotonic type" when the muscle covering the channel for urination, or muscle wall of the bladder cease to feel, when you want to cut. This may happen:

• when there are congenital defects of the central nervous system (especially in children);
• in the presence of spine diseases;
• for injuries of the brain and spinal cord;
• if there is multiple sclerosis.

symptoms

Residual urine - this is only one of various symptoms that is found in the urogenital tract plugging system and inflammation. But if its appearance is associated with impaired neurological, that this problem is much more difficult to detect, particularly if the case is in a small child.

If before you yourself feel the healthy person, the first sign of urinary retention will be the presence of lingering urge to empty. This symptom is a gradual development, as well as atony body. You can feel it on several grounds.

• The pressure in the bladder. So as a young child will not be able to tell about it, you can feel it to increase the volume and painful response of the child to his examination.
• Sensation of incomplete emptying.
• Intermittent, sluggish or thin stream when urinating.
• Men may also be affected sexual function, the swelling of the glans penis, and pain in the pubic area or lower back.
• Pain in the urethra.
• Frequent urge to defecation can also be an indicator that there is residual urine for prostate or other illnesses.

If you have a diverticulum, the pressure and the pain will not, but the urine will occur "in two steps." First will come out a big portion, and then the poor. This process comes from the fact that in the beginning there is the emptying of the bladder, and then there appeared diverticulum.

Diagnostics

This process consists of several neurological, urological, and laboratory research survey. When you first visit a urologist will be assigned the following procedures.

1. Ultrasound bladder and pelvic organs. This study is being conducted in two phases. First - a filled bladder to measure its volume and size. Second US - in 5-10 minutes after it is emptied. To obtain a precise, calculations are carried out at least three times. There are special formulas for calculating the amount of liquid for which the following parameters are needed:

• height;
• width;
• Ultrasound shadows bubble length.

If the patient takes diuretics at this time, or prior to the survey drank beverages or ate foods that may irritate authority for research, make sure it is necessary to tell your doctor, as diagnosis can be misleading because of the influence factors.

Ultrasound is considered a non-invasive method, since the rate of residual urine in men and women determined accurately. But it is used more often because of the accessibility.

1. Clinical analysis of blood and urine, urine sowing certain bacterial infections.

1. Cystoscopy and contrast urography - on request. The first type of survey is administered in the most extreme case, since it is quite traumatic. But he quite accurately indicates the amount of residual urine, if it was found.

Do not forget that the calculation of volume and urine test for prostate and other diseases in which appeared this symptom can be mistaken for an ultrasound and other examinations because of a nervous overexertion.

Emergency emptying body

If this body has accumulated a lot of fluids, and the patient is not possible to bring it in a natural way, that catheterization is required.

For some patients, this procedure may be contraindicated, for example, if you found a spasm of the urethral sphincter, and in this case, is the injection of botulinum toxin in this area in order to muscle tissue I relaxed.

In some situations, can carry out the installation of the urethral stent with a short period of operation - from 3 to 6 months. It looks like a cylinder made of fine wire spirals in diameter - 1.1 mm. In the manufacture of absorbable organic material is used which disappears soon.

Treatment

Residual urine is not a single disease, but only one of its symptoms. That was the norm bowel movements, it is necessary to eliminate the factor that it violates. The following measures can be taken.

• Removal of the inflammatory process.
• Recovery urinary tract obstruction. operative or conservative method can be selected.
• Normalization of bladder contractile properties.

When neurological disorders need treatment more difficult. Here it is possible to apply the surgical and pharmacological methods.

If you found atony bladder, the doctor will prescribe drugs that restore the skill sokraschascheniya. If spasms body appointed by muscle relaxants.

If they do not help, surgery is carried out under the name of "selective dorsal rhizotomy."

During this doctor holds the selection in a bundle of nerves of the spinal cord - only those who are responsible for the reduction of spastic bladder and makes it a dissection.

The main thing - is the observance of the complex therapy, which will operate not only on the symptoms, but also on their causes.

If you found this symptoms, be sure to consult a doctor, because only he can properly diagnose the problem and prescribe the appropriate treatment.

A source: http://www.belinfomed.com/mochevoj-puzyr/ostatochnaya-mocha-v-mochevom-puzyre-u-muzhchin-lechenie.html

urinary retention

urinary retention - a pathological condition characterized by the breach or failure of the normal emptying of the bladder.

The symptoms are pain in the pubic area and abdomen, very strong urging to urinate and the consequent agitation of the patient, the marked weakening of urine or its absence.

Diagnosis is based on a survey of the patient, the results of physical examination, to find out why the state used ultrasound techniques. Treatment - catheter or cystostomy for urinary flow, elimination of etiological factors ischuria.

Urinary retention, or ischuria, is a common condition, is accompanied by a significant number of different urological pathologies. Young men and women suffer from it about the same, with increasing age begin to prevail male patients.

This is due to the influence of the pathologies of the prostate gland, which is usually defined in the elderly and often appear urinary disorders. Approximately 85% of all cases ischuria in men older than 55 years is due to problems with the prostate.

Delayed excretion of urine rarely occurs in isolation, often it is part of a complex of symptoms caused by urological, neurological, or endocrine disorders.

The causes of urinary retention

Ischuria is not an independent disease, it is always the result of various pathologies of the excretory system. It is worth to distinguish from other state, it is also characterized by a lack of urine output - anuria.

The latter occurs because of kidney damage, resulting in the complete absence of urine formation. When fluid urinary retention is produced and accumulated within the bladder cavity. This difference is due to different clinical picture similar only in the amount of urine output.

Main obstacles to the normal discharge of urine, are:

• Mechanical blockage of the urethra. The most common and diverse group of causes ischuria. These include urethral stricture, its obturation stones, tumors, blood clots, severe cases of phimosis. Challenge urethral blockage may also neoplastic and edematous processes in surrounding structures - mainly prostate (adenoma, cancer, acute prostatitis).
• Dysfunctional disorders. Urination - an active process, to ensure that requires normal optimal contractility of the bladder. Under certain conditions (dystrophic changes in the muscle layer of the body, disorders of innervation of neurological pathologies) reduction process is disrupted, leading to fluid retention.
• Stress and psychosomatic factors. Some forms of emotional stress can lead to ischuria due to inhibition of reflexes, ensuring the process of urination. Very often this phenomenon is observed in persons with mental disorders, or after heavy shocks.
• Drug ischuria. A special type of pathological condition caused by the action of certain drugs (narcotics, hypnotics, cholinergic receptor blockers). delay the development of the mechanism of urine at the same time difficult due to complex effects on the central and peripheral nervous system and bladder contractility.

Pathogenetic processes for different embodiments, different delay urination. The most common and studied mechanical ischuria is due to the presence of urinary tract obstruction in the lower divisions. These may act scar narrowing (stricture) of the urethra, severe phimosis, urolithiasis with access calculus, prostate pathology.

After some manipulation of the bladder (operations taking mucosal biopsy) or by bleeding in urine formed blood clots, which can also obturated lumen of the urethra and prevent the outflow of urine.

Strictures, phimosis, prostate pathology usually lead to progressive ischuria slowly, whereas at the outlet calculus or clot delay occurs rapidly, sometimes at the time of urination.

More complex pathogenesis of urination disorders characterized by dysfunctional urinary tract. Prevents the outflow of the fluid is observed, however, due to violation of emptying the bladder contractility occurs poorly and incompletely.

Nervous disorders may affect also the sphincters of the urethra, resulting in disturbed process of opening needed for micturition. Stress, pharmacological options for this pathology is similar in its pathogenesis - they arise because of reflex disorders in the central nervous system.

Is suppressed natural reflexes, one manifestation of which is ischuria.

Classification

There are several clinical urinary retention variants differing by surprise development and course duration. Each of these species, in turn, depending on the nature of the delay is divided into complete and incomplete.

At full ischuria emptying the bladder in a natural way is impossible, requiring urgent medical intervention. In embodiments incomplete urine excretion occurs, but very weak, bubble remains within a certain amount of liquid.

Each type of pathology is also different etiologic factors all are three variants of this state:

• Acute retention. It characterized by abrupt onset, most often due to mechanical causes - obturation urethral stone or a blood clot, sometimes possible option neurogenic condition. When it indicated incomplete forms a weak urine with pressure on the lower abdomen or strong strain abdominals.
• Chronic retention. Usually develops gradually on a background stricture of the urethra, prostate diseases, dysfunctions, bladder cancer, urethra. Rarely occurring long form requires a long (sometimes over several years) catheterization. In chronic forms of Partial residual urine can reach large amounts - up to a few hundred milliliters or more.
• Paradoxical ischuria. Rare variant disorder in which on the background of bladder filling and voiding occurs impossibility arbitrary uncontrolled permanent allocation of a small amount of liquid. Often mechanical, neurogenic etiologies or drug.

There is less common and more complex classification urination delay, based on their relationship with other diseases of the excretory, nervous, endocrine and reproductive systems.

But given the fact that ischuria is almost always a symptom of any disturbances in the body, the relevance and validity of such a system is questionable.

In some cases, various forms of state can pass one another, for example, acute delay - a chronic, complete - in incomplete.

Any type ischuria usually preceded by symptoms of the main disease - e.g., renal colic, due to the release of stone, perineal pain associated with prostatitis, voiding due strictures and so on.

Acute delay begins abruptly one extreme is a situation where the jet is interrupted, further outflow of urine becomes impossible during urination.

So can manifest ischuria urolithiasis or urethral obstruction by a blood clot - a foreign body is displaced together with the liquid current and overlaps the channel lumen. In the future, there is a feeling of heaviness in the abdomen, a strong urge to release urine, pain in the groin area.

In acute incomplete ischuria may cause weak trickle voltage under strong pressure on the abdomen or suprapubic area. Urination is almost does not bring relief, as in the bladder remains a considerable amount of fluid. After catheterization and treatment of the causes ischuria symptoms completely disappear.

Chronic urinary retention is rarely complete and usually develops gradually. Initially, patients may experience a decrease in the amount of urine, a feeling of incomplete emptying of the bladder associated with this circumstance often desires.

In the absence of progression of the causes of chronic incomplete ischuria, symptoms may subside, but when research revealed preservation of residual urine after each emptying, against this background, frequently there is an inflammation of the mucous membrane bladder (cystitis), capable of complicated pyelonephritis. Complete a variety of chronic urinary retention differs from the acute period only patient catheterization. Almost any form of delay when its difference from the first anuria is excited psycho-emotional state of the patient, due to inability to urinate.

complications

The delay of urination during prolonged absence skilled care leads to a fluid pressure increase in the overlying parts of the urinary system. In acute forms of this phenomenon can cause hydronephrosis and acute renal failure, chronic - chronic renal failure.

Stagnation of residual urine facilitates the infection of tissues, so increases the risk of cystitis and pyelonephritis. Furthermore, when significant quantities of urine therein delaying conditions for the crystallization of salts and bladder stone formation.

As a result of this process chronic incomplete transformation delay occurs in acute and complete.

Relatively rare for this complication is the formation of bladder diverticulum - protrusion through its mucosal defects of other layers due to high pressure in the body cavity.

Diagnostics

Usually diagnosis "ischuria" does not cause too much difficulty in urologist using a simple, patient survey, inspection suprapubic and inguinal regions.

Additional research methods (ultrasound diagnosis, cystoscopy, contrast radiography) required for determining the causes and severity of a pathological condition, selecting an effective causal therapy.

In patients with chronic variants ischuria auxiliary diagnosis is used as a monitoring disease progression and early detection of complications of urinary retention. The vast majority of patients following diagnostic methods are used:

• The survey and inspection. Almost always possible to determine the presence of acute urinary retention - patients are restless, complaining of a strong desire to urinate and pain in the abdomen. On palpation determined suprapubic bladder filled with dense, in lean patients bulging may be noticed by others. Chronic partial varieties violations are often asymptomatic, no complaints.
• Ultrasound diagnostics. In acute conditions ultrasound of the bladder, prostate, urethra, it allows to establish the cause of the pathology. Defined as hyperechoic stone formation in the lumen of the urethra or the neck of the bladder, blood clots but the majority of devices for ultrasound are not detected. Ultrasound examination of the urethra, the prostate gland can diagnose stricture, adenomas, tumors and inflammatory edema.
• Neurological examination. Consultation with a nephrologist physician may be required if there is suspicion of neurogenic or psychosomatic causes ischuria.
• Endoscopic and X-ray contrast method. Cystoscopy helps determine the reason for the delay - to reveal the stone, blood clots and their source, the stricture. Retrograde cystourethrography is the gold standard for determining the amount of residual fluid is therefore used to diagnose pathologies incomplete.

Differential diagnosis produce anuric - a condition in which the kidneys urine excretion disturbed. If anuria in patients with absent or severely weakened the urge to urinate, there are signs of acute or chronic renal failure. Diagnostics confirms the absence of or an extremely small amount of urine in the bladder cavity.

urinary retention Treatment

There are two main stages of therapeutic interventions at ischuria: emergency maintenance of normal outflow of urine and elimination of the causes of the pathological condition.

The most common method is restoring urodynamics bladder catheterization - installation of the urinary catheter, through which the liquid outflow is produced.

In some states catheterization impossible - for example, when expressed phimosis and strictures, tumor lesions of the urethra and prostate, "impacted" the calculus.

In such cases, resort to cystostomy - the formation of surgical access to the bladder and install through a wall of the tube, displayed on the front surface of the abdomen. If you suspect a neurogenic and stressful nature ischuria can use conservative methods restore urinary outflow of liquid - flowing water inclusion sound wash genitals injection M-cholinomimetics.

Treating the causes of urinary retention, depending on their nature: with urolithiasis used calculus crushing and extraction, with strictures, tumors and prostate lesions - surgical correction.

Dysfunctional disorders (eg, giporeflektorny type of neurogenic bladder) require a sophisticated combination therapy involving urologists, neurologists and other specialists.

If the cause ischuria protrudes medication recommended their cancellation or correction of drug regimens. Urinary retention because of the stress can be eliminated taking sedatives.

Prediction and prevention

In most cases, the delay urination favorable prognosis. In the absence of medical care acute pathology embodiments may provoke sided hydronephrosis and acute renal failure. With timely elimination of the causes of this condition, ischuria recurrences are extremely rare.

In chronic cases increases the risk of infectious and inflammatory diseases of the urinary tract and the appearance of stones in the bladder, so patients should be monitored regularly by an urologist.

Prevention of urinary retention is the early detection and proper treatment of pathologies protruding cause of this condition - urolithiasis, strictures, prostate and other diseases.

A source: http://www.krasotaimedicina.ru/diseases/zabolevanija_urology/ischuria

What does the feeling of incomplete emptying of the bladder in men

Sometimes after Urinating in men a feeling that was not completely emptied. A similar phenomenon is often associated with the syndrome of chronic mochezaderzhaniya. Residual urine is usually diagnosed in men when after emptying the bladder remains in a 50 ml urine. At times, the volume of residual urine estimated liters.

The overall picture of the pathology

Pathology male genitourinary system are a group of very unpleasant diseases having similar characteristics. A sense of unfinished mochevyvedeniya also applies to similar expressions. In fact, the presence of residual urine urogenital urology regarded as a pathological symptom, rather than as a separate disease.

The main sign of the residual urine is a feeling of incomplete emptying during urination.

Like syndrome can manifest a two-step process of the urethra, and some men, and all you need to make an extra effort, straining the muscles to fully urinate.

However, it happens that a man has no complaints about the uncomfortable urination, although the residual urine syndrome it occurs.

Common causes of residual urine

In such a state can be a number of reasons:

1. Benign hyperplastic changes in the prostate tissue, in other words, prostate adenoma;
2. Neurogenic bladder;
3. Urolithiasis, especially when localized in vesical calculi cavity;
4. Urethritis or inflammation of the urethra, narrowing or stricture of the urethra, and other diseases, leading to difficulty passing urine of urethral ways;
5. Cystitis any origin and forms;
6. Neoplastic processes in the bladder malignant or benign nature such as polyps, cancer, leukoplakia, etc .;
7. Innervation disorders of the pelvic organs;
8. Pathology malotazovyh organs inflammatory nature, which is characteristic for side effects such as vesical irritation.

In general, for such a pathological condition cause all sorts of trouble mocheottoka neurogenic and functional disorders.

Since residual urine is regarded by specialists as a pathological symptom, in the absence of remedial measures like phenomenon can provoke development of a number of complications such as renal failure, pyelonephritis, hydronephrosis, vesicoureteral reflux and so on. It should therefore be time to identify the causes of incomplete urination and eliminate them, then threatening complications can be avoided.

blame adenoma

Benign prostatic hyperplastic processes are usually found in men over 45 and are shown not only violations mocheottoka but full mochezastoem.

The pathology is the uncontrolled growth of cancer due to age-related tissue changes therein to form nodes growths or seals and so on.

Gradually form education is increasing in size, however, metastasis is not observed, because hyperplasia is a benign nature.

The main provoking factor, according to experts, acts as the age at which an increase in increases the likelihood of adenomas. When the tissue is squeezed overgrown urinary canal, the patient start to disturb the first symptoms of the disease - difficulty urinating and a feeling of incomplete emptying when mastered needs.

In addition, the patient complains of a prolonged urination, frequent urge (especially at night), and a thin stream of limp with interruptions to the end of the urethral process. When neglect pathology appear pain in the lower abdomen area, drip urination, painful ejaculation, difficulty mocheuderzhaniem urge and so forth.

Neurogenic bladder

Often the cause of residual urine is a neurogenic bladder - the urethra is disorders caused by disturbances in nervnosistemnoy activity, which is responsible for urinary function.

The reasons can be neurogenic bladder spinal lesions (or herniated vertebral pathology and so on.), Brain disease (stroke, hemorrhage or neoplastic processes, Parkinson's syndrome, and others.

), HIV, peripheral nervnosistemnye lesions (e.g., in diabetes or intoxication etc.).

The symptoms of neurogenic (hyperactive) bladder usually are:

• Frequent urging;
• Incontinence;
• Night urgency;
• Leakage of urine;
• Feeling of incomplete emptying and so forth.

Typically, the phenomenon of residual urine indicates the presence of spinal lesions in just above the sacrum. As a result, the voltage of the urethral sphincter, causing mocheottok significantly hampered.

neurogenic bladder treatment based on a set of measures such as taking drugs, corrective nervnosistemnuyu activities physiotherapy sessions, forced urination using muscle tension press, medical and physical training sessions, prompt action.

Urolithiasis disease

One common cause of residual urine is tsistolitiaz (or the formation of bladder stones), which is found in men much more often. Such pathology can develop for a variety of internal or external causes.

Internal causes are caused by chronic infectious foci, veschestvennoobmennymi pathologies such as gout, traumatic factors or heredity.

External factors that trigger tsistolitiaz lie in the wrong diet, physical inactivity, occupational hazard or drinking regime.

Among the most characteristic pathological manifestations stone pain abdomen allocated especially below the navel, extending in the groin, perineum or penis and scrotum.

During the sudden interruption of urination stream may occur, whereupon urine ceases, however, the man feels that emptying of the bladder is not yet finished. In other words, there is a pronounced residual urine syndrome.

If a man will replace the position of the body, the urine may suddenly resume.

Treatment is based on the removal of stones, for which a patient can be assigned saxifragant drugs that break calculi into smaller particles, which are then natural means go along with urine. It is also a popular method of lithotripsy or grinding stones. It is necessary to observe a particular diet, drinking regime, rest and sanatorium treatment.

urethral stricture

Residual urine often occurs in pathological constriction of the urethra. Strikturnye processes are characterized by replacement of normal mucosal layers of the urethral scar tissue. Such changes lead to considerable disturbances in micturition. Cause the development of such a disease capable of quite a few reasons:

1. Urogenital inflammatory processes such as urethritis, etc .;
2. Burn damaged urethra thermal or chemical nature;
3. Impaired blood flow to the tissues of the urethra;
4. Traumatic factors such as fractures or a member of the pelvis, injuries due to rough sex, blunt injuries of the perineum and groin, etc .;
5. Cancer, radiation treatment;
6. Surgical errors like a failed surgery, urological procedures of unprofessional conduct (setting the catheter, ureteroscopy, installation prosthetic penis, and others.);
7. Congenital anomalies in the urethral structures.

In addition to residual urine, this abnormality is accompanied by difficult and painful symptomatology during urination, urine splash when emptying the bladder, frequent desire to urinate, and so forth.

If the reason - Cystitis

Often the causes of residual urine are in development cystitis - a pathological condition of the bladder, which is typical for the presence of inflammatory processes of different etiology.

The causes of such diseases are quite numerous, however, based on the occurrence of cystitis are usually always on the infection.

Instigators infection can act gonococcus, chlamydia, pathogenic fungi, staphylococci, Pseudomonas aeruginosa and so forth.

To get into the bladder, these microorganisms can through the bloodstream, although the case and upward path of infection. Often, bladder inflammation occurs as a complication in the background undertreated or untreated pathologies such as urethritis, pyelonephritis or prostatitis and others. Therefore, you should promptly start treatment of various centers of infectious nature.

Characteristic signs of cystitis are considered frequent desire to urinate (virtually every quarter of an hour). In this portion of secreted urine significantly reduced. When emptying the bladder, a strong pain, which resembles a burning or cutting sensation. In addition, a man complains of pain symptoms in the penis and perineum. Often cystitis Clinic complemented obscheorganicheskoy intoxication.

Bladder tumors

Residual urine may also appear due vesical tumor processes in tissues. The reasons for this phenomenon are often in hazardous conditions professional, nicotine addiction, radiation exposure, chronic mochezastoyah etc.

About the malignant nature of the tumor can be said hematuric symptoms, incontinence, pain in the bladder and groin. In addition, the man often begins to run out of necessity, and in the process of emptying the bladder he feels burning, cutting pain and discomfort.

Allocated urine is often turbid, and the overall health of the patient deteriorates, there is pyrexia and malaise, general weakness in the body.

Residual urine, as seen, may result from a plurality of urogenital diseases. Since this state is fraught with all sorts of complications, it is necessary at the first sign of address to the urologist, who will reveal the etiology of the syndrome and to make the necessary appointments.

A source: http://DoktorSos.com/zabolevaniya/urologiya/ostatochnaya-mocha-u-muzhchin.html