After urination, a feeling of incompleteness in women. Incomplete emptying of the bladder in women and men, causes, treatment. Studies necessary to clarify the diagnosis

Timely cleansing of processed foods and aggressive substances depends on the normal activity of the body’s excretory systems. Therefore, any disruption in their functioning is fraught with deterioration in well-being and can negatively affect the functioning of other organs. Thus, problems in the functioning of the urinary organs lead to the appearance of a number of unpleasant symptoms, including incomplete emptying of the bladder. This trouble can occur in women and men. Let’s look at its causes and treatment in a little more detail.

The feeling of incomplete emptying of the bladder is a fairly common symptom of diseases of the genitourinary system. This pathological condition can develop equally in women and men.

Incomplete emptying of the bladder in women (reasons)

Quite often, incomplete emptying of the bladder in the fair sex is explained by the development of acute or chronic cystitis. Slightly less often in girls, this symptom is observed with.

Also, a possible cause of incomplete emptying of the bladder is considered to be urolithiasis - stones in the bladder, benign or malignant formations in this organ, which are represented by leukoplakia, cancer, polyps, etc.

In some cases, incomplete emptying of the bladder is observed with a neurogenic or overactive bladder, as well as with impaired nervation of the pelvic organs. Sometimes this sensation occurs in patients with a small bladder.

Quite rarely, a similar symptom in women develops with urethral stricture (narrowing or fusion of the walls).

Among other things, the sensation of insufficient emptying of the bladder can be observed with inflammatory lesions of other pelvic organs, which lead to reflex irritation of the bladder.

About how incomplete emptying of the bladder in women is corrected (treatment with drugs from the pharmacy)

Treatment for such a problem depends solely on which factor caused its occurrence. So, if you have cystitis, you should definitely undergo an examination by a qualified doctor. Comprehensive therapy usually includes taking antibacterial drugs, anti-inflammatory drugs and drugs that strengthen the immune system. Antibiotics that can be used are Nitrofurantoin or Ciprofloxacin. It is also important to adhere to a dietary diet: avoid spicy and pickled foods, as well as alcohol. It is important to drink plenty of fluids. If cystitis is accompanied by severe pain, you should take medications that eliminate spasm of the bladder muscles - either. Taking medications based on medicinal herbs also gives a good effect.

Urolithiasis can be treated using medications that speed up the passage of stones. But for large stones, surgical intervention is performed aimed at crushing such formations.

Tumor formations in the bladder require more targeted treatment: surgery, and in some situations, chemotherapy.

About why incomplete emptying of the bladder occurs in men (reasons)

The most common reason for incomplete emptying of the bladder in men is the presence or inflammation of this gland. It is also often caused by urethritis or. Another similar condition can be explained by tumors in the bladder, disturbances in the innervation of the pelvic organs. Much less often, incomplete emptying of the bladder in men occurs against the background of acute or chronic cystitis.

How to correct incomplete bladder emptying in men (treatment)

Therapy for such a disorder is also selected by the doctor, depending on what factors caused it.
So, for prostate adenoma, treatment can be conservative or surgical. Medicines are selected by a doctor; they help reduce the size of the prostate gland, facilitate urination and the patient’s condition in general. If there is no positive effect from such treatment, surgical correction is performed (including using minimally invasive techniques).

If incomplete emptying of the bladder develops against the background of inflammation of the prostate gland - prostatitis, therapy is also selected by a qualified doctor. Patients are advised to take antibiotics: fluoroquinolones or amoxicillin; modern macrolides can also be used. To eliminate pain, the doctor selects non-steroidal anti-inflammatory drugs for the patient.

Therapy also includes prostate massage and certain physiotherapeutic procedures. Improving immunity also plays an important role.

Sometimes insufficient emptying of the bladder occurs due to urethritis or urethral stricture. In the first case, the patient is prescribed therapy with antibiotics, anti-inflammatory drugs and medications for immunity. And with a stricture, most likely, it is impossible to do without surgical intervention aimed at widening the narrowed area.

In all other cases - with urolithiasis, tumors, cystitis, etc., treatment is carried out according to the same scheme as described above.

Alternative treatment for incomplete bladder emptying

It is possible to cope with incomplete emptying of the bladder in women and men using traditional medicine.

So, for cystitis, healers advise using it in combination with and. Combine these herbs in a ratio of 3:3:4. Brew three tablespoons of the prepared mixture with one liter of just boiled water. Infuse this medicine for an hour, covered. Strain the finished product, then take it a glass day and evening until you feel better.

You can also combine equal shares of bearberry and birch leaves, wheatgrass rhizomes and licorice root, as well as corn silk. Pour five tablespoons of this mixture into one liter of cold, pre-boiled water. Leave for six hours. Next, bring the product to a boil and cook over low heat for ten minutes. Strain the finished medicine. A day you need to drink two hundred milliliters of the prepared decoction in several doses. The optimal duration of such therapy is two weeks.

Traditional medicine experts also recommend using a medicine based on lingonberry leaves to treat cystitis. Brew four tablespoons of chopped plant material with a liter of boiling water. Boil it for ten minutes, then leave in a thermos for four hours. Divide the resulting volume of medicine into two parts - for two days. Drink it strained in three doses. This drug perfectly eliminates inflammatory lesions and has a good diuretic effect.

Traditional medicine will also help male patients whose incomplete emptying of the bladder is due to prostate adenoma or inflammation.

So, for adenoma, traditional medicine specialists advise using an infusion based on celandine. To prepare such a medicine, you need to prepare a tablespoon of dry crushed herbs, brew it with a glass of just boiled water. Infuse the medicine for two hours, then strain. Take the finished medicine one tablespoon three times a day, about half an hour before meals. The duration of such treatment is one month.

Even with prostate adenoma, you can prepare ordinary garlic, peel it and pass it through the garlic. Fill two hundred grams of this raw material with juice squeezed from twelve medium-sized lemons. Infuse this mixture for twenty-four days, then take a teaspoon immediately before bed. This volume of medicine should be diluted in half a glass of cool water. Take it for three weeks, then take a break for a week and repeat the treatment again.

If incomplete emptying of the bladder is due to inflammation of the prostate gland - prostatitis, you can prepare a medicine from parsley. Grind the roots of this plant. Brew half a glass of this raw material with a liter of boiling water. Boil it for ten minutes, then strain. Take the finished medicine in small portions throughout the day. You can also prepare an infusion based on parsley seeds. Brew four teaspoons of this raw material with a glass of boiling water and pour into a thermos. Leave for forty minutes. Take a tablespoon three to five times a day.

Even with inflammation of the prostate gland, you can prepare the peel of ripe chestnuts. Brew a couple of tablespoons of crushed raw materials with half a liter of boiling water in a thermos. Leave overnight, then reduce by half in a water bath. Take thirty drops every day immediately before meals until the end of the infusion. Complete three courses in total, taking a break between them for ten days.

Incomplete emptying of the bladder is a fairly common symptom that requires close attention and adequate treatment under the supervision of a doctor. Before treatment with folk remedies, be sure to consult a specialist.

One of the common symptoms of diseases of the genitourinary system is the feeling of incomplete emptying of the bladder. Modern medicine knows how to get rid of such a problem. The main thing is to identify the cause of this condition and begin competent therapy in time.

Why is this happening?

Pathologies of the genitourinary system manifest themselves as follows:

First.

After going to the toilet there is a feeling of a full bladder.

Second.

The patient again and again experiences the urge to urinate. This is inconvenient, especially if it is not possible to have bowel movements as often.

Third.

When urinating, other symptoms of the disease may be felt, such as burning and stinging.

In most cases, this condition is caused by the presence of urine that remains in the organ cavity. Obstacles prevent its outflow from moving normally.

Sometimes the reason that the bladder does not empty completely is atony, in which it cannot contract normally. The tone of its walls is weakened, and the muscles can no longer support it in the desired position.

Some patients have no obstacles to the outflow of urine, however, it is still not completely eliminated from the body, and the person always wants to go to the toilet. This may indicate the presence of erroneous signals received by the brain.

This condition is typical in the case of the development of certain pathologies: adnexitis, appendicitis, salpingoophoritis etc. Prolonged stress, shock and nervous strain can also act as a psychological cause.

The problem cannot be left to chance. After all, constant bladder fullness worsens the quality of life and can have serious consequences. Urine that remains in the organ is a good breeding ground for bacteria, which can trigger an inflammatory process.

Associated symptoms and types of diseases

To accurately make a diagnosis, it is necessary to evaluate the accompanying symptoms of the diseases.

Prostate diseases


The patient complains of pain in the lower abdomen and has problems with erection. The urine stream is weak and intermittent, and blood may be released. With a malignant prostate tumor, the patient loses weight and develops a fever.

Urethritis, cystitis, pyelonephritis

Often incomplete emptying of the bladder in women can indicate the development of and. These diseases are accompanied by burning, stinging and pain during urination. This may cause a headache and a rise in temperature. The urine becomes cloudy. With inflammation of the kidneys, pain is felt in the lower back and abdomen.

Bladder stones

Expressed in renal colic and severe pain in the lumbar region and lower abdomen. Its signs also include traces of blood in the urine, frequent trips to the toilet, the number of which increases with movement.

Adnexit

This is a female disease in which the body temperature rises, pain is felt in the groin, and discharge may be observed. The woman feels insufficient emptying, she is tormented by chills, weakness, and gastrointestinal disorders.

Hypotension

Along with urination disorders, the patient experiences problems with the gastrointestinal tract, tension in the pelvic muscles, and painful sensations. A person constantly feels the presence of fluid in the bladder, the act of urination itself is sluggish and weak. Chronic disease provokes fecal and urinary incontinence.

Urethral stricture


The narrowing of the urethra prevents the patient from adequately urinating. The flow of urine is weak, accompanied by a constant feeling of a full bladder. Pain appears in the pelvic area and when going to the toilet, there is blood in the urine.

Overactive bladder

This diagnosis is often made by excluding other diseases. Incomplete emptying overactive bladder is rare. This disease is characterized by frequent urination, urgent and strong urges. In some cases, urinary incontinence occurs.

Other pathologies can also cause the unpleasant sensation: diabetes, sciatica, spinal cord injuries, multiple sclerosis. A feeling of a full bladder can be a consequence of serious illnesses, so if this symptom occurs, you should immediately consult a specialist.

Which doctor should I contact?

A urologist diagnoses and treats diseases of the genitourinary system. A woman may need to have her ovaries and uterus examined. Then the urologist will refer the patient to a gynecologist, who will take a smear from the vagina to rule out the presence of infection. A urologist also treats diseases of the genital organs in men.

There is no need to be embarrassed to tell the doctor about your problem. A detailed description of the symptoms will help him diagnose the disease more quickly. It is better to choose a high-class specialist, because health and even life are at stake.

Diagnosis and treatment


After taking a history, the doctor determines changes in the size of the bladder by palpation. He usually prescribes the following studies:

  • General blood analysis;
  • General urine analysis;
  • Urine culture;
  • Ultrasound of the genitourinary organs;
  • Cystoscopy;
  • Contrast urography.

In some cases, a CT or MRI may be required. Only after the results of the examination can the doctor accurately diagnose and prescribe treatment, which will be aimed at eliminating the root cause of the pathology.

To eliminate infectious diseases, a course of antibiotics and antibacterial agents is prescribed; in the presence of urolithiasis, drugs to remove stones are prescribed. If the illness is psychological in nature, the doctor usually prescribes sedatives that calm the nervous system.

Some gynecological diseases, due to which the bladder is not completely emptied, require the use of hormonal drugs. In cases, the patient may be prescribed surgery.

Unfortunately, even complete relief from unpleasant symptoms cannot guarantee that a person will not be bothered by relapses in the future.

Incomplete emptying of the bladder is felt mainly in diseases of the lower parts of not only the urinary but also the reproductive system in women and men.

Bladder

There are many reasons for this. The feeling of incomplete urination may occur due to increased sensitivity or activity of the bladder wall or due to too much residual urine.

Malignant neoplasms

The main diseases that lead to incomplete emptying of the bladder are:

  • cystitis, which can occur in both acute and chronic forms;
  • inflammation of the urethra or urethritis;
  • obstruction of the urinary tract due to prostate adenoma in men, pregnancy in women, tumors of nearby organs and tissues, strictures;
  • malignant or benign lesions of the urinary system;
  • violation of the nervous regulation of the urination process;
  • atony of the urinary tract muscles;
  • inflammatory diseases of other organs, for example, adnexitis, appendicitis, enterocolitis, pyelonephritis;
  • urolithiasis disease.

As a result of such pathological processes, a feeling appears as if the bladder is not completely emptied. Why is this happening? Let's briefly look at each of the listed diseases.

Cystitis and urethritis

The main cause of cystitis is a bacterial infection. Most pathogenic bacteria enter the bladder through the ascending route of the urethra.

In women it is wider and shorter than in men, so this disease is much more common among the fair sex. Inflammation of the urethra occurs for the same reasons.

The infectious process has an irritating effect on the walls of the urinary tract. Sometimes small hemorrhages may form on their inner surface, which leads to the appearance of blood in the urine.

In women and men, all this leads to frequent urination, and the urge appears even with a small volume of urine.

Moreover, the process of urination itself is painful, and after it there remains a feeling of incomplete emptying.

Disorders of the nervous regulation of urination and atony

Parkinson's disease

Failure in the system of nervous regulation of urination can occur for the following reasons:

  • trauma that led to spinal cord damage;
  • systemic nervous disorders such as Parkinson's disease or Alzheimer's disease;
  • serious disturbances in the blood supply to the pelvic organs.

This pathology can develop in both women and men, most often in old age. Most often, the feeling of incomplete emptying of the bladder occurs due to overstrain of its wall.

Because of this, there is an increase in urination, up to urinary incontinence.

Atony of the bladder muscles most often develops in old age.

For this reason, its walls cannot contract sufficiently. The feeling of incomplete urination occurs due to too much residual urine. The remaining urine comes out after tensing the abdominal muscles.

Urinary tract obstruction

A persistent feeling of incomplete emptying of the bladder very often occurs in men with prostate adenoma. With this disease, there is a pathological increase in the size of this gland.

BPH

It is located in close proximity to the urethra, so over time the enlarged prostate begins to squeeze its walls. As a result, the normal passage of urine is disrupted.

Due to the fact that the process of urination does not occur completely, too much residual urine remains in the bladder. A person is haunted by a constant feeling of incomplete emptying.

In addition, with prostatitis, men may develop impotence, a slight increase in temperature, and nagging pain in the perineum.

Urolithiasis disease

Stones in the kidneys

People usually associate urolithiasis with the formation of kidney stones. However, the formation of stones can also occur in the cavity of the bladder, sometimes they get there through the ureters from the kidneys.

This disease occurs with approximately equal frequency in women and men.

The feeling that the bladder has not been completely emptied is associated with blockage of the internal sphincter of the urethra by a stone.

In this case, the process of urination is abruptly interrupted. Continuation of urination is possible with a change in body position.

Other diseases

Urogenital system of a pregnant woman

Urinary disorders occur in women with inflammatory diseases of the reproductive system or during pregnancy.

During pregnancy, the ever-growing uterus puts pressure on the bladder, causing a constant desire to empty the bladder.

In inflammatory pathologies of the genital organs, reflex irritation of the bladder wall occurs. If diseases of the genital organs in women are caused by tumors, then they can compress the organs of the lower urinary system.

Diagnostics

Timely treatment will help relieve the feeling of incomplete emptying of the bladder. Effective therapy for any disease of the genitourinary system largely depends on effective and quick diagnosis.

Therefore, when the first symptoms appear, you should not delay consulting a doctor.

To make a diagnosis, the doctor first prescribes clinical blood and urine tests.

Their results will help determine inflammatory processes in the urinary system, and after bacterial culture of urine, the exact causative agent of the bacterial infection can be determined.

In men, the prostate gland should be checked; in women, the uterus and ovaries. After this, a swab is taken from the vagina to rule out a bacterial infection.

To find out the cause of the disturbance in the outflow of urine, it is necessary to do an x-ray examination with the introduction of a contrast agent.

Cystoscopy is very effective for visual examination of the inner surface of the bladder wall.

If, after all the tests performed, a diagnosis cannot be made, then more complex diagnostic methods using radioisotopes, CT or MRI are used.

Once the disease is identified and treated, the feeling of incomplete emptying of the bladder disappears.

Most common male diseases begin with one single cause - incomplete emptying of the bladder in men. During normal functioning of the organ, a small portion of urine remains inside it, approximately 50 ml. However, with various urological diseases, the accumulation of urine in the bladder can reach 1 liter.

Stagnation of residual urine, as a rule, is not only a manifestation of the disease, but also leads to complications in itself. This causes chronic cystitis and pyelonephritis. Sexual function is impaired, the person becomes maladapted in society.

The main sign of the onset of the disease is the feeling of a full bladder. In this case, it is necessary to undergo an examination by a urologist.

Causes of residual urine

It should be recalled that the bladder is a muscular organ. Urine begins to accumulate in its cavity when the walls contract incompletely. The feeling of incomplete emptying of the bladder becomes the main symptom of a urinary tract disorder. And it is included in the number of diseases such as:

  1. Inflammation of the urethra - urethra.
  2. Cystitis. The male urethra has an elongated and narrow structure. The infection lingers in it, interfering with the outflow of fluid from the bladder, and urine is thrown back (reflux). It becomes more difficult to have bowel movements.
  3. Diseases of the prostate gland in men, which compresses the urethra and interferes with free evacuation.
  4. Cystolithiasis is the formation of mineral stones in the bladder.
  5. With poor innervation of the organ, when there are disturbances in the peripheral nervous system of the pelvis, the bladder does not empty completely.
  6. Atherosclerosis of bladder vessels. Lack of blood supply to the organ.

Possible infections

Let's take a closer look at what cystitis is. Cystitis is an inflammation of the mucous membrane of the bladder. The cause of acute cystitis is infection through the urinary tract. Inflammation is caused by bacteria such as E.coli, Klebsiella, Candida (a yeast-like bacterium).

The acute form of cystitis is caused by the sudden onset of symptoms and more often leads to perforation of the muscle wall. Cystitis can also have a non-infectious etiology (development). Primary cystitis occurs after prolonged hypothermia, is caused by side effects of injuries, and is a consequence of chemical poisoning (alcohol abuse). Promiscuous sex life greatly increases the risk of contracting complex infections.

Secondary cystitis occurs against the background of urological diseases or accompanies other infectious diseases. With tonsillitis, sinusitis, and kidney tuberculosis, the infection penetrates the general bloodstream from a purulent source and spreads to other organs. Infection may result from unskilled examination by inserting a catheter into the urethra.

Symptoms of cystitis are expressed by painful sensations in the abdomen with pain and burning when trying to urinate. Small amounts of blood and bacterial mucus may be excreted in the urine. Urine has an opaque (cloudy) color and may contain epithelial tissue (particles of the rejected mucous membrane of the bladder). After urination, there remains a feeling of incomplete emptying of the bladder.

The initial stage of cystitis is characterized by sharp pain after urination in the urethra, a feeling of incomplete emptying of the bladder. Then the painful sensations are localized in the pubic area, groin, and scrotum. Acute attacks of cystitis make it difficult to have bowel movements freely. The urge to go to the toilet is frequent, urination occurs without complete release of fluid. Chronic cystitis has moderate symptoms, without much manifestation.

This disease also affects other excretory organs and can cause the development of inflammation of the peri-vesical tissue. Confirmation of the diagnosis requires appropriate tests: general urine analysis, bacterial culture, ultrasound examination of the bladder with measurement of its volume, scraping for genital infections.

Neurogenic diseases

Symptoms of incomplete bladder emptying are associated with nervous syndromes. Damage to neurons in the spinal cord or brain leads to disruption of innervation in the nerve ganglia associated with the genitourinary system. This can be caused by various inflammations of the nervous system: encephalitis, encephalomyelitis. Brain tumors and Parkinson's disease affect the disorder of impulses in neuromuscular tissue.

There is a decrease in urethral tone, in which the bladder remains full. Or an increase occurs, which leads to uncontrolled emptying. Increased tone of the urethra or sphincter requires frequent efforts during urination.

A disorder of the detrusor muscle (the muscle that creates pressure in the bladder and helps push urine out) causes fluid retention in the bladder and an inability to overcome the force of the sphincter to open or relax. The main causes of neurogenic bladder are injuries to the back above the sacrum.

In some cases, brain tumor syndrome predominates, which interferes with the passage of nerve impulses throughout the body. Bladder inactivity is difficult to treat. Stagnation of urine can be accompanied by frequent infections and poisoning of the body with its own urates.

There may be attacks of nausea, weakness, and fever. Treatment methods include periodic or continuous catheterization, improving the tone of the pelvic muscles, and massage.

Stones with high calcium content

The cause of stagnation of urine in the bladder is the presence of stones in it. They come in large and small sizes, with a sharp and smooth surface, and move when the body moves. Based on salt content they are divided into: urates, phosphates, oxalates. Stones make it difficult for urine to pass through the urethra. If stones accumulate in the ureter, they begin to interfere with urine leaving the kidney - kidney pain occurs in the lower back.

Stones in the bladder not only cause urate retention, but also increase when they accumulate in the bladder cavity. The causes of stone formation are increased levels of calcium in the blood and the presence of uric acid. Other causes of stones in the urinary tract of the body are a drinking diet and increased consumption of salty foods. Sedentary lifestyle, such as working at a computer.

The main disorders affect the process of urination. There is a slow outflow of fluid. This leaves a feeling of a full bladder. The located stone irritates and puts pressure on the muscle wall of the bladder, which can cause a false urge to go to the toilet or a constant urge with frequent interruptions. The release of urine may be accompanied by pain and bleeding.

The urine itself is concentrated, rich yellow, like after a night's sleep. During treatment, drugs are used to dissolve stones. After their use, small stones come out naturally. There is also a surgical method for crushing stones - lithotripsy.

Symptom of prostatitis

The formation of stagnation of urine in the bladder can be a symptom accompanying inflammation of the prostate gland in men - prostatitis. Infectious bacteria or viruses cause inflammation of the cellular tissue of the gland, and it increases in size. The enlarged gland begins to compress the urethra.

Along with this, inflammation and enlargement of the lymph nodes in the groin area occur. The disease causes pain symptoms in the groin area. The pain may radiate to the back, sacrum or anus. The process of urination becomes more frequent and painful.

The discharge of urine is accompanied by cutting pain, the urine itself becomes cloudy, with mucous discharge. Headaches and back pain may occur. The temperature rises. Inflammation of the prostate gland can be caused not only by infections, but also by stagnation of gland secretions during prolonged sexual abstinence.

Prostatitis has no acute form or temporary symptoms.

This disease occurs once and immediately becomes chronic.

It is necessary to consult an andrologist for advice.

With diseases of the genitourinary system, patients often complain of incomplete emptying of the bladder, and the doctor has to make a differential diagnosis between several diseases.

The cause of this symptom may be the following diseases:

  • acute and chronic cystitis,
  • urethritis,
  • in men – adenoma or inflammation of the prostate,
  • stones in the bladder,
  • benign and malignant neoplasms of the bladder (leukoplakia, cancer, polyps, etc.);
  • neurogenic or overactive bladder;
  • disruption of the innervation of the pelvic organs;
  • small bladder;
  • strictures (narrowing or fusion of the walls) of the urethra;
  • inflammatory diseases of other pelvic organs, in which reflex irritation of the bladder is possible.

Pathogenesis of symptom occurrence

In some diseases, the feeling of incomplete emptying of the bladder is caused by the presence of residual urine in the organ cavity.

This is especially true in cases where there is an obstruction to the outflow of urine (prostatitis, stones or urethral strictures).

Another cause of urinary retention may be hypo- or atony of the bladder. During urination, the bladder cannot contract enough to empty completely.

Most often, the cause of this condition is disturbances in the innervation of the pelvic organs as a result of diseases of the spinal cord:

  • radiculitis,
  • spinal hernias,
  • multiple sclerosis,
  • spinal cord injuries.

Innervation of the bladder is also impaired in severe diabetes mellitus.

In other cases, the symptom is associated with excessive impulses that the brain receives. There is no real urinary retention.

Excessive irritation of the bladder wall is observed during inflammatory processes in the pelvic organs:

  • salpingoophoritis in women,
  • pelvioperitonitis,
  • appendicitis,
  • enterocolitis,
  • sometimes pyelonephritis, although the kidneys are not pelvic organs.

When the bladder does not empty completely, in most cases this leads to overstretching of the walls of the organ, pain and a feeling of fullness in the suprapubic region. In addition, an enlarged bladder can be detected by palpation. Urine remaining in the bladder is a favorable environment for the growth of bacteria. Therefore, cystitis and urethritis, as well as ascending pyelonephritis, often develop.

Important: if you often have a feeling of insufficient bladder emptying, be sure to consult a doctor. This symptom can be a manifestation of many serious and dangerous diseases.

Differential diagnosis

To determine the true cause of the patient's complaints, the doctor evaluates the accompanying symptoms.

Inflammatory diseases of the urinary system

Urethritis, cystitis and pyelonephritis are more common in women. These diseases differ from others by pain in the suprapubic region, pain, burning, and pain when urinating. Body temperature often rises and headache occurs. With pyelonephritis, pain in the abdomen and lumbar region may appear, often one-sided. In these diseases, urine becomes cloudy or acquires a whitish tint.

Prostate pathologies

In men with prostatitis or prostate adenoma, the gland increases in size, squeezing the urethra. This leads to disruption of the outflow of urine and its retention. The patient may complain of pain in the lower abdomen, a weak and intermittent stream of urine during urination, and dripping of urine. Often these symptoms are accompanied by impotence. With adenocarcinoma of the prostate (malignant tumor), the patient loses body weight, and there is a prolonged low-grade fever (slight increase in temperature). The same symptoms are characteristic of bladder tumors, but in these cases blood is often released in the urine.

Diseases of the female genital area

Women may feel insufficient emptying of the bladder with adnexitis. With this disease, the body temperature may rise, nagging pain appears in the left or right groin area, less often on both sides. Sometimes there is pathological discharge from the genital tract.

When contacting a doctor, tell us in detail about all your symptoms, as well as previous illnesses and injuries.

Urolithiasis disease

If there are stones in the bladder, there is often a history of renal colic or simply severe lower back pain.

Neurogenic or overactive bladder

With these pathologies, patients are bothered by pain in the lower abdomen and an increased urge to urinate. Moreover, the urges can be very strong and even unbearable. These diseases, unlike acute inflammatory diseases, develop gradually and last longer.

Innervation disorders

Hypotension of the bladder is usually caused by injury or disease of the spinal cord. The difference between this condition is that, along with impaired urination, intestinal dysfunction (constipation) is observed. In addition, urinary and fecal incontinence often develops.

Studies necessary to clarify the diagnosis

If the patient is bothered by the feeling of incomplete emptying of the bladder, the urologist prescribes the following tests:

  • general clinical blood test;
  • general clinical urine analysis;
  • culture of urine on nutrient media to determine microflora;
  • Ultrasound of organs located in the pelvis (bladder, prostate in men, uterus and ovaries in women), and kidneys;
  • contrast urography;

In unclear cases, CT, MRI, radioisotope examination of the urinary organs, etc. are used. After assessing the clinical symptoms and examination results, the doctor makes a diagnosis and prescribes appropriate treatment.



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