27 years
I always have interrupted urination ? ifeel like my bladder is full but I cant urine ? whats this ?
Sep 19, 2014
Possible causes of acute urinary retention include:
1- Obstruction: of the lower urinary tract at or distal to the bladder neck can cause urinary retention. The obstruction may be intrinsic (e.g., prostatic enlargement, bladder stones, urethral stricture) or extrinsic (e.g., when a uterine or gastrointestinal mass compresses the bladder neck causing outlet obstruction). The most common obstructive cause is benign prostatic hyperplasia (BPH), which is unlikely in your age. In both men and women, urethral strictures (narrowing of the urethra, the passage through which urine goes out from the bladder), stones, and foreign bodies can directly block the flow of urine. Fecal impaction (due to constipation and build up of stools in the intestines) can result in urinary retention.
2- Infection: infectious acute urinary retention is most commonly caused by acute prostatitis. Acute prostatitis is usually caused by bacteria such as Escherichia coli and Proteus species, Urethritis from a urinary tract infection (UTI) or sexually transmitted infection can cause swelling of the urethra with resultant urinary retention.
3- Medications: such as tricyclic antidepressants and oral decongestants, can cause urinary retention by decreasing bladder muscle contraction.
4- Neurologic conditions: Neurogenic or neuropathic bladder is defined as any defective functioning of the bladder caused by impaired innervation.
There is no reason to be alarmed about hesitancy if:
• this is your only urinary complaint,
• your symptoms are worse with stress, anxiety or in unfamiliar surroundings,
• it has been present for a long time without progression.
You will need to consult a doctor if symptoms have started recently and are progressing, or you have other urinary symptoms such as having to pass urine very often during the day (frequency) or night (nocturia), feeling a very strong urge to pass urine immediately when the bladder is full (urgency), pushing or straining to start the urine flow, a weak stream (stranguria), stopping and starting of the urinary stream (intermittency), feeling that the bladder is not empty after urination, pain on passing urine (dysuria), involuntary leakage of urine (incontinence) or blood in the urine (hematuria).
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