What Causes Slow Urination In Men

Difficult urination, changes in the amount of urine

TheEmptyingthebladder(Micturition) is a complex process. We are only aware of the initiation of emptying of the bladder - afterwards the micturition takes place in a reflex manner. The muscles of the urinary bladder, urethra and pelvic floor, as well as the nervous system, are involved in emptying the bladder.

In order for the urine to flow out of the urinary bladder, the urethra must also be open. In diseases such as benign prostate enlargement, the urethra is narrowed. Since the prostate encloses part of the urethra, the enlargement that occurs in almost all older men leads to a narrowing of the urethra. Even with injuries and scars, the urethra is no longer open and causes discomfort or pain when urinating.

How much urine is produced mainly depends on the fluid intake:

  • On an office day without noticing sweating and without drinking too much, the amount of urine for healthy adults is around 1.0-1.5 liters per day. The urine will then be slightly yellow in color.
  • If the color is dark yellow, the amount of urine is reduced - most often in people with healthy kidneys after exercise or in the heat. However, dark urine is sometimes a sign of kidney disease with decreased urine production (Oliguria) or failure of kidney function (Anuria), e.g. B. in acute illnesses caused by fever, vomiting and diarrhea.
  • If the urine is very light, it is not very concentrated. This is often the result of a visit to the beer garden or too many cups of coffee on a long work day. Sometimes, however, there are also serious diseases such as diabetes or kidney failure behind it. Certain drugs, e.g. Some antibiotics, such as diuretics, increase urine production (Polyuria).

Symptoms, their causes, measures and self-help

  • Delayed or interrupted urination when the bladder is full; Weakening of the urine stream up to severely painful urinary retention; Feeling of incomplete emptying of the bladder; Trickling down; frequent urination, v. a. at night; possibly bloody urine

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  • Delayed or interrupted urination in childhood; weakened urine stream up to severely painful urinary retention; frequent need to urinate; possibly trickling down; Possibly. delayed drying

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  • Difficult urination up to urinary retention after an accident

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  • Difficult urination v. a. on public toilets; waiting minutes for the urine to start flowing

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  • Difficult urination up to painless urinary retention with neurological complaints; constant discharge of small amounts of urine; sudden, strong urge to urinate; possible visual or speech disorders; possibly paralysis

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  • Suddenly decreased urine output (<500 ml / day) or no urine at all when the urinary bladder is empty

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  • Gradual decrease in the amount of urine; Water retention in legs, hands and face; Fatigue; Nausea and vomiting

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  • Increased amount of urine (more than 3 liters a day); pale to clear urine; Possibly. strong thirst; possibly dry mucous membranes, standing skin folds; Possibly. Confusion or drowsiness

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  • Increased amount of urine during the night

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Delayed or interrupted urination when the bladder is full; Weakening of the urine stream up to severely painful urinary retention; Feeling of incomplete emptying of the bladder; Trickling down; frequent urination, v. a. at night; possibly bloody urine

Causes:

Activities:

  • Immediately to the family doctor or urologist in case of flank pain, constant leakage of small amounts of urine, urinary retention
  • The next day with painful urination or bloody urine
  • Over the next few days to weeks with frequent urination or weakening of the urine stream

Self help:

  • If the drainage is obstructed by enlarged prostate ("regular table behavior"), warm abdominal wraps or a hot water bottle may help

Delayed or interrupted urination in childhood; weakened urine stream up to severely painful urinary retention; frequent need to urinate; possibly trickling down; Possibly. delayed drying

Causes:

Measure:

  • In the next few days to the pediatrician

Difficult urination up to urinary retention after an accident

Causes:

Measure:


Difficult urination v. a. on public toilets; waiting minutes for the urine to start flowing

Root cause:

  • Paruresis (mental disorder with great difficulty in emptying your bladder willingly)

Activities:

  • In the next few weeks to the family doctor or psychiatrist or psychotherapist

Difficult urination up to painless urinary retention with neurological complaints; constant discharge of small amounts of urine; sudden, strong urge to urinate; possible visual or speech disorders; possibly paralysis

Root cause:

Neurogenic voiding disorder, e.g. B. at

Measure:

  • In the next few days to the family doctor or neurologist, if the symptoms are noticeable for the first time

Suddenly decreased urine output (<500 ml / day) or no urine at all when the urinary bladder is empty

Root cause:

Oliguria or anuria, e.g. B. at

  • Drying out (dehydration), for example in old age, e.g. B. from inadequate drinking, profuse sweating, high fever, vomiting and / or diarrhea
  • Severe blood loss
  • Acute heart failure
  • Acute renal kidney failure, e.g. B. in acute glomerulonephritis or kidney infarction

Measure:

  • In the next few hours to the clinic if the amount of urine drops sharply despite sufficient fluid intake

Gradual decrease in the amount of urine; Water retention in legs, hands and face; Fatigue; Nausea and vomiting

Root cause:

Chronic kidney failure, e.g. B. at

Measure:

  • In the next few days to the family doctor, when the symptoms are noticeable for the first time

Increased amount of urine (more than 3 liters a day); pale to clear urine; Possibly. strong thirst; possibly dry mucous membranes, standing skin folds; Possibly. Confusion or drowsiness

Root cause:

Polyuria, e.g. B. at

Measure:

  • In the next few days to the family doctor, if no relevant underlying disease is known

Increased amount of urine during the night

Root cause:

Urinating at night (nocturia), e.g. B. at

Measure:

  • In the next few days to the family doctor if other symptoms such as weakened urine stream, severe thirst, leg edema occur

Self help:

  • If there are no other complaints, limit the amount you drink in the evening and, in particular, the consumption of alcohol - which has a diuretic effect

Your pharmacy recommends

Since serious illnesses can also be the cause, difficult urination or a changed amount of urine should always be clarified by a doctor.

Authors

Miriam Knauer | last changed on at 09:06


Important note: This article has been written according to scientific standards and has been checked by medical professionals. The information communicated in this article can in no way replace professional advice in your pharmacy. The content cannot and must not be used to make independent diagnoses or to start therapy.