Normal urination should be carried out freely, without pain and difficulty.

The inability to the natural full evacuation of the bladder`s contents is manifested with a corresponding sensation and a weak urine stream.

Problems with urination require compulsory visit to the doctor, because this symptom is a consequence of urological diseases and there is a danger of a complete overlap of the urethra, which will require an emergency discharge of urine through the tube in the abdomen.

 At a young age, the cause of difficulty urinating are: phimosis (narrowing of the foreskin of the penis), stricture of the urethra (narrowing of the urethra), inflammation of the prostate gland, bladder neck sclerosis.

After 45 years, when hormonal changes happens in the man body, difficulty urinating may be performed due to an enlarged prostate: a benign process — hyperplasia, or malignant — cancer.

In women, difficult urination occurs during an inflammatory process of the bladder (cystitis).

When a symptom occurs, first of all, it is necessary to identify the cause of the pathology. It is necessary to pass an ultrasound of the prostate, uroflowmetry - a test that assesses the peak and mean urinary flow rate.

After 45 years of age, a PSA blood test is required to exclude prostate cancer.

In the Department of Urology at Sechenov University, an innovative method for ascertaining the causes of obstructed urination has been developed and patented. This method is microscopic ultrasound cysturetroscopy. The aim of this method is to assess the patency of the urethra at the stage of urination using ultrasound.

If an inflammatory process of the prostate and urethra is suspected, a urethral smear and a study of prostate secretion must be performed.

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