Difficulty urinating. What is the treatment when it is difficult to urinate. Symptoms of a chronic problem. Reasons for feeling overwhelmed

stranguria- a disease characterized by difficulty in excreting urine from the body. Stranguria does not occur on its own, but is most often the result of past illnesses urinary area. Both men and women suffer from stranguria, but this disease is more common in men due to the structural features of their genital organs.

Normal at healthy person about one and a half liters of urine should be excreted per day, while the number of urination is five to six times. As practice shows, people suffering from stranguria do not remove the required amount of urine from their body, which is fraught with complications of the disease.

The main causes of difficulty urinating

Difficulty urinating can occur in both men and women. In identifying the causes of disease big influence has gender, because there are reasons that are characteristic only for men, and there are - only for women. However, there are also reasons that do not depend on the gender of a person, but can equally cause difficulty urinating in both men and women.

These reasons include the following diseases:

Cystitis- inflammation of the bladder, which occurs with severe symptoms. In men, cystitis is not as common as in women, but it brings them serious discomfort. Symptoms of cystitis are pain in the lower abdomen, burning, cramps, cloudy urine and the appearance of pus in it. Cystitis in acute stage provokes fever, chills, malaise. With cystitis, urination is difficult due to the small volume of urine excreted by the kidneys, so patients with the urge of a man cannot “go small” with the usual volumes.
Urolithiasis disease- a disease characterized by formation in the kidneys, ureter or bladder hard stones different size. Because of men's cravings for salty, spicy, and fatty foods, they are more likely to develop this condition than women. main symptom urolithiasis- frequent urination. As the stone progresses through the urinary tract, it can injure the mucous membrane that lines the organs. In this case, patients feel a sharp pain, burning, renal colic may appear.
Inflammatory diseases of the kidneys- these include ailments such as pyelonephritis and glomerulonephritis, for which problems with urination are the main symptom. Symptoms of diseases speak for themselves - there is Blunt pain in the lower back different intensity. In acute patients, body temperature rises, there are signs of intoxication. As the disease progresses, urine flow becomes more difficult. The body begins to swell, in the urine that is excreted, an admixture of blood is noticed.
Diabetes- a disease associated with a violation of the metabolism of carbohydrates in the body. In diabetes mellitus, urination disorders make themselves felt, first of all, at night, when the volume of urine increases. Symptoms - Patients with diabetes are thirsty, they may develop pruritus, decreased performance, mood, there are sexual problems in relationships with the opposite sex.

Causes and symptoms in men

In men, stranguria most often occurs for the following reasons:

Prostatitis is a disease in both acute and chronic form disrupts normal urination. Symptoms of prostatitis - frequent urination, combined with difficulty emptying the bladder. Patients complain that the urge appears suddenly, there is no way to endure, but when you try to urinate, the amount of urine is much less than it feels. Feeling is created incomplete emptying. As the disease progresses, it becomes increasingly difficult to fully urinate. By that time, not only problems with urination are added, but also sexual life. Men feel pain in the perineum, a burning sensation, discomfort after defecation, great fatigue.
Adenoma prostate - a disease characterized by the growth of prostate tissue, as a result of which it can significantly increase in size. The causes of adenoma have not been precisely established, but now it is possible to clearly link the occurrence of adenoma and the age of a person - the older the man, the more likely he is to get this disease. Symptoms - frequent urination, most often at night, urinary incontinence, urge without micturition itself. At later stages, the disease makes itself felt by difficulty in excreting urine, patients note that they need to make significant efforts for this. At the same time, the process itself differs qualitatively - the urine stream is sluggish, intermittent.

Causes and symptoms in women

It is worth noting that thirty percent of the difficulty urinating in women is to blame gynecological diseases. It is they who become the root cause of the fact that a woman cannot urinate normally. Consider other reasons that lead to problems with urination. These include:

mechanical causes, such as narrowing of the lumen of the ureters, foreign bodies in the urinary tract, disorders of the bladder nervosa);
the presence of stones in the bladder or kidneys;
presence in urine large clots blood or mucus;
neoplasms;
infringement of the urethra;
genital infections;
increased intra-abdominal pressure;
stretching of the bladder due to injury;
irresponsible use of certain medications.

The main symptoms of difficulty urinating in women are as follows:

drip excretion of urine;
prolonged act of urination;
urinary retention;
feeling of incomplete emptying of the bladder;
change in urine stream (sluggish, spattering, etc.)

Difficulty urinating in children

Difficulty urinating may also occur in childhood, and children have their own specific reasons for this.

Causes of difficulty urinating in children:

hyporeflex bladder- a disease in which the volume of the bladder significantly exceeds the norm at a certain age. Contractility such a bladder is completely preserved, however, due to its large volume, urination becomes rare, but large portions. Typically, a hyporeflex bladder causes difficulty passing urine. Children complain that it is difficult for them to completely empty the bladder, for this they have to push, but the urine stream still remains sluggish.
Violation of the patency of the urinary canal - arise from various reasons both acquired and congenital. With this deviation, urination is so difficult that it can completely stop, or vice versa - urinary incontinence is observed.
infections- the penetration of infection into the genitourinary system inevitably causes negative changes in the excretory organs. In the presence and development of infection, children complain of pain during urination, the inability to easily go to the toilet, the need for constant straining. In girls, the infection is most often localized in the vagina.
Inflammation of the head of the penis in boys it is associated with a lack of hygiene in the genital area. For starters, a swelling appears in the head area, then outwardly the inflammation becomes similar to an area with torn skin. A child with this disease also experiences problems with urine excretion, because it hurts him to do this, and he spares himself. In some cases, the swelling can mechanically close the lumen of the urinary duct, and in this case, urination will also be difficult.

Diagnostics

When diagnosing the disease, it is important to remember that the difficulty in excreting urine as independent disease does not occur - this is a complication of either an acquired or congenital disease. Therefore, the elimination of this unpleasant symptom depends on how quickly and correctly the diagnosis is made.

In order to correctly identify the disease, you need to conduct a competent diagnosis. Note that with difficulty urinating common symptom there will be pain, but this symptom is also manifested in many other diseases. It is very important for the doctor to identify the characteristics of the pain in order to proceed further. differential diagnosis. So, sharp pain, suddenly appearing and increasing during urination, may indicate either inflammatory process, or the presence of a foreign body, such as a stone.

If the pain is localized in the lower abdomen, it is moderate and pulling, then this indicates an inflammatory process. Relative painlessness can also alert in case of cancer, because at the last, fourth stage of the disease pain practically does not happen.

Differentiating diseases, you need to pay attention to the fact that pain in the urethra is characteristic precisely for its defeat, in the lower abdomen - with a disease of the bladder, in the perineum - with prostate adenoma.

In establishing the diagnosis, not only the localization of pain, but also its irradiation (giving back, displacement) can help. For example, if the pain radiates to the head of the penis, and in women - to the clitoris, then most likely the stones began to move. If a man feels pain in the perineal region, then this indicates primarily prostatitis.

Also, the time of onset of pain will help determine the disease. If pain occurs before urination, then this indicates that the bladder is inflamed or has a tumor. Pain at the very beginning of the process indicates either inflammation of the urethra, or the advancement of stones to the urethra. Pain during urination indicates cystitis or cancerous tumor. If pain occurs at the end of the process, then this may suggest a lesion of the prostate gland, the cervical region of the bladder, or foreign body in the bladder itself.

When making a diagnosis, it is necessary to take into account the gender and age of the patient (patient), general state health and comorbidities.

In addition to these factors, for the diagnosis used and laboratory methods research. Patients must pass a urine test and a blood test. To clarify the size of the bladder, the thickness of its walls, the presence foreign objects ultrasound examination is done.

Treatment

In the treatment of the disease, it is necessary to focus, first of all, on the underlying disease. After it is established and cured, the symptoms of difficult urination will also disappear. With bladder polyps, kidney or bladder stones, prostate is indicated surgery aimed at eliminating the defect. Modern techniques allow the fastest and most painless treatment of patients with ailments of this kind. Surgical intervention is done according to the minimally invasive principle, while the rehabilitation period is significantly reduced.

Acute urinary retention is a pathology in which a person cannot urinate, although there is urine in the bladder. It is often full and distended with urine. This situation occurs suddenly. This condition is also called ischuria. Sometimes confused with anuria. But anuria is a pathology in which a person cannot pee due to the fact that urine is simply not excreted by the kidneys and there is no urine in the bladder.

Symptoms

A person cannot urinate, while the urge is present. Due to this, overflow and overdistension of the bladder occurs and occurs sharp pains in suprapubic region, which give to the perineum and rectum. Sometimes the pain can become spasmodic. With a general examination of the abdomen, a visible protrusion in the lower abdomen in the suprapubic region is determined. On palpation of the abdomen, a dense enlarged bladder is determined, discomfort may occur when it is felt.

Sometimes urine can be released, but a little bit, a few drops. It doesn't make the person feel better. This state called paradoxical ischuria.

The reasons

Mechanical - conditions in which there is a violation of the waste of urine from the urinary tract. For example, prostate adenoma, trauma, stricture, urethral stone, neoplasm of the urethra and rectum.
Causes associated with diseases nervous system- demyelinating diseases, neoplasms of the brain and spinal cord.
Causes associated with reflex disturbance - that is, in postoperative period, after psycho-emotional overstrain, with alcohol intoxication, in bedridden patients.

most common cause reflex ischuria is alcohol intoxication. In this case, swelling of the prostate occurs, which clogs the prostatic part of the urethra.

Violation of urine output against the background of chronic ischuria. Chronic urinary retention - a person can independently urinate, but after the act of urination, some amount of urine remains in the bladder. This is checked by his catheterization after the act of urination. Prostate adenoma often causes this situation.
Causes associated with an overdose of certain medications, such as sleeping pills, narcotic analgesics.

Of all the causes, acute urinary retention in men is most often caused by a disease such as adenoma.

Acute urinary retention in women is most often associated with a uterine tumor, or trauma to the urethra or kidney stones.

The child may also have a violation of urine output. In a child, this pathology occurs with long patience and the inability to go to the toilet on time. This is followed by reflex ischuria. Also, in a child, a urinary disorder may occur due to anomalies of the urethra. Symptoms of this pathology in a child are manifested in the same way as in adults.

In pregnant women, urinary disorders also occur. The symptoms are the same as in adults and children. The reason is the psycho-emotional overstrain after delivery.

Diagnosis of acute urinary retention

The doctor starts diagnostic measures from a survey of a patient who complains of the inability to empty himself, pain in the suprapubic region, which radiates to the perineum and rectum. Next, you need to find out if the person had such symptoms before and what caused them, what medical measures were carried out to relieve the condition. You also need to determine whether a person has diseases that could provoke a violation of urination (prostate disease in men, uterine disease in women, diseases of the kidneys, ureters, urethra). Or there were some other reasons with which the patient associates ischuria (alcohol, medication, psycho-emotional overstrain).

Then the doctor begins to conduct an examination - during palpation, a dense, enlarged bladder is determined. If this is not the case, most likely it is not ischuria, but anuria.

Laboratory diagnostics: — general analysis blood: characteristic leukocytosis, accelerated ESR.

: signs of inflammation - leukocyturia, erythrocyturia.
biochemical blood test: increased levels of creatinine, urea.
determination of PSA (prostate-specific antigen) for men: an increase in its level indicates a disease of the prostate gland - either prostate adenoma, or prostatitis.
ultrasound examination of the urinary system: displays the size and condition of the kidneys, ureters, bladder.
ultrasound examination of the prostate for men: displays the structure, size of the prostate gland.
pelvic ultrasound for women: to obtain information about the size and condition of the uterus.

Treatment of acute urinary retention

After the doctor has determined that the patient's symptoms indicate a violation of urinary excretion, it is necessary to begin therapeutic measures. Since ischuria is acute condition and can cause bladder ruptures and urinary tract treatment must be started immediately. There are several ways to make the symptoms of ischuria disappear:

Insertion of a catheter into the bladder. There are two types of catheters: rubber and iron. Iron catheters should be placed exclusively by urologists, but rubber disposable ones can be installed by any doctor or nurse. The main thing is that all the rules for introducing a catheter into the bladder are fulfilled. Since you can make a hole and a false move in the urinary tract. Prostate adenoma requires a more thorough and accurate introduction of the catheter into the bladder, as it narrows the lumen of the prostatic part of the urinary tract and prevents the passage of the catheter. A child should have a smaller catheter than an adult. After the catheter is inserted into the bladder, antibiotics are prescribed to prevent possible complications- infections of the urinary tract. Complications such as trauma to the urinary tract mucosa are also possible. Rubber catheters are both disposable and long-term. That is, some catheters can be installed for several days, and sometimes a week.
The second way is capillary puncture. It is performed when it is impossible to insert a catheter. This technique involves a puncture of the bladder over the pubic-pubic joint. This technique has more dangerous complications than catheterization. For example, leakage of urine into the abdominal cavity and the development of infection in abdominal cavity, and after the development of sepsis. After carrying out this manipulation, it is necessary to appoint antibacterial drugs a wide range actions.
The third way is epicystostomy. This technique is based on the drainage of the bladder and the establishment of rubber drains for the outflow of urine.
With reflex urinary disorders (after surgery, childbirth), you can try to stimulate urination with the noise of open water, or by lowering the external genital organs into warm water to relieve spasm of the smooth muscle cells of the urethra. You can also enter antispasmodic drugs intramuscularly (for example, prozerin, no-shpa) to relax the smooth muscle cells of the urethra. If these measures do not help, it is necessary to insert a catheter into the bladder.
Also, some studies recommend the use of drugs from the group of alpha-adrenergic receptors when placing a catheter into the urethra. These drugs improve the outflow of urine.

Thus, acute urinary retention is threatening state for human life. If this happens, you must immediately contact a specialist doctor to eliminate this situation, and in the future to determine the causes that caused ischuria.

To do this, you need to submit some laboratory tests, pass the doctor's recommended instrumental examinations. If the violation of urine output was a reflex, it is necessary to subsequently prevent the occurrence of those situations that caused it. And if this arose as a result of some diseases and pathologies, you need to deal with their treatment, you may need surgical treatment. But do not neglect this, so as not to cause the subsequent development of chronic ischuria. These conditions significantly worsen the general condition of a person and the quality of his life. In children, you also need to be attentive to urinary disorders, as this may be a symptom of an abnormal development. urinary tract. These pathologies need to be diagnosed in time for timely intervention and elimination of defects, which in turn will lead to normal functioning the whole organism.

This condition can be caused by muscle weakness, nerve damage, kidney stones, bladder infection, prostate enlargement, and other causes. Urinary retention leads to complete or partial inability to empty the bladder; It can be either acute (short-term) or chronic (long-term). In most cases, this condition is treatable. different ways at home, but sometimes urgent medical intervention is required.

Steps

Part 1

Making Urination Easier With Home Remedies

Strengthen your pelvic muscles. One of the most famous and effective ways strengthen muscles pelvic floor are Kegel exercises. These simple exercises, which you can do at home, strengthens the muscles that control the bladder, as well as the uterus, small intestine, and rectum. To locate the pelvic floor muscles, stop urinating in the middle. In doing so, you will contract precisely those muscles that are strengthened by Kegel exercises. These exercises can be performed in any position, although they are easiest to do while lying down.

Train your bladder. Such training is important behavioral therapy which helps to get rid of urinary retention or incontinence. The purpose of this therapy is to increase the time intervals between urination, increase the volume of retained bladder fluid, and reducing the frequency and intensity of the urge to urinate. To train your bladder, you need to create a schedule of visits to the bathroom, which should be followed regardless of whether you feel like peeing at any given moment. If you want to pee before the scheduled time, try to suppress your desire by squeezing your pelvic muscles.

Make sure you are comfortable in the restroom. Comfortable conditions in the toilet contribute to the normal emptying of the bladder. If the air in the bathroom is too cool and the floor is cold, you will not be able to relax properly. The toilet seat should be comfortable for both sexes, as some men find it uncomfortable to urinate standing up (they experience back, neck, or prostate pain). Privacy is also important for comfort, so try not to visit public toilets and close the door when in the home restroom.

Press down on your lower abdomen. By applying pressure to the lower abdomen, where the bladder is located, you stimulate urination. Consider this technique to help empty your bladder completely as a form of massage and physical therapy. Find information on the Internet about exactly where the bladder is located, and lightly press on the stomach in this place towards the back and down, as if “milking” your bladder during urination. It is easier to do this while standing, rather than sitting on the toilet, leaning forward.

You can also lightly pat your stomach with your palm to induce muscle contraction and make it easier to urinate.
Women can insert a disinfected finger into the vagina and lightly press it against the anterior wall of the vagina - this also stimulates the bladder and facilitates its emptying.
In men, too much stimulation of the lower abdomen can cause an erection that makes urination very difficult. Trying to completely empty the bladder, avoid erection.
By running warm water over the lower abdomen and genitals, you stimulate urination. Try peeing while taking a warm shower.

Learn how to insert a catheter. If you are having great difficulty urinating and are experiencing significant pain in your bladder and kidneys, and previous methods have not worked, self-catheterization may help. This method involves you inserting a catheter (a long, thin tube) into urethra and bring it to the entrance to the bladder, removing urine from it through the tube. This procedure can be taught to you by your family doctor or urologist, but it is not recommended for those suffering from heart disease or overly squeamish people.
- Better to cath under local anesthesia conducted by a doctor, but if this procedure does not bother you, you can try to do it yourself using a lubricant.
- The lubricant will partially replace local anesthesia, however, some substances (for example, petroleum jelly) can cause irritation of the delicate mucous membrane of the urethra, accompanied by pain.
- Before the introduction of the catheter, it should be carefully sterilized so as not to bring the infection into the urethra.
Part 2
Health care
1. Consult your doctor. If you experience difficulty urinating for several days in a row, see your doctor. The doctor will examine you and try to determine the cause. In addition to weakness of the pelvic muscles, urinary retention can be caused by blockage of the urethra, stones in the bladder or kidneys, infection genitourinary system, severe constipation, development of a cystocele (in women), enlargement of the prostate (in men), damage to spinal cord, overuse antihistamines, residual effect of anesthesia after surgery.
  
  Talk to your doctor about medications. Ask your doctor if you can get rid of bladder problems and difficulty urinating with medication. Some drugs cause dilatation (relaxation and expansion) of the smooth muscles of the urethra and the opening of the bladder, although they long-term use can lead to the opposite problem - loss of bladder control and urinary incontinence. If problems with the bladder and urination in men are associated with an enlarged prostate, drugs such as dutasteride (Avodart) and finasteride (Proscar) will help stop the growth of BPH and even shrink it.
2. Consider dilating and stenting the urethra. Urethral dilatation helps to unblock the urethra by gradually widening it by inserting larger and larger tubes into it. A narrowed urethra can also be expanded with a stent. The stent inserted into the canal expands like a spring and exerts pressure on the surrounding tissues, gradually expanding them. Stents can be either temporary or permanent. Both dilatation and stenting are outpatient procedures performed under local anesthesia and sometimes sedation.
  - The urethra is also expanded by inserting an air-filled ball attached to the end of the catheter.
  - These procedures are performed by a urologist.
  - Unlike conventional catheterization, which after appropriate training can be performed independently at home, dilatation and stenting should never be performed at home.
3. Consider sacral neuromodulation. In sacral neuromodulation, the nerves that control the bladder and pelvic floor muscles are exposed to weak electrical impulses. This procedure improves communication between the brain, nerves and smooth muscles, normalizing the functioning of the bladder and contributing to its complete and regular emptying. However, in the body surgically a special device is implanted, which, when turned on, begins to send electrical impulses. At any time, this device can be turned off and, if necessary, removed from the body.
  - This method is also called sacral nerve stimulation, although the nerves located in sacrum and around it can also be stimulated manually by massaging this area with a vibrating device. Try massage at home - it may improve your bladder function.
  - Sacral nerve stimulation does not help with urinary retention and bladder problems if they are caused by an obstruction (blockage).
  - Keep in mind that sacral nerve stimulation does not help with all types of non-obstructive urinary retention. Before applying this method, consult with the urologist.
4. As last resort consider surgery. If all of the above methods fail, your doctor may recommend surgical operation if he believes that she is able to alleviate your condition. There are many various operations, and the specific choice depends on what exactly causes your problems. Here are just a few examples of surgeries to help overcome urinary retention: internal urethrotomy, cystocele and rectocele treatment for women, and prostate surgery for men.
  - Internal urethrotomy consists in eliminating the stricture (narrowing) of the urethra by inserting a special catheter with a laser at the end into it.
  - Surgery to treat a cystocele or rectocele consists of removing the cyst, closing the holes, and strengthening the vagina and surrounding tissues in order to return the bladder to its normal position.
  - To eliminate urinary retention caused by benign hyperplasia prostate gland, or prostate adenoma, surgically removes part of the prostate gland or the entire gland; the transurethral method is usually used, in which a catheter is inserted into the urethra.
  - Other surgeries are performed to remove tumors and/or cancerous tissue in the bladder and urethra.

A person asking a question in a medical forum why not urine goes, and what to do, of course, should receive an answer from a qualified urologist after a comprehensive medical examination. There are quite a few reasons why you want to go to the toilet, but urine does not go. To be informed in this direction means to have every chance to prevent dangerous pathologies.

Acute urinary retention is a condition of the human body when urine from an overflowing bladder cannot leave on its own due to an existing obstacle. Partial urinary retention is also a painful condition when the bladder is not completely emptied, although the urge to urinate may come one after another.

How does this happen

Before an attack of acute urinary retention, mild soreness, a sluggish stream, weak urination, other symptoms depending on the cause disease state. Initially, with an attack of acute urinary retention, there is an urge to urinate, in which urine does not flow or is excreted in a meager amount. In this case, the patient experiences pain in the lower abdomen, aggravated by movement, urination.

Acute retention of urine in women is often accompanied by discharge from the vagina, in men - from the urethra. Sometimes observed pain in the head area, increased blood pressure, vomiting, chills, fever. Examining the patient, the doctor discovers an overflowing bladder. Sometimes you can observe a spherical protrusion in the lower abdomen, pressure on which causes pain.

Symptoms of a chronic problem

At chronic course diseases Clinical signs are often absent. The patient is concerned about:

Heaviness in the lower abdomen.
Frequent urination.
Reducing the amount of urine excreted.
Partial emptying of the bladder.
Urine comes out in an intermittent stream for 10-15 minutes.

When paradoxical ischuria the patient may want to urinate with tension in the abdominal muscles and pressure on the bladder

The reasons

Medical statistics show that, with the exception of individual cases, acute urinary retention is diagnosed in men. This situation is explained by the features of the structure urinary system: the presence of the prostate, which is often affected by a tumor resulting from inflammatory processes.

Why is urine delayed in men

The main causes of urinary retention in men are:

Tumor of the prostate.
Malignant growth of the genitourinary system.
Transferred venereal diseases.
Acute and chronic prostatitis.
Rupture of the urethra.
Urethral stones.

Why women don't urinate

Urine retention in women is much less common due to more short structure urethra and absence of the prostate. Urine retention in the representatives of the weaker half occurs for the following reasons:

neurological pathologies.
Injured spine.
Transferred operations on the uterus.
Malignant neoplasms.
Urethral cysts.
Urolithiasis disease.

Drinking alcohol or drugs may accelerate urinary retention if there is a predisposing factor. An older proportion of people may experience complete urinary retention after therapy with atropine-type drugs.

What do we have to do

Ishuriya - very dangerous phenomenon which requires urgent medical attention. Self-treatment at home can have very negative results. An attempt at catheterization is dangerous, with injuries to the urethra, while there is a high probability of infection, which develops acute form pyelonephritis and prostatitis.

The correct way out in this situation is to call an ambulance. Relief of the condition a short time can be provided by applying heat to the perineal area or immersing in a warm bath, it is recommended to take antispasmodics. To provide medical care, it is important to find out the causes of urinary retention. This will make it possible to correctly determine the methods of therapy.

Help at home

With ischuria, you can alleviate the patient's condition in the following ways. Fold, moisten, wring out the sheet. Put it under your back, holding for 1 hour. After that, apply the same compress to the stomach. On the first day, apply in the morning and evening, on the next - 1 time, when there are signs of emerging ischuria. Grate 2 onions, use gauze to put a compress on the bladder area, holding for 2 hours.

Ambulance for ischuria

If the circumstances are such that getting an ambulance medical care fails, it is necessary to remove the spasm and relax the muscles of the bladder. To this end, the following steps must be taken. The patient should drink a glass of not very cold water or chilled mint tea. Well relaxing bath with a decoction of chamomile.

A warm heating pad is placed on the lower abdomen

Regardless of the reasons for urinary retention, you need to without fail catheterize a full bladder. This will be necessary to perform 2 functions: therapeutic and diagnostic, since it is impossible to clarify the diagnosis without urine analysis. brings noticeable relief: pain and the urge to urinate disappear.

If for some reason catheterization is not possible, it is advisable to puncture the bladder. In particular severe cases held surgical intervention: an epicystostomy is superimposed (a catheter with an output to abdominal wall). Further therapy is carried out depending on what led to ischuria.

Diagnostics in a hospital setting

To determine what led to the retention of urine, a number of studies are carried out. At the appointment with a urologist, the patient is examined, including palpation, an anamnesis of the disease is compiled. It turns out complete or incomplete ischuria of urine. It is important to differentiate complete ischuria from anuria, when urine is not produced in the body.

With incomplete retention of urine, part of it remains in the bladder. sometimes sick long time does not notice this, which often leads to stretching of the muscular wall of the bladder, sphincters.

Analyzes are carried out:

General blood analysis.
General urine analysis.
Blood chemistry.

Mandatory hardware studies are: ultrasound, radiography

CT is performed as indicated.

Treatment

For the treatment of ischuria apply:

Antimicrobials: Furagin, Levomycetin. The same drugs are used to prevent complications during catheterization.
The bladder is washed with antiseptics.
In cytostomy, a tube is inserted through the abdominal wall to remove urine.

When ischuria occurs against the background of operations or childbirth, it is recommended to periodically wet the genitals warm water. Novocaine is also injected into the urethra, hexamine is injected intravenously.

Herbal treatment

Herbalists advise people who have problems with the urinary system to keep diuretic plants at home: currant leaves, birch buds, dill seeds, horsetail, chicory, parsley.

Proven recipes for urinary retention:

Recipe 1. Celery juice. Juice is squeezed out of celery roots twisted with a meat grinder. Take for 15 days, 1 tablespoon 3 times a day for 15 minutes. before eating. You can use an infusion: 100 g of crushed root is poured into 300 ml of cold water. Infuse for 7 hours, then take it in the same way as juice.
Recipe 2. Infusion of parsley. Taken 100 g of washed parsley are poured with boiling water, placed in a saucepan, poured with milk on top, which should be heated in the oven. After straining for 2 days, take a teaspoon every 2 hours.
Recipe 3. Infusion of currant leaves. The medicine is prepared according to the same recipe as parsley infusion. In addition to the diuretic effect, you can achieve, by taking the infusion, strengthening the immune system.
Proven diuretics are burdock root and juniper berries. used pharmacy fee juniper. Take in large quantities.
Honey decoction. Taken 30 g of crushed birch leaves are poured into 500 ml of dry wine, boiled over low heat for 15 minutes, after which 5 teaspoons of honey are added, everything is mixed. The broth is stored in the refrigerator, take 2 tablespoons after meals.

Cowberry juice should be drunk 0.5 liters daily

Complications

Chronic diseases leading to ischuria are often fraught with serious complications, especially for the elderly. dangerous diseases that occur with urinary retention are:

Shrinkage of the bladder.
Rupture of the bladder wall.
Inflammation of the urinary tract.
Renal failure.
Urolithiasis disease.
Hydronephrosis.
Cystitis.
Pyelonephritis.
Urosepsis.
Atrophy of the bladder.

Often, ischuria gives relapses. The introduction of a catheter in the vast majority of cases causes inflammation of the urinary tract.

Prevention

To avoid pathology urinary system, it is necessary to perform the following recommendations. Avoid injuries to the organs of the genitourinary system. Avoid hypothermia. When treating with drugs prescribed by a specialist, it is necessary to adhere to the norms and duration of medication.

Timely detection and treatment of pathologies leading to acute delay urine. Regularly undergo preventive examinations in medical institutions. With ischuria, the prognosis is positive, but it should be borne in mind that there is Great chance the occurrence of complications from the organs that led to urinary retention.

Weak bladder is delicate issue for a woman, because this is nothing more than urinary incontinence. Many prefer to remain silent and not even complain to their loved ones. This is the wrong tactic, because when the disease turns into chronic stage much more difficult to cure.

An experienced urologist can help get rid of this disease once and for all. A weak bladder can be the result of injury or sclerosis of the external sphincter of the bladder, as well as tumors of benign or malignant etiology.

Both men and women suffer from this disease, but according to statistics, 70% of all cases of the disease are related to the female half of humanity.

Under normal physiological rhythm and an absolutely healthy bladder, urine accumulates in a certain volume. Sensitive endings of the receptor system of the muscle layer, bladder mucosa and sphincter transmit signals towards the central nervous system (CNS). The reverse reaction of the central nervous system is heaviness in the projection zone of the bladder, that is, pressure appears in the small pelvis. Emptying of the fluid occurs through contraction of the muscular layer of the bladder and relaxation of the sphincter muscles. After urination, the contractions stop, and the sphincter takes its initial position, tightly closing the lumen of the urethra.

A weak bladder in women is characterized by a damaged sphincter closure function, therefore, at the slightest filling of the bladder and a small physical activity urination occurs.

Causes of weakness:

hereditary factors;
age-related changes in the structure of the bladder;
anomalies in the development of the genitourinary system;
inflammatory and infectious diseases;
poisoning with pesticides;
pregnancy;
childbirth;
chronic cystitis;
oncological diseases;
bladder polyposis;
violation of the innervation of the pelvic organs;
tuberculosis;
injuries in the pelvic area involving urinary organs.

Difficult delivery large fruit or its incorrect presentation leads to injury to the bladder, urinary canal and external sphincter. This happens due to strong and prolonged pressure on these organs. Muscle tone weakens, becomes inflamed and does not recover if appropriate measures are not taken.

As far as climacteric changes are concerned, this case hypertrophy of the genitourinary organs occurs, the detrusor remains half-open and urine flows outward under low tension or freely exits the bladder that is not completely closed.

Symptoms of bladder weakness

The first most important symptom is frequent, scanty and painless emptying of the bladder. The second symptom of weakness is the feeling of a constantly full bladder.

Chronic weakness is characterized involuntary urination while coughing, sneezing, jumping, running, fearful or laughing. As a rule, it temporarily passes, and when infectious diseases sphincter weakness returns in the acute phase.

Cystitis and a sharp hypothermia of the body are accompanied by weakness, which disappears after medical therapy antibiotics and nonsteroidal drugs.

Important! After an inflammatory and infectious disease of the bladder, as well as with frequent acute respiratory viral infections, the weakness of the sphincter of the urinary canal can persist until the end of life, so it is necessary to full course treatment in the urological department under the supervision of a doctor.

Treating a Weak Bladder in Women

The disease brings a lot of trouble, especially for a working woman who is constantly in the public eye. Frequent weaning to the toilet can threaten with dismissal. Plus, thoughts will be constantly directed towards the urinary system.

At the same time, sexual life suffers doubly, that is, women refuse sexual intercourse because of free urination and fear of embarrassing themselves in front of their partner, even if a couple of drops of urine dripped during sex. Therefore, you should not hesitate to consult a doctor, because only after full examination, he will be able to suggest how to strengthen the bladder.

Treatment is carried out exclusively with individual approach. The course of treatment includes antibiotic therapy, physiotherapy exercises, as well as on inpatient treatment bladder massage is often prescribed.

Are there ways to help yourself?

A strengthening approach is possible in support of therapy prescribed by a urologist. It mainly consists of the following recommendations:

revise diet

Need to consume less meat products, do not abuse fried, fatty and spicy. From drinks, non-carbonated natural drinks are recommended, it is important to refuse strong tea and coffee. Up to 5 g of table salt can be consumed per day.

Include seafood, fish and nuts (walnuts, forest and pine nuts), as well as pumpkin and sunflower seeds in the menu. Every day, eat 100 g of undercooked rice and sprouted wheat. Decoctions and fresh teas from lemon balm, St. John's wort and mint will help improve the functioning of the genitourinary system. Decoctions are a persistent strengthening of the muscles of the bladder and sphincter.

Regulate fluid intake to 1.5 liters per day. Try not to drink a lot of tea or juice at work.

Do exercises to strengthen your pelvic muscles

Constant strengthening exercises for the musculature of the small pelvis and bladder will improve the physiological functioning of the sphincter.

Synchronous tension of the muscles of the genitourinary system: tighten the muscles and hold it for about 5 seconds, then relax and repeat up to 40 times. This exercise repeat 20 times a day.
Strengthening bladder muscles under load: lying in a horizontal position, raise both legs up and down 40-50 times. Repeat this exercise 5 times a day.
Comprehensive strengthening of the abdominal and pelvic muscles: synchronous contraction of the rectus abdominis and pelvic muscles. 50-100 contractions are performed in any position of the body (lying, sitting or standing).
Training the contractile function of the sphincter: we contract only the external sphincter of the bladder. Exercises are repeated up to 50 times 10-20 times a day.

If you are busy at work, then these exercises can be performed fractionally, that is, divided into two parts, performed in the morning and evening.

Important! If you have had bladder surgery, you should definitely consult with your doctor before doing strengthening exercises.