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Difficulty Starting Urination
Urinary hesitancy can slowly become a problem over time with BPH. An enlarged prostate can press against the urethra, the tube that carries urine from the bladder. Subsequently, it becomes increasingly more difficult to begin urination. It can take longer to build sufficient pressure for urine to pass this restriction.
Eventually, this can lead to urinary retention, in which you become unable to urinate. The bladder swells and becomes painful. This can be a medical emergency due to the potential damage to your kidneys.
Red Light Green Light?
Starting and stopping urination can be a frustrating symptom of BPH. The enlarged prostate can press on the urethra, preventing urine from easily flowing out of the bladder. Even if the urine stream starts, the flow can be interrupted frequently. You may try to force out more urine by straining surrounding muscles
Weak Urine Stream
It might take a very long time to empty your bladder when you have BPH because of a weak urinary stream. You may find yourself spending a very long time standing in front of the urinal. If the urethra is partially blocked due to pressure from the prostate, only a small flow of urine can escape the bladder, resulting in weak urine flow and a long, long wait for empty.
Dribbling at the End of All Things
You may have the uncomfortable problem of thinking you?ve finished urinating, shaking a bit just to be sure, and then tucking yourself away? only to be surprised as a little bit of urine dribbles out into your underwear.
The urethra is not simply a straight tube. With weak urine flow and the pressure build up behind the restriction created by your enlarged prostate, urine can collect in the upper part of the tube. Even when you think you are finished and you no longer feel any more urine in your bladder, that extra bit can come out as you relax.
UTI Woes
Retaining urine or inefficient emptying of the bladder can result in an increased risk of urinary tract infection (UTI). Strain on the bladder and urine remaining inside the bladder for too long can create an environment in which bacteria thrives. A UTI can aggravate certain BPH symptoms such as urgency, making it increasingly likely you will be visiting the bathroom more frequently. You may also have pain during urination or potentially cloudy or bloody urine. A fever may also be possible. Most doctors will check for a UTI if you complain of urinary symptoms. UTIs are often treated with antibiotics before medications are taken for BPH-related urinary symptoms.
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