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Know the Causes of Urinary Retention that Difficult to Urinate

Urinary retention is a disorder in the bladder making it difficult to expel or empty the urine. This situation is more experienced by men, compared to women. Urinary retention can occur suddenly or occur for a long time. This condition can be treated, but the treatment method varies, depending on the cause. So, identify the cause first so you can get the right treatment.

Causes of Urine Retention

There are two main causes of urinary retention, namely urethral blockage, namely the lower urinary tract, which often occurs due to an enlarged prostate in men or a nervous system disorder associated with the urinary tract. Nerve disorders that make the brain and muscles in the urinary tract do not have good communication to pass urine. Often experienced by people with diabetes, stroke, multiple sclerosis or pelvic injuries. In addition, there are also several causes for someone experiencing urine retention, such as:
  • Had surgery

  • Patients who undergo bladder or prostate surgery have a risk of experiencing urinary retention. Because, injuries on surgery sometimes leave scar tissue. This causes the urethral stricture (narrowing), resulting in urine retention.
  • An infection

  • An infection can also cause urinary retention. Infection is not only in the area around the bladder but also around the spinal cord. Infection in the area of ​​the spinal cord can cause swelling that may compress the nerve that regulates the discharge of urine, resulting in retention. In addition, infections that cause inflammation and swelling of the urinary tract can also cause pressure on the urethra, which allows urine retention.
  • Bladder stones

  • The mineral content in crystallized urine can cause the formation of stones in the bladder, which often occurs due to conditions or habits that cause urine not to completely come out of the bladder, such as prostate enlargement or habit of holding urination. If the deposition process is prolonged, the stones can be quite large in size, thus blocking urine flow and causing urine retention.
  • Utilities prolapse

  • In women, the condition of the uterus drops from its proper location due to various things, such as the difficult delivery process and increasing age, can suppress the urinary tract and cause urinary retention.
  • Certain medications

  • Some medications, including muscle relaxants, antidepressants, respiratory lozenges and drugs used to treat bladder disorders, may trigger urinary retention.

Can Occur Chronically or Acutely

Based on the duration of occurrence, urinary retention can be divided into two, namely acute and chronic urinary retention. In acute conditions the symptoms that are often complained of is a sense of urge to urinate urgently, but urine cannot come out. As a result, it feels very annoying, painful, and even swelling can appear in the area under the stomach around the bladder. Usually takes place suddenly or in a short time. Meanwhile, chronic urinary retention generally occurs with prolonged periods of time. Complaints generally occur in the form of a sense of wanting to urinate, but when he got to the toilet, it was difficult to start urinating. Even if you can, the jet of water is weak. After urinating, it feels incomplete, so I feel uncomfortable because I keep wanting to urinate, even though I just did.

Urine Retention Management

Treatment for urine retention generally depends on the cause. When checking for relief of urinary retention, the doctor will conduct a series of examinations. For example, the history of symptoms and medications you have ever taken. To determine the cause of this condition, the doctor will do a physical examination, by checking the area of ​​the bladder to the genital organs and urinary tract. In male patients, the doctor may also examine the prostate gland. The examination can be followed by laboratory tests, such as urine, kidney function and blood tests. Then, to support the diagnosis, the doctor may suggest other supporting examinations, such as ultrasound or X-rays. When you feel you have urine retention, immediately check with a general practitioner or urologist for further treatment.

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