Urine does not completely exit the bladder: causes, treatment

In a urologist's office, cases where patients complain that urine does not completely exit the bladder are not uncommon . Moreover, both women and men can suffer from this trouble. This phenomenon physicians call residual urine-liquid, remaining in the organ, despite the efforts of man to completely empty. In this case, a significant volume is already considered to be 50 ml, although in especially severe cases the "unnecessary weight" reaches the limit of several liters.

Symptoms

It is not surprising that the main complaint of people with such a disorder indicates incomplete emptying of the bladder. There may be several reasons for concern: a weak "signal" to go to the toilet, a process that stretches into several stages, as well as muscle tension and efforts to get the right act. In this case, patients may not feel any other discomfort. But doctors are sure that even these seemingly minor problems should become an occasion for a visit to the clinic. After all, they lead to a number of serious and serious complications.

Chronic urinary retention provokes impaired renal function - it is easy to detect due to isotope renography. As a result, pyelonephritis, diverticula, urolithiasis, cystitis or any other disease develop. If a person has a chill, a fever and severe low back pain, doctors may suspect urosepsis. In the body, it can occur in a malignant form, as evidenced by toxic changes in the blood - high leukocytosis, for example.

Most Common Causes

Based on the above facts, you can draw an absolutely logical conclusion: urine does not completely exit the bladder, when the body "eats" the disease - chronic or acute. Factors leading to the problem are many:

• Mechanical causes - diseases of the genitourinary system and kidney infections. For example, the trauma of these organs, the presence of tumor formations on them, as well as prostate cancer, adenoma, phimosis, the presence of stones.
• Diseases of the nervous system: trauma of the spinal cord or brain, tumors, myelitis and so on.
• Intoxication with medicines. Diagnosed when the patient for a long time takes narcotic drugs or sleeping pills.

The most common cause of urinary retention in men is adenoma. The problem arises when the blood strongly flows to this organ. A severe form causes severe hypothermia, alcohol abuse, a sedentary lifestyle and digestive tract disorders.

Some other factors ...

But this is not all the reasons that people complain about, noticing the residual urine and pain when emptying the bladder. It happens that the problem occurs against the background of fracture of pelvic bones and urethra injury - in most cases in the stronger sex. More rarely, such discomfort is a consequence of a disorder in the neural regulation of the muscular membrane of the bladder or the inferior work of the sphincters of this organ. It can lead to hemorrhages in the spinal cord, compression of the vertebrae, etc.

Acute urinary retention often has a reflex character. That is, it is observed in a person in the first few days after he underwent surgery on the pelvic organs or suffered from the effects of severe stress. Sometimes the disease is diagnosed in absolutely healthy people who regularly drink alcohol. Alcoholics develop atony of the vesicle muscle - weakening of the walls of the bladder, as a result of which the patient can not fully control the act of emptying.

Varieties of urinary retention

This disorder can be of two kinds. When the urine does not completely exit the bladder, physicians diagnose a full or partial delay. The first provides the desire of the patient to go to the toilet, in which the body can not allocate even a drop of liquid. For such people, urine is let out of the body by artificial means through the catheter for years. With a partial discharge of the liquid, it is said that the act began, but for some reason until the end was never completed. Usually, trouble occurs against the background of the diseases described above. Once the problem is eliminated, the process will be restored. If you do not take the necessary measures on time, the delay can become chronic.

Frequent emptying of the bladder without its final emptying leads to stretching of the walls of the organ. This, in turn, provokes the emergence of another trouble - the inability to retain fluid in the middle of the body. At first, a person loses a few drops, after a while he is not able to fully control the process - urination occurs anywhere in different conditions. This phenomenon is called paradoxical ishuria.

Other forms

An upset called "residual urine" is sometimes associated with rather unusual factors. For example, there is a peculiar form of delay, which is characterized by a sudden interruption of the process with the possibility of continuing. The patient begins to empty normally, but the act suddenly stops. Often the cause is a stone located in the ureter. When the position of the body changes, the manipulation resumes. Doctors say that some patients with urolithiasis can only go to the toilet in one position - sitting, squatting, sideways.

Delayed emptying may be accompanied by hematuria - presence in the blood fluid. Sometimes it can be seen with the naked eye: the urine acquires a pink or brown hue. If the presence of blood is too small to be noticed, the fluid is taken for analysis, where it is analyzed and deduced under the microscope. By the way, experienced urologists can detect a delay in urination even during normal examination. In such patients in the lower abdomen, a swelling is sensed, provoked by the presence of not fully exhausted bladder.

How to help the patient?

If urine does not completely exit the bladder, a person needs urgent medical advice. The acute form of organ dysfunction requires emergency care. Usually, such people are inserted a catheter for normal discharge. For this purpose, the outer opening of the canal is treated and disinfected, after which a rubber tube, generously moistened with vaseline or glycerin, is gently introduced into it. The tweezers regulate the movement of the catheter, fixing it in the urethra. The procedure is carried out progressively - 2 centimeters, without haste and sudden movements.

If the cause of the problem in the patient is urolithiasis or prostatitis, then no manipulation. In these cases, the presence of a rubber tube in the body can lead to serious complications. The catheter can be delivered on an ongoing basis. In this case, the procedure is carried out by a urologist, appointing antibiotics after it in order to avoid the development of inflammatory processes. The temporary rubber tube can be inserted by the patient himself just before the discharge act. But before that, he should consult a doctor.

Treatment

The feeling of incomplete emptying of the bladder is quite unpleasant. To get rid of it forever, you first need to remove the reason that caused the appearance of the problem. Complete the examination with a qualified urologist. After consulting with a nephrologist, gynecologist and oncologist, he diagnoses the disease and takes measures to treat it. Strangely enough, it is hardest to heal reflex delays, as they are psychological in nature. Psychotherapy sessions, as well as simple manipulations such as irrigation of the genitals with warm water or the operation of a water tap during urination, help here.

Remember that incomplete emptying can bother throughout life. In this case, they speak of a relapse. And it happens in those cases when the patient picks up the infection of the urinary tract. Therefore, it is so important to take care of your health and beat the alarm with the slightest discomfort. Self-medication is extremely dangerous and often leads to serious consequences and serious complications.