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Urinary hesitancy: what is it?

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Urinary hesitancy is difficulty releasing urine from the body, common in older men due to an enlarged prostate. Women can also experience it due to urinary tract infections. Treatment options depend on the underlying cause, including blood pressure medications and antibiotics.

Urinary hesitancy is a condition in which a person has difficulty releasing urine from the body. He or she may have trouble starting the urination process or continuing the flow of urine once it has started. The condition can occur in anyone but tends to be more common in older men.
The main symptom of urinary hesitancy is the urge to urinate without being able to. In mild cases, urine will typically come out eventually, but it’s a very weak stream. After urinary hesitancy continues to occur, urination may slow to the point where it only comes in slow drops instead of a stream. The condition tends to worsen over time if left untreated and can cause bladder pain if urine pools and isn’t passed out.

One of the most common causes of urinary hesitancy is benign prostatic hyperplasia, a condition more commonly referred to as an enlarged prostate. The prostate gland is a round male reproductive organ containing a body fluid that helps sperm move more quickly after ejaculation. The gland is located around the urethra, or the thin tube that urine passes through to leave the body. When a man has benign prostatic hyperplasia, the prostate enlarges and pushes on the urethra. That extra pressure narrows the urethra and makes urine flow more difficult.

Urinary hesitancy can also occur in women and is often due to a urinary tract infection, a bacterial infection in the bladder or urethra. The infection is usually the result of bacteria from fecal material coming into contact with the genital area. Urinary tract infections can also occur in males but tend to occur more often in females. The infection can irritate the bladder and make a person feel like they have to urinate often, even if only small amounts will come out.

Treatment options for urinary hesitancy depend on the underlying cause. Hesitation that is the result of an enlarged prostate can be treated with blood pressure medications. Blood pressure medications can potentially help relax the muscles in the bladder and urethra and relieve pressure from an enlarged prostate. If urinary hesitancy is due to a bacterial infection, it can be treated with antibiotics. however, some people tend to get recurring urinary tract infections.

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