Urination disorders (dysuria)

Frequent urination

Frequent urination (pollakiuria) is observed with cystitis, a decrease in the volume of the detrusor, urethritis, STIs, kidney diseases, and some andrological, gynecological and endocrine pathologies. Sometimes it has a psychogenic nature. The cause of the symptom is established based on the data of the survey, physical examination, the results of laboratory and hardware techniques. Treatment includes the appointment of antibiotics, NSAIDs, hormones and other drugs, non-drug methods, and surgical interventions.

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Terminal leak

Terminal leakage is a condition in which urine continues to flow after urination is complete. In most cases, men are affected. The symptom is observed with strictures, diverticula and tumors of the urethra, urethritis with damage to the proximal urethra, diseases of the prostate and seminal tubercle, CPPS, neurogenic dysfunction of the lower urinary tract. The cause of development is determined on the basis of anamnesis, complaints, examination results and additional studies. As part of therapeutic measures, medicines are prescribed, physiotherapy is carried out. Operations are sometimes shown.

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Stranguria

Stranguria is difficult urination, in which the patient has to make an effort to empty the bladder. It is observed with lesions of the lower urinary tract, some andrological and gynecological diseases. As a rule, it is combined with other dysuric disorders. The cause of the development of stranguria is determined on the basis of survey data, an objective examination, hardware and laboratory techniques. Treatment includes drug therapy, physiotherapy, exercise therapy. Operations are performed according to indications.

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Weak urine stream

A weak stream of urine is observed in diseases of the prostate gland and some other andrological pathologies. It is detected with stones, strictures and tumors of the urethra. In women, it occurs with cystocele and vaginal relaxation. In children, it may be accompanied by infections, urethral valves, enuresis. The cause of the symptom is established according to the survey, laboratory and instrumental studies. Treatment includes antibiotics, antispasmodics, special exercise therapy complexes, physiotherapy, and surgical interventions.

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Cramps when urinating in men

Cramps during urination in men are noted with urethritis, foreign bodies, polyps and tumors of the urethra, cystitis, urolithiasis. The cause can be andrological pathologies: balanoposthitis, epididymitis, diseases of the prostate gland. The symptom is often combined with other dysuric disorders. The cause is established on the basis of the clinical picture, hardware and laboratory data. As part of conservative therapy, antimicrobial agents, NSAIDs, analgesics, local procedures, and physiotherapy are used. Operations are carried out according to indications.

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Cramps when urinating in women

Pain during urination in women is provoked by cystitis, urethritis, and some other diseases of the kidneys, urethra and bladder. They are a hallmark of STDs. They are observed in a number of diseases of the female genital area. Often combined with pain, burning, other dysuric disorders, changes in urine. The cause of the symptom development is established according to the survey, gynecological examination, laboratory and imaging techniques. Antibiotics, anti-inflammatory drugs, non-drug methods, surgical interventions are used.

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Splashing urine stream when urinating

Spraying of the urine stream during urination is observed when there are obstacles to the flow of urine or a change in the anatomical structure of the urethra. Revealed with strictures, valves, benign and malignant tumors, epispadias, hidden penis, urethro-vaginal fistulas, vaginal relaxation. Often combined with dysuric disorders. The cause of the development of the symptom is established on the basis of the data of the survey, examination, hardware and laboratory methods. Treatment is often surgical. Some patients are shown antibacterial drugs, hormone therapy, special exercises.

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Intermittent urination

Intermittent urine output is noted in various types of prostatitis, other prostate diseases, lesions of the seminal tubercle, xerotic balanitis, urethral diverticula, urethral and bladder stones, cystitis in infants. As a rule, it is combined with other dysuric manifestations: pain, cramps, irresistible urges, pollakiuria, stranguria, etc. The cause of the symptom is determined according to the survey, examination, ultrasonography, radiological methods, endoscopy, laboratory tests. Treatment includes drug and non-drug therapy, surgical interventions.

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Opsouria

Opsouria is a pathological condition in which copious urine output is observed not in the near future after drinking a large amount of liquid, but after 24 or more hours. It is found in heart failure, portal hypertension, hyperglycemia, hypernatremia, and some endocrine diseases. The cause of opsouria is established on the basis of complaints, anamnesis data, results of a physical examination and additional diagnostic procedures. As part of the treatment, hormones, beta-blockers, nitrates, vasodilators and other drugs are prescribed. According to indications, surgical interventions are carried out.

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Nocturia

Nocturia is a nocturnal urge to urinate. Constantly or periodically observed in diseases of the kidneys and bladder, prostate adenoma, neurological pathologies, heart failure, some endocrine diseases. Occasionally occurs with violations of the regime. The cause of the symptom is established on the basis of complaints, examination results, laboratory and hardware techniques. Treatment includes antibiotics, NSAIDs, and other medications. According to indications, endocrine disorders are corrected, surgical interventions are performed.

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