Voiding Difficulty is a condition when the Patient find the passing of urine to be slow and intermittent. She gets a feeling that urine has not been completely voided. This condition might begin suddenly without any warning or develop gradually. This problem may not be associated with pain. The condition might develop in such a way that one day the patient unable to pass urine completely that results in the bladder becoming distended and the urine overflowing.
It is very important to diagnose the disease early to prevent an acute retention of urine and the bladder and kidneys sustaining injuries from overstretching. This might lead to a chronic urine retention. The larger the amount of the urine that had been retained in the bladder and the longer that this retention of urine persists, the longer it would take for the bladder to recover.
What are the general symptoms of the voiding difficulty?
The common symptoms of the voiding difficulty include:
What are the different causes of voiding difficulty?
The voiding difficulty is generally caused due to an obstruction of the urethra or the urinary tract. There could be several reasons for this:
Lazy Bladder Syndrome
Due to unavailability of proper toilets ladies tend to post pone voiding thus retaining lot of urine for prolonged time. This over a prolonged period of time leads to bladder muscle weakening and resulting “ lazy bladder”. Bladder sensation of fullness of urine is delayed, it cannot generate sufficient pressure to pass urine in a good stream, cannot completely evacuate urine. Thus it is very important to all of us to void promptly when ever there is sensation of fullness of bladder.
What are the treatment options available for the voiding difficulty in women?
The voiding difficulty can only be treated by treating the underlying cause of the condition. This could either be a vaginal infection, a urinary tract infection, swelling, pain, menopause, an inflammation, piles or constipation. An acute retention of urine is generally relieved by inserting a fine catheter into the bladder and draining the urine into a urine bag to rest the bladder for a few days.
You would be encouraged to pass urine regularly after the removal of the catheter. Bladder scans would be performed at regular intervals to ensure that you would be able to void properly.
Obstruction to the out flow of urine is treated surgically. Urethral Stenosis is dilated, prolapse is surgically corrected. Large fibroids are treated by hysterectomy. Urethral mucocle or curunle is excised.
Voiding Difficulty should be treated without any delay to relive symptoms and prevent any chronic damage to urinary system.
Dr Mahendra Jain is an eminent and an extremely experienced Urologist ...Read More
I had undergone treatment for my prostate in Germany 5 years back. Now I developed urethral stricture, I had lot of problem passing urine.
Mr Alexis is aged 72 yrs from East Africa was treated for his long standing urinary problem with a complex surgery. Now he is back in his country