home Calculators Causes and treatment of a feeling of a full bladder in women and men. What is bladder emptying and how to make urination easier

Causes and treatment of a feeling of a full bladder in women and men. What is bladder emptying and how to make urination easier

In the urologist's office, there are often cases when patients complain that urine does not completely come out. Moreover, both women and men can suffer from such a problem. Doctors call this phenomenon residual urine - liquid that remains in the organ, despite a person’s efforts to completely empty himself. In this case, 50 ml is already considered a significant volume, although in especially severe cases the “unnecessary weight” reaches a limit of several liters.

Symptoms

It is not surprising that the main complaint of people with this disorder is incomplete emptying of the bladder. There may be several reasons for concern: a weak “signal” to go to the toilet, a process that extends over several stages, as well as muscle tension and effort to ensure that the desired act takes place. In this case, patients may not feel any other discomfort. But doctors are confident that even these seemingly minor problems should be a reason for a visit to the clinic. After all, they lead to a number of severe and serious complications.

Chronic causes impaired renal function - this is easy to detect thanks to isotope renography. As a result, pyelonephritis, diverticula, cystitis or any other disease develop. If a person has chills, high fever and severe lower back pain, then doctors may suspect urosepsis. In the body, it can occur in a malignant form, as evidenced by toxic changes in the blood - high leukocytosis, for example.

Most common reasons

Based on the above facts, we can draw an absolutely logical conclusion: urine does not completely leave the bladder when the body “eats” a disease - chronic or acute. There are many factors leading to the problem:

Mechanical causes are diseases of the genitourinary system and kidney infections. For example, trauma to these organs, the presence of tumor formations on them, as well as prostate cancer, adenoma, phimosis, and the presence of stones.
Diseases of the nervous system: spinal cord or brain injuries, tumors, myelitis, and so on.
Drug intoxication. It is diagnosed when the patient takes narcotic drugs or sleeping pills for a long time.

The most common cause of urinary retention in men is adenoma. The problem occurs when blood rushes too much to this organ. The acute form is caused by severe hypothermia, alcohol abuse, a sedentary lifestyle and digestive tract disorders.

Some more factors...

But these are not all the reasons that people complain about when they notice residual urine and pain when emptying the bladder. It happens that the problem occurs against the background of a fracture of the pelvic bones and trauma to the urethra - in most cases in representatives of the stronger sex. Less commonly, such discomfort is a consequence of a disorder of the nervous regulation of the muscular membrane of the bladder or inadequate functioning of the sphincters of this organ. It can be caused by hemorrhages in the spinal cord, compression of the vertebrae, etc.

Often has a reflex character. That is, it is observed in a person in the first few days after he has undergone surgery on the pelvic organs or has suffered from severe stress. Sometimes the disease is diagnosed in completely healthy people who regularly drink alcohol. Alcoholics develop atony of the bladder muscle - weakening of the walls of the bladder, as a result of which the patient cannot fully control the act of emptying.

Types of urinary retention

This disorder can be of two types. When urine does not completely exit the bladder, doctors diagnose complete or incomplete retention. The first involves the patient’s desire to go to the toilet, in which the body cannot release even a drop of liquid. For such people, urine has been released from the organ artificially for years - through a catheter. When the liquid comes out partially, they say that the act began, but for some reason was never completed. Usually, trouble occurs against the background of the diseases described above. As soon as the problem is resolved, the process will be restored. If the necessary measures are not taken in time, the delay can become chronic.

Frequent emptying of the bladder without its final emptying leads to stretching of the walls of the organ. This, in turn, provokes another problem - the inability to retain fluid in the middle of the body. At first, a person loses a few drops at a time, but after some time he is not able to fully control the process - urination occurs anywhere under different conditions. This phenomenon is called paradoxical ischuria.

Other forms

A disorder called “residual urine” is sometimes associated with rather unusual factors. For example, there is a peculiar form of delay, which is characterized by a sudden interruption of the process with the opportunity to continue it. The patient begins to have bowel movements normally, but the act suddenly stops. Often the cause is a stone located in the ureter. When the body position changes, the manipulation is resumed. Doctors say that some patients with urolithiasis can only go to the toilet in one position - sitting, squatting, or sideways.

Delayed emptying may be accompanied by hematuria - the presence of blood in the fluid. Sometimes it can be seen with the naked eye: the urine takes on a pinkish or brown tint. If the presence of blood is too small to be noticed, the fluid is taken for analysis, where it is analyzed under a microscope and conclusions are drawn. By the way, experienced urologists can detect urinary retention even during a routine examination. In such patients, swelling is felt in the lower abdomen, caused by the presence of an incompletely emptied bladder.

How to help the patient?

If urine does not completely exit the bladder, a person needs urgent medical advice. An acute form of organ dysfunction requires emergency assistance. Typically, such people have a catheter inserted for normal emptying. For these purposes, the outer opening of the canal is treated and disinfected, after which a rubber tube generously moistened with Vaseline or glycerin is carefully inserted into it. Tweezers regulate the movement of the catheter, securing it in the urethra. The procedure is carried out progressively - 2 centimeters at a time, without haste or sudden movements.

If the cause of the patient’s problem is urolithiasis or prostatitis, then the manipulation is not performed. In these cases, the presence of a rubber tube in the organ can lead to serious complications. The catheter may be placed permanently. In this case, the procedure is performed by a urologist, prescribing antibiotics after it to avoid the development of inflammatory processes. The patient himself can insert a temporary rubber tube immediately before bowel movement. But before that, he must consult a doctor.

Treatment

The feeling of incomplete emptying of the bladder is quite unpleasant. To get rid of it forever, you must first remove the cause that caused the problem. Get a full examination from a qualified urologist. Having consulted, if necessary, with a nephrologist, gynecologist and oncologist, he will diagnose the disease and take measures to treat it. Oddly enough, reflex delays are the hardest to heal, since they are psychological in nature. Psychotherapy sessions help here, as well as simple manipulations such as irrigating the genitals with warm water or running a water tap during urination.

Remember that incomplete bowel movements can be a lifelong problem. In this case they talk about a relapse. Moreover, it occurs in cases where the patient catches a urinary tract infection. That’s why it’s so important to take care of your health and sound the alarm at the slightest sign of discomfort. Self-medication is extremely dangerous and often leads to serious consequences and serious complications.

Diseases of the genitourinary system are typical for both women and men. When they occur, the feeling of a full bladder is a common symptom, and there are reasons for this.

Such sensations can be caused by diseases such as:

Bladder stones

cystitis (acute or chronic);
urethritis;
in men, an inflammatory process affecting the prostate, or an adenoma;
solid neoplasms (calculi);
tumor growths in the bladder cavity (for example, cancer, leukoplakia);
overactive or even neurogenic bladder;
impaired innervation of organs located in the pelvic area;
urethral strictures (a pathological condition in which the walls narrow or grow together);
inflammation affecting other organs located in the pelvis (the bladder in this case is irritated reflexively).

All these factors can become prerequisites for the development of sensations reminiscent of incomplete emptying of the bladder, both in women and men. In order to better understand the essence of this problem (the feeling of incomplete emptying of the bladder), it is necessary to understand in more detail the pathogenesis of the phenomenon.

Some illnesses can cause the feeling that the bladder has not completely emptied due to residual urine fluid in the cavity of this organ. Especially often, such a deviation in the functioning of the urinary system is caused by obstacles that disrupt the normal outflow of urinary fluid. These can be urethral strictures, hard tumors, and also prostatitis in men.

In another case, the constant feeling of incomplete emptying of the bladder is the result of the development of a disease such as atony or hypoatony of the bladder. This deviation is due to the fact that during the process of urination the organ does not fully contract in order to empty itself completely.

Pinched nerve

These deviations are mostly based on disturbances in the innervation of organs in the pelvic area, which could arise as a consequence of diseases affecting the spinal cord: multiple sclerosis, radiculitis, spina bifida, spinal cord injuries.

Other likely causes of the feeling that the bladder is not completely emptied are related to impulses from the brain. In this case, real urinary retention does not occur. Irritation of the walls of the bladder, as mentioned earlier, is a reflex result of inflammatory damage to the organs in the pelvic area. Such inflammations are caused by enterocolitis, pelvioperitonitis, salpingo-oophoritis (applies to the female body), appendicitis, pyelonephritis (despite the fact that the kidneys cannot be classified as pelvic organs).

When the bladder does not perform its function (does not empty completely), some symptoms may occur caused by overstretching of the walls of the organ, which is a common occurrence with such a problem.

In most cases, the pathology is accompanied by pain, as well as a feeling of fullness, which has an unpleasant effect on the suprapubic area. Bladder enlargement can be easily detected by palpation

Since residual urine acts as a favorable environment for the development and reproduction of all kinds of bacteria, there is a high probability of developing inflammatory diseases, for example cystitis or urethritis, as well as (inflammation that affects the kidneys). Therefore, it is very important that the patient, if he discovers such a symptom as insufficient emptying of the bladder, promptly seeks medical help. Timely treatment will help you quickly overcome the disease and avoid serious consequences.

Differential diagnosis of diseases

The reasons that cause the feeling of incomplete emptying of the bladder are enough to make even a qualified doctor think twice. To make a more accurate diagnosis, a specialist usually analyzes the accompanying symptoms. The genitourinary system of women differs significantly from that of men, so one sex of patients may be characterized by certain types of diseases that are not characteristic of the other. You shouldn’t panic and predict the worst, but you need to visit a doctor and do research.

Consultation with a specialist

Inflammatory processes affecting the urinary system are more common in women. Here a specialist can diagnose the development of pyelonephritis, as well as urethritis or cystitis. The distinctive features of these types of diseases are pain in the area above the pubis, cutting pain and burning sensation, and painful sensations when urinating.

Very often, these diseases can be accompanied by fever and headaches. Pyelonephritis is characterized by pain in the abdomen, as well as in the lumbar region, and in most cases only on one side. There may also be a phenomenon such as cloudy urine or a change in its color.

Prostate disease

Pathological conditions in the body of men can be associated with a problematic prostate. Urinary problems are caused by prostatitis or adenoma. These two diseases are accompanied by an increase in the size of the prostate gland, due to which the urethra is compressed, and this leads to outflow disturbances and retention of urinary fluid.

During this time, men experience the following symptoms:

pain syndrome (lower abdomen);
a weak stream of urinary fluid when urinating, which may also be intermittent;
dripping of urinary fluid.

Often such symptoms in men indicate impotence. Prolonged low-grade fever (slight increase in body temperature) is a sign of the development of prostate adenocarcinoma, which is a malignant type of tumor and can cause weight loss. If it is not adenocarcinoma, there are other diseases that have similar symptoms. For example, the symptoms of neoplasms in the bladder area are similar to those listed above, but they also have their own peculiarity - the presence of blood in the urinary fluid.

Microorganisms on the walls of the bladder

Inflammatory processes in the prostate gland are provoked by bacteria; this result is preceded by urethral catarrh. This type of disease is not contagious and should not be taken as a symptom of cancer. With timely and correct treatment, bacteria will not be able to gain a foothold in the body, and the patient will avoid chronic inflammation and further difficulties associated with long-term treatment. Symptoms of the disease include a burning sensation in the urinary canal area, a feeling of fullness that is based in the bladder, chills, etc.

Urolithiasis (the presence of hard tumors in the bladder area) is accompanied by renal colic, or simply severe pain at the lumbar level.

Unpleasant sensations caused by the feeling of incomplete emptying of the bladder are the result of a large number of different pathologies, so treatment cannot be prescribed without appropriate research:

urine culture to determine the state of the nutrient medium (determining the state of the microflora);
general clinical blood test;
ultrasound examination of organs located in the pelvis (i.e. bladder, prostate in men, ovaries in women);
ultrasound examination of the kidneys;
general clinical urine analysis;
cystoscopy;
contrast urography.

Medical cases that cannot be clearly identified require additional tests: examination of the urinary system using radioisotopes, magnetic resonance imaging, CT. Only after conducting all the tests and carefully considering the symptoms of the disease, a specialist makes a diagnosis and prescribes appropriate treatment.

Often, with diseases of the genitourinary system, people feel discomfort and complain of incomplete emptying of the bladder. The doctor, in this case, faces the difficult task of diagnosing the exact disease among several diseases with similar symptoms.

cystitis;
stones in the bladder;
prostate adenoma and phimosis in men;
benign tumors and cancer of this organ;
inflammation in other pelvic organs (reflex stimulation of the bladder occurs);
small capacity bladder;
overactive bladder;
disruption of the normal innervation of the pelvic organs as a result of trauma, tumor diseases;
kidney infections;
pathology of the nervous system (spinal and brain injuries, neoplasms in this area, myelitis);
drug poisoning (with long-term use of drugs, sleeping pills);
In women, such an illness can occur when carrying a child, and even after childbirth;
viral infections (herpes);
urethral strictures;
age-related loss decrease in bladder muscle strength.

Incomplete emptying of the bladder in women most often occurs against the background of inflammation of the genitourinary system.

Stricture formations in the deurination canal

Both women and men can suffer from urinary problems equally. Representatives of the stronger sex are more susceptible to some diseases, women - to others, however, incomplete emptying of the bladder can occur in everyone.

Pathogenesis of symptom occurrence

The mechanism of development of “illness”, in which there is a constant sensation of a full bladder, in many cases can be associated directly with the presence of residual urine in the bladder. As a rule, this situation occurs when there is interference with the normal flow of urine (urethral fusion or stones).

Also, one of the pathogenetic factors is atony or hypotension of the urinary tract, while the walls of the reservoir cannot contract normally. This situation occurs when there are interruptions in the innervation mechanism.

Sometimes the inability to completely empty the urinary reservoir is due to psychological reasons.

Excessive bladder distension is caused by various infections. If the fluid is not completely removed, the muscle frame is stretched, pain occurs, and a feeling of fullness occurs over the pubic area. In the future, the emptying bladder is unable to contract normally.

Sometimes the causative factor may be overactivity of the urine reservoir, this condition is exactly the opposite of atony. Then the muscles are constantly in good shape. Because of this, a very frequent desire to urinate occurs, and when the bladder is not completely full, the person is left with the feeling of an unfinished act.

During pregnancy, disruption of the normal functioning of the bladder is due to the fact that the growing fetus puts pressure on nearby structures, and the bladder also becomes more active; it does not have time to adapt to more intense work.

Therapeutic measures for pregnant women are carried out strictly in stationary conditions

A frequent cause of the disease is an age-related decrease in the tone of the muscle layer of the bladder; usually this type of disorder affects people whose age has crossed the line of 60 years.

In some diseases, the feeling of incomplete emptying of the bladder is caused by the presence of residual urine in the organ cavity.

This is especially true in cases where there is an obstruction to the outflow of urine (prostatitis, stones or urethral strictures).

Another cause of urinary retention may be hypo- or atony of the bladder. During urination, the bladder cannot contract enough to empty completely.

Most often, the cause of this condition is disturbances in the innervation of the pelvic organs as a result of diseases of the spinal cord:

radiculitis,
spinal hernias,
multiple sclerosis,
spinal cord injuries.

Innervation of the bladder is also impaired in severe diabetes mellitus.

In other cases, the symptom is associated with excessive impulses that the brain receives. There is no real urinary retention.

Excessive irritation of the bladder wall is observed during inflammatory processes in the pelvic organs:

salpingoophoritis in women,
pelvioperitonitis,
appendicitis,
enterocolitis,
sometimes pyelonephritis, although the kidneys are not pelvic organs.

When the bladder does not empty completely, in most cases this leads to overstretching of the walls of the organ, pain and a feeling of fullness in the suprapubic region. In addition, an enlarged bladder can be detected by palpation. Urine remaining in the bladder is a favorable environment for the growth of bacteria. Therefore, cystitis and urethritis, as well as ascending pyelonephritis, often develop.

Important: if you often have a feeling of insufficient bladder emptying, be sure to consult a doctor. This symptom can be a manifestation of many serious and dangerous diseases.

Urine does not completely come out of the bladder: causes, treatment

Cause	Peculiarities
Benign prostatic hyperplasia	Sometimes it is called prostate adenoma. Hyperplasia is a nodular proliferation of gland cells under the influence of various external and internal factors. Most often occurs in men after 40 years of age. As the gland tissue grows, it blocks the urinary canals. But usually this happens in advanced stages of adenoma. Additionally, other symptoms are noted - urine is released literally drop by drop already at the end of the urination process, even for this you need to make an effort and strain the abdominal muscles. The urge to empty the bladder occurs sharply and suddenly, often a person simply cannot restrain them. Prostate adenoma is a disease that requires immediate medical attention
Prostatitis	A pathology that interferes with the normal flow of urine and causes a feeling of a full bladder. Just as with adenoma, the cause lies in the proliferation of prostate tissue, but in this case no tumors form. With prostatitis, there is an increase in temperature, signs of general intoxication - headaches, weakness, drowsiness, etc. Pain syndrome occurs in the groin area. The intensity of pain can vary, sometimes very strong, and almost always increases during urination. The stream becomes weak. The feeling of a full bladder is due to the fact that it actually does not empty completely.
Urolithiasis disease	Stones can block the urinary structures. In such cases, there is acute urinary retention, but sometimes there is a feeling of a full bladder
Urethral strictures	They can be either the result of a congenital pathology or a consequence of injuries, bruises, or diseases of the genitourinary system.

If a false feeling of fullness occurs, the situation is most often associated with inflammation of the bladder and irritation of its walls. Cystitis occurs less frequently in men than in women, but the disease should not be ruled out. Exactly the same symptom is characteristic of urethritis. Sometimes a false sensation is caused by psychogenic factors.

We can talk about pathology if after going to the toilet there is a feeling that the process has not been completed completely. After a couple of minutes, the person goes to the toilet again, but the feeling of completion of the act of urination still does not come.

This seriously interferes with work and doing normal activities; a person is literally tied to going to the toilet.

The bladder does not empty completely due to a number of reasons. The most common are diseases of the internal organs. They can occur in acute or chronic form.

Prostate adenoma, as well as other benign or malignant tumors.
Prostatitis.
Urolithiasis disease. Especially when, due to certain violations, an exacerbation occurred, and the stone blocked the urethra.
Acute or chronic cystitis.
The presence of an inflammatory process in the pelvic organs.
Side effects from taking medications.
Damage to the lumbar region and disruption of nerve fiber innervation. This can be either osteochondrosis or spinal injury.

Additionally, this symptom may appear when consuming large amounts of alcoholic beverages, disruption of the gastrointestinal tract, and severe hypothermia. Frequent stress leads to weakened immunity.

In the urologist's office, it is not uncommon for patients to complain that urine does not completely exit the bladder. Moreover, both women and men can suffer from such trouble. Doctors call this phenomenon residual urine - liquid that remains in the organ, despite a person’s efforts to completely empty himself. In this case, 50 ml is already considered a significant volume, although in especially severe cases the “unnecessary weight” reaches a limit of several liters.

Symptoms

Chronic urinary retention provokes impaired renal function - this is easy to detect thanks to isotope renography. As a result, pyelonephritis, diverticula, urolithiasis, cystitis or any other disease develop. If a person has chills, high fever and severe lower back pain, then doctors may suspect urosepsis. In the body, it can occur in a malignant form, as evidenced by toxic changes in the blood - high leukocytosis, for example.

Most common reasons

Mechanical causes are diseases of the genitourinary system and kidney infections. For example, trauma to these organs, the presence of tumor formations on them, as well as prostate cancer, adenoma, phimosis, and the presence of stones.
Diseases of the nervous system: spinal cord or brain injuries, tumors, myelitis, and so on.
Drug intoxication. It is diagnosed when the patient takes narcotic drugs or sleeping pills for a long time.

Some more factors...

Acute urinary retention is often reflexive in nature. That is, it is observed in a person in the first few days after he has undergone surgery on the pelvic organs or has suffered from severe stress. Sometimes the disease is diagnosed in completely healthy people who regularly drink alcohol.

Types of urinary retention

When the liquid comes out partially, they say that the act began, but for some reason was never completed. Usually, trouble occurs against the background of the diseases described above. As soon as the problem is resolved, the process will be restored. If the necessary measures are not taken in time, the delay can become chronic.

Other forms

Delayed emptying may be accompanied by hematuria - the presence of blood in the fluid. Sometimes it can be seen with the naked eye: the urine takes on a pinkish or brown tint. If the presence of blood is too small to be noticed, the fluid is taken for analysis, where it is analyzed under a microscope and conclusions are drawn.

How to help the patient?

Treatment

Types of pathology

There are two types of this disease. If urine does not come completely out of the bladder, doctors diagnose complete or partial urinary retention. For example, when, due to certain reasons, urine is not released from the bladder at all.

This cause can be eliminated with the help of a catheter. It is necessary to undergo a course of treatment to solve this problem once and for all.

There are examples when, with frequent urges, urine does not completely leave the bladder, and it still is not completely emptied. In this case, stretching of the muscle tissue occurs. Gradually, the process becomes uncontrollable, and urination may occur unexpectedly.

The pathological process can be of two types:

complete retention of urine (with this type, a sick person is unable to excrete even a milliliter of urine). There is an urge, but it is impossible to release the bubble. Such patients are forced to resort to emptying via a catheter;
incomplete retention (the bladder is emptied, but due to some factors the act is not completed), little urine is excreted;
residual urine (a disease in which the initially normal act of urination is interrupted with the inability to continue it).

With successful treatment, it is possible to prevent chronicity of the disease.

Development mechanism

In most cases, the development of the disease with characteristic symptoms of incomplete emptying is associated with residual urine in the organ. Typically, this occurs when there are stones in the urethral canal or a fusion of the urethra that prevents the normal movement of urine out of the body.

Pathogenetic factors also include hypotension or atony of the bladder, in which its walls cannot contract properly. One way or another, this is due to disruptions in the innervation of organs. There may be cases when the impossibility of completely emptying and getting rid of urine is caused by psychological problems of a person.

Infections of various etiologies introduced into the body can cause excessive stretching of the walls of the organ, and the frame is also susceptible to increase in case of fluid retention inside. In this case, the patient feels fullness in the pubic area and acute pain. With such problems, the bladder cannot contract normally.

The reasons include organ hyperactivity, as a condition opposite to atony. At the same time, the muscles of the bladder are in constant tone, which determines the person’s desire to urinate frequently. Since there is little liquid in the reservoir, it comes out in insufficient quantities and is accompanied by a feeling of incomplete emptying.

In pregnant women, the functioning of the organ is impaired due to the growth of the fetus, which puts pressure on all neighboring organs and systems. Also, in the body of the expectant mother, the genitourinary system does not have time to adapt to new conditions, due to which the bladder is constantly activated. In older people, problems with bladder tone occur after 60 years of age.

Incomplete emptying of the bladder in men and women

Incomplete emptying of the bladder in men most often occurs with adenoma or inflammation of the prostate. In addition, these urges occur when stones form in the genitourinary system, urethral stricture, or urethritis. Disturbances are sometimes a consequence of innervation or chronic cystitis - however, such deviations occur in rare cases.

Urinary tract infections are more common in women. This is influenced by the anatomy of the female body itself, which facilitates rapid access of bacteria to the bladder. The close proximity of the urethra, vaginal and anal openings also has its consequences, as well as sex...

During sexual intercourse, the likelihood of bacteria living in the genital area entering a woman’s bladder increases significantly, since it is relatively easy to get to. Cystitis is called the “honey disease” in women associated with excessive sexual activity.

Sometimes the feeling of incomplete emptying of the bladder in women occurs in stressful situations. In other cases, incomplete emptying of the bladder in women is affected by damage to the nerve endings that are located in the bladder or diseases of the central nervous system.

In addition, the cause may be individual tendencies, such as loss of bladder muscle function, bladder flaccidity caused by injury or pelvic fractures from a fall from a height. Inflammation of the urinary tract can also affect incomplete emptying of the bladder.

Also, the reason for the feeling of incomplete emptying of the bladder may be:

urethritis;
disruption of the innervation of the pelvic organs;
presence of stones in the bladder;
the presence of neoplasms, both malignant and benign;
chronic or recurrent urinary tract infections;
kidney parenchyma;
perirenal abscess.

Incomplete emptying during pregnancy

While carrying a child, the female body reacts especially strongly to various irritating circumstances. The body is preparing for the birth of a baby - this is accompanied by changes in hormonal levels. Thanks to hormones, the muscles of the pelvic organs relax and, as a result, the process of fluid movement slows down. Because of this, pregnant women are often prone to problems with incomplete emptying.

Such changes are not immediately noticeable - the amount of urine decreases gradually. However, this is an absolute threat to the health of the expectant mother. An example is infectious disease. This happens because when the ureters are regularly emptied, the fluid does not have time to fill with urine (bacteria that need to be removed from the pelvic organs).

How to prevent it?

In order to prevent developing ailments in time, it is necessary to monitor the condition of the emptied fluid. Therefore, pregnant women often have to undergo general urine tests. An excess of leukocytes and microorganisms indicates a possible disease. This problem can be eliminated with the help of antibiotics, but this has a bad effect on the health of the unborn child.

In the last trimester of pregnancy, urinary stagnation is most severe. This is affected by the size of the fetus - the uterus, increasing in volume, compresses the ducts. Therefore, the bladder is not completely emptied, which creates a favorable environment for the development of pathogenic bacteria. This provokes pain at the base of the spine, nausea and a lethargic state.

Bladder diverticula are rarely diagnosed in pregnant women, but the possibility of their development cannot be completely excluded. According to statistics, diverticulosis is more common in men; in addition, its occurrence is not a spontaneous process, but most often contains previously pathological processes.

Making this diagnosis is generally an indication for surgical intervention to avoid complications. However, surgical interventions during pregnancy are unfavorable, and therefore the doctor makes decisions about such in consultation with colleagues from related fields of science and after assessing the expected benefits and risks. It is likely that the pregnant patient will be monitored over time.

Additional symptoms

Whatever pathologies of the urinary organs provoke this phenomenon, it is usually accompanied by a number of general symptoms. If we are talking about true overcrowding of the bladder, then a pain syndrome is characteristic, which is felt in the pubic area, genitals, radiates to the lower back or even the anus.

The process of urination itself is disrupted. The stream decreases significantly, the urine pressure drops. Urination in almost any of these diseases is accompanied by pain or discomfort. At advanced stage pathology, urinary incontinence is observed.

In order to determine a specific disease, you need to undergo a complete diagnosis. For this, an ultrasound is prescribed. It is performed immediately after urination to determine the degree of fullness of the bladder. Previously, catheterization was performed immediately instead; today it is carried out only when indicated.

The following are considered informative methods:

contrast radiography of the bladder;
cystoscopy to determine the presence of stones;
uroflowmetry to assess the intensity of urination.

Unfortunately, the main problem is complemented by other unpleasant sensations. In some inflammatory diseases, the patient's temperature may rise to a febrile state.

The following symptoms accompany the pathology:

The pain occurs constantly, it intensifies when palpating the abdomen, lifting weights, or physical exertion;
Acute pain in the lumbar area is characteristic of urolithiasis;
Feeling of fullness in the lower abdomen;
Change in urine color;
Blood in urine.

These manifestations are dangerous because a person does not immediately react to them. This situation can be fraught with stagnation of urine. Due to stagnation, the patient suffers from a constant pressing sensation, a feeling of fullness of the bladder.

Bacteria and other pathogenic organisms also begin to develop in stagnant urine. They can affect the bladder and even the urethra.

And if the inflammatory process is not stopped, the infection will reach the kidneys and cause pyelonephritis.

Therefore, it is very important to quickly seek help from doctors at the first symptoms of the disease.

The main symptoms of a full bladder are the frequent urge to deurinate, which occurs immediately after completion of the act of urination. The process itself is very painful, accompanied by discomfort and burning, as well as heaviness in the area above the pubis.

This occurs due to the stretching of the walls of the organs by a significant volume of fluid inside it. The psychological component is equally important, since the patient worries that he cannot leave the toilet and do normal activities. Fatigue, aggressiveness and irritability accumulate and only make the situation worse.

Men have special signs of pathology, which include potency, periodic involuntary leakage of urine, and an intermittent stream during urination. If the patient experiences general weight loss and lack of appetite, this indicates malignant formations in the prostate gland.

Cramping pain occurs with urolithiasis, especially if one of the stones or its fragments moves along the urinary tract. Sediment appears in the urine, bleeding and hematuria are possible.

Pain in the lower back, altered urine composition, and elevated body temperature are symptoms of developing pyelonephritis and glomerulonephritis. With a frequent desire to empty the bladder, accompanied by burning and pain when urinating, there is a suspicion of the development of urethritis and cystitis.

Often, incomplete emptying of the bladder is accompanied by a host of symptoms:

Pain syndrome. Localized in the pubic area, penis, lower back, anus. There is a moderate intensity of pain; it is aching and pulling in nature. They get worse when visiting the toilet or having sexual intercourse.
Feeling of fullness of the bladder. Especially when it comes to true incomplete emptying.
Disorders of the urination process. The stream becomes sluggish as the urine pressure drops. The process is accompanied by severe pain or is completely interrupted at the very peak of the process.
Erection disorders. Erection also suffers. The penis becomes not hard enough for normal sexual intercourse. Nocturnal erections also disappear. The reason is purely physiological.
On late stages As the true form of the disease develops, symptoms of urinary incontinence arise.
Urinary urgency, which do not end in success: urine does not come out at all or is released in small drops.

The symptom complex does not allow one to accurately determine the nature of the disease process and identify the cause. Needed additional research.

Symptoms of a full bladder are a frequent urge to urinate, which can occur immediately after the end of deurination. Feeling of full bladder after urination. The process itself is accompanied by pain, burning, discomfort, and heaviness over the pubic area. This is due to the stretching of the bladder walls with a large amount of fluid.

There are also specific signs of the disease that leads to such a pathology. With prostatitis, men have an intermittent stream of urine, impotence, and urine leakage. If there is a malignant neoplasm of the prostate gland, the patient loses weight and has no appetite.

With urolithiasis, cramping pain is present, especially if the stone moves along the urinary tract. There is sediment in the urine, and hematuria occurs.

Glomerulonephritis and pyelonephritis are characterized by pain in the lower back, possible fever, and changes in the composition of urine. With glomerulonephritis, blood is present in the urine.

Cystitis and urethritis differ in that the patient has a frequent desire to urinate, and during the emptying of the bladder, pain and burning occurs. Hyperthermia is characteristic.

Disorders in the spine can cause problems with urination.

After visiting the toilet, you still have the feeling that you were unable to empty your bladder completely.

Basically, these signs are not a disease as such. Rather, it is a syndrome of the development of other types of disorders, in particular, problems with the genitourinary organs. There is a whole range of such diseases: urethritis, cystitis, urolithiasis, benign and malignant neoplasms, the formation of stones in the ureters, neurogenicity and hyperactivity of the empty bladder, etc.

In addition, this sign refers to possible disorders in the spine (trauma, mechanical disorders, sciatica, etc.). Thus, it is necessary to pay attention to additionally present signs. With the help of a specialist, you can make a correct diagnosis and take timely measures to eliminate deviations.

Diagnostic features

A doctor cannot prescribe treatment based on only one patient complaint. The feeling of fullness of the bladder accompanies several diseases at once, so a complete diagnosis is required.

Not only current symptoms are taken into account, but also those diseases that the person previously suffered from. The age, gender of the patient, chronic diseases, etc. are taken into account.

The doctor may prescribe:

Several detailed tests (urine and blood);
Ultrasound of the pelvic organs;
Consultation with a nephrologist, gynecologist, neurologist, etc.

The sooner you complete all diagnostic procedures, the sooner you can begin treatment.

The first step in treating a disease such as incomplete bladder emptying that occurs in men is diagnosis.

The doctor interviews the patient and finds out what reasons could lead to the occurrence of this disorder.

Afterwards, the doctor, while palpating the anterior abdominal wall, tries to determine the size of the patient’s bladder.

If the patient continues to feel the sensation of incomplete emptying of the bladder, it is very important to correctly diagnose the disease that caused it and begin appropriate treatment. To do this, the doctor initially interviews the patient and examines him.

By palpating the anterior abdominal wall, a specialist can determine an enlarged bladder. This is observed if a large amount of residual urine remains in it. You can also suspect this reason for the persistence of discomfort even after urination by the appearance of pain and a feeling of fullness in the lower abdomen.

Attention! Stagnation of urine is fraught with the proliferation of pathogenic bacteria in it and their penetration through the ureters into the kidneys. Therefore, diseases of the lower urinary tract are often complicated by ascending pyelonephritis.

Clinical picture assessment

An important stage in diagnosing the cause of the sensation of incomplete emptying of the bladder is the assessment of the symptoms from which the patient still suffers. Thus, inflammatory diseases of the urinary system, in particular urethritis, pyelonephritis, and cystitis, are characterized by:

pain in the suprapubic region;
burning and stinging when urinating;
temperature increase;
pain in the lower back, and more often they are observed only on one side of the body;
change in the transparency, color and smell of urine, etc.

If such pathologies are more common among the fairer sex, then prostate diseases, which are also accompanied by stagnation of urine, are the scourge exclusively of men. They show themselves:

pain in the lower abdomen;
weak pressure or even interruption of the urine stream when urinating;
problems with potency;
weight loss, which is more typical for the formation of malignant tumors in the tissues of the gland;
slight increase in temperature;
the presence of blood in the urine, etc.

Urolithiasis also often causes discomfort after and during urination. But since it is almost impossible to confuse attacks of renal colic with anything, usually there are no problems with diagnosing the reason for the persistence of the desire to urinate.

The greatest difficulties await doctors in the presence of an overactive bladder, since to a large extent this diagnosis is made by excluding other pathologies. This disease is characterized by frequent (more than 8 times a day) urination, and the urge usually occurs quite suddenly and is immediately so strong that patients do not always manage to get to the restroom on time.

Attention! Having episodes of urinary incontinence is an important diagnostic sign, so don't be shy about talking about them.

Laboratory and instrumental methods

To confirm or refute his assumptions, the doctor prescribes:

bacteriological examination of urine;
Ultrasound of the kidneys and pelvic organs;
radiography, including contrast urography;
cystoscopy.

Important: especially difficult cases the patient is recommended to undergo an MRI or CT scan in order to definitively establish the reason for the persistence of the urge after urination.

Thus, the feeling of incomplete emptying of the bladder can accompany quite serious diseases. Therefore, if it occurs, you should consult a doctor as soon as possible.

But perhaps it would be more correct to treat not the effect, but the cause?

To determine the true cause of the patient's complaints, the doctor evaluates the accompanying symptoms.

Inflammatory diseases of the urinary system

Urethritis, cystitis and pyelonephritis are more common in women. These diseases differ from others by pain in the suprapubic region, pain, burning, and pain when urinating. Body temperature often rises and headache occurs. With pyelonephritis, pain in the abdomen and lumbar region may appear, often one-sided. In these diseases, urine becomes cloudy or acquires a whitish tint.

Prostate pathologies

In men with prostatitis or prostate adenoma, the gland increases in size, squeezing the urethra. This leads to disruption of the outflow of urine and its retention. The patient may complain of pain in the lower abdomen, a weak and intermittent stream of urine during urination, and dripping of urine. Often these symptoms are accompanied by impotence.

Diseases of the female genital area

Women may feel insufficient emptying of the bladder with adnexitis. With this disease, body temperature may rise, nagging pain appears in the left or right groin area, less often on both sides. Sometimes there is pathological discharge from the genital tract.

When contacting a doctor, tell us in detail about all your symptoms, as well as previous illnesses and injuries.

Urolithiasis disease

If there are stones in the bladder, there is often a history of renal colic or simply severe lower back pain.

Neurogenic or overactive bladder

With these pathologies, patients are bothered by pain in the lower abdomen and an increased urge to urinate. Moreover, the urges can be very strong and even unbearable. These diseases, unlike acute inflammatory diseases, develop gradually and last longer.

Innervation disorders

Hypotension of the bladder is usually caused by injury or disease of the spinal cord. The difference between this condition is that, along with impaired urination, intestinal dysfunction (constipation) is observed. In addition, urinary and fecal incontinence often develops.

Studies necessary to clarify the diagnosis

If the patient is bothered by the feeling of incomplete emptying of the bladder, the urologist prescribes the following tests:

general clinical blood test;
general clinical urine analysis;
culture of urine on nutrient media to determine microflora;
Ultrasound of organs located in the pelvis (bladder, prostate in men, uterus and ovaries in women), and kidneys;
contrast urography;
cystoscopy.

In unclear cases, CT, MRI, radioisotope examination of the urinary organs, etc. are used. After assessing the clinical symptoms and examination results, the doctor makes a diagnosis and prescribes appropriate treatment.

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What is incomplete bladder emptying and how to treat it?

Treatment of a full bladder involves eliminating the cause of this phenomenon. But urgent measures must be taken to empty the bladder. For this, catheterization is performed.

For cystitis, antispasmodics (No-shpa, Drotaverine) are more often used to relieve pain.

For prostatitis, non-steroidal anti-inflammatory drugs - Ibuprofen - are used for the same purposes. Men also experience neurogenic pain in the genitourinary system. Various drugs are used for this, including neuromodulators, antidepressants, etc.

When treating prostatitis, alpha-blockers are prescribed - Terazosin, Tamsulosin, Alfuzosin. They relieve pain, reduce spasms, and promote urine outflow. At the same time, antibiotics are used to kill the bacterial infection. Mainly drugs from the tetracycline group, Levofloxacin.

Since urinary retention in this case occurs due to strong tissue proliferation, when the process is advanced, its partial excision is prescribed. In case of adenoma, complete removal is possible.

When treating any of these diseases, you should not drink alcohol. Therapeutic exercises are often prescribed, but heavy physical activity is limited. It is necessary to reduce the load on the muscles of the perineum, especially with adenoma or prostatitis. Acceptable activities are walking and swimming in the pool.

The disease can be expressed in two forms, complete and partial. If we talk about the full form of the pathology, then with it a person is not able to empty the bladder - the urge itself is present, but the liquid does not come out. And sharp, sharp pain appears in the lower abdomen.

In the partial form of the disease, urine is drained slightly. It seems that the liquid comes out, but pretty soon the person wants to go to the toilet again.

Treatment can begin only after establishing the cause of the pathology. After the results of laboratory tests, therapy can be prescribed.

What treatment might be:

If the cause is a bacterial infection, then a course of antibiotics will be prescribed, which is taken strictly according to the regimen;
If stones are found in the urinary tract, medications will be prescribed, the action of the drugs is aimed specifically at removing these stones;
If there is a psychological factor in the disease, the person will be prescribed sedatives, they will calm the patient;
For gynecological underlying causes, treatment will be aimed at resolving the gynecological disease;
In case of disorders of the nervous system, treatment will be prescribed by a neurologist.

Particularly severe cases that do not respond to conservative medicine require surgical intervention. This usually happens when too large stones are found in the organs of the genitourinary system. Tumors and neoplasms can also cause the need for surgery.

The patient himself can help himself alleviate the condition and relieve some unpleasant symptoms. During the act of urination there should be no tension, you need to relax as much as possible.

If you gently press your palm on the bladder area at the very moment of urination, this will stimulate its contraction. While you are on the toilet, you can turn on the water - the sound of flowing water helps urination.

Symptoms should not be treated with folk remedies; this is not yet a disease, but only its signs. Be sure to find out what caused the urination problem, undergo all examinations and begin treatment according to the regimen prescribed by the doctor.

The prescription of a treatment regimen with drugs is made after diagnosis. If it is necessary to remove the infection that has caused the bladder to overflow, then antiviral and antibacterial drug therapy is required.

If the problem is urolithiasis, then drugs are used to dissolve stones and small stones. If they are very large, they need to be crushed using instrumental methods and then removed with diuretics.

With urethral stricture, the only way to eliminate unpleasant symptoms is surgery. If there are psychological factors that caused the disease, the patient is recommended to undergo psychotherapy and a course of sedatives. For formations, both benign and malignant, it is necessary to perform excision of the tumor, possibly radiation and chemotherapy.

№	Helpful information
1	When urinating, the patient is advised to relax; it is important not to squeeze the abdominal and bladder muscles
2	deurination requires solitude and a calm, comfortable place
3	When emptying your bladder, do not rush
4	slight palm pressure on the area above the pubic bone can slightly reduce the soreness and promote successful bowel movement
5	The sound of flowing water also psychologically promotes urination
6	When urinating, you should not interrupt the stream, as many do to train muscle function, as this will only aggravate the situation

If these methods do not help, the doctor will install a catheter that can remove excess fluid and accumulated urine from the body. If urinary retention has entered the acute phase, catheterization is done urgently. To do this, the urethra is disinfected, the external opening is lubricated with glycerin or petroleum jelly and a catheter is inserted. Its terminal part is inflated, due to which it is attached.

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This treatment for incomplete bladder emptying in men can only be prescribed by a doctor. Taking medications on your own is strictly prohibited. Each organism is individual and if this medicine helps one, it can be dangerous for another.

A lot depends on the cause of the disorder in the genitourinary system. Medicines are necessary to reduce and eliminate symptoms of adenoma. If they do not help, then there is a need surgical intervention.

If the bladder is not completely emptied due to an inflammatory process, that is, with prostatitis, it is necessary to take treatment with antibiotics. For example, this could be Amoxcillin or Fluoroquinolone. To eliminate painful sensations, you should take painkillers.

Treatment

Treatment of this pathology begins with eliminating the root cause of the disease. If the factor causing the feeling of a full bladder is an infection, then antibacterial or antiviral therapy is mandatory. If you have urolithiasis, the doctor prescribes drugs that can dissolve small stones. If the size of the stones is large, then crushing of the stones is used.

In case of urethral stricture, the only way to solve the problem is through surgery.

If the disease is explained by a psychological factor, then the patient is prescribed sedatives and psychotherapy is recommended.

In the case of formations of a benign and malignant nature, the tumor is excised; if malignancy is confirmed, chemotherapy and radiological irradiation are used.

There are a number of ways to diagnose the causes of the feeling of a full bladder, which can significantly improve the well-being of a sick person:

when urinating, you need to relax, do not squeeze the muscles of the bladder and abdomen;
You definitely need to retire and find the most comfortable place;
you can’t rush, as it’s difficult to empty your bladder;
palm pressure on the suprapubic area will make it much easier to defecate;
to stimulate deurination, you can use the sound of water pouring;
during the act of emptying an overfilled bladder, the process cannot be interrupted (some use this technique as training), as this creates an even greater violation.

If all of the above methods are ineffective, then the doctor inserts a urinary catheter.

In case of acute urinary retention, emergency catheterization is performed. The external opening of the urethra is disinfected, lubricated with Vaseline and then a catheter is inserted, then its terminal part is inflated. With this, it is secured. The exception is situations in which the cause of the disease is prostatitis or stones. In this case, the catheter is prohibited from use, as it can aggravate the process.

If there are problems with the outflow of urine, incomplete excretion of urine is usually divided into two types - partial and complete. In the first case, there is a small outflow of fluid, it is not completely removed. The urge occurs every few minutes - there is no way to move away from the toilet. In the second case, urine is not released at all, although there is a constant urge. This is accompanied by severe cutting pain in the lower abdomen.

To cope with these disorders, as well as restore functions, it is important to know the cause of the deviations. Self-medication in such cases does not help, so you need to see a doctor. In the hospital, diagnostics will be carried out and the provocateur of the illness will be identified. After which an experienced urologist will prescribe individual therapy to solve the problem.

Depending on what caused the failure to urinate, antibiotics, drugs that neutralize infections, or drugs that remove stones are prescribed. It all depends on the root cause of the deviations. Sometimes hormonal and sedative drugs are used if the disruptions are caused by psychological disorders or changes in hormonal levels. Fighting methods are different. The main attention should be paid to why such deviations developed.

Traditional methods of restorative therapy

Symptoms such as the feeling of incomplete emptying of the bladder in men can be eliminated using traditional methods of treatment. Much depends on the cause and stage of development of the disease. The more advanced the stage, the longer it takes for complete recovery.

For adenoma, it is recommended to take treatment with celandine. This is a poison treatment that can cope even with benign seals. To do this, you need to combine 1 tablespoon of dry crushed plant and pour one glass of hot boiled water. Then leave to infuse in a dark room for several hours. You need to take the medicine before eating.

Garlic has a positive effect on the body. It contains such a trace element as Germanium, which prevents the formation of oncology.

You need to take a glass of garlic and grind it using a blender. Add the juice of 12 lemons and leave in a dark place for a month. This medicine should be taken before bedtime. You need to mix 1 teaspoon per 100 grams of water. The course of treatment consists of 21 days, then you should take a break and you can repeat the course of treatment again.

If the cause of a problem with the bladder is the presence of an infection, for example, cystitis, then you should use the following recipe. To do this, you need to take plantain leaves, cinquefoil and horsetail. You need to take 3 tablespoons of each ingredient, only 4 leaves are needed. Stir everything thoroughly.

For treatment you will need 3 tablespoons of the mixture, pour a glass of hot boiled water. You should take 200 grams in the morning after waking up and in the evening before bed. This should be done until the symptoms are completely eliminated.

There are several types of herbal remedies that help with this disorder. For example, you can take equal proportions of corn silk, birch and bearberry leaves, licorice root and wheatgrass rhizomes. For the medicine you need to take 2.5 tablespoons of this product and add 0.5 liters of water. Boil for 10 minutes.

Take small sips throughout the day. The daily dosage is one glass. The course of treatment is two weeks.

It is necessary to treat the underlying disease that caused incomplete emptying of the bladder. To relieve the condition, catheterization of the organ is required so that the bladder is released mechanically.

Treatment of the root cause is often surgical and involves partial excision of the prostate gland or its complete removal (in case of hyperplasia), taking anti-inflammatory drugs, antispasmodics, alpha-blockers (normalize the process of urination), antibacterial agents for proven prostatitis.

If we are talking about strictures and obstruction of the urinary tract, surgical intervention cannot be avoided.

The treatment tactics are determined only by the doctor, based on the primary factor in the development of the condition. Often you can limit yourself to drug therapy.

Drug treatment

How to relieve the feeling of incomplete emptying on your own?

In order to reduce unpleasant feelings during the course of treatment, you can use some techniques yourself:

During the period of emptying, it is necessary to relax the muscles of the pelvis and abdomen as much as possible. When the body is in good shape, stagnant fluid is more difficult to remove from the genitourinary system.
You can help yourself by stimulating bladder contractions. To do this, you need to press your hand on your stomach in the area below the navel. This will help increase the volume of fluid coming out.
To make emptying more complete, you can listen to the sounds of flowing water (for example, turn on a water tap).

First aid

If there is such a problem, urine cannot completely leave the bladder, you must urgently consult a specialist. If an acute condition of the disease occurs, the patient must be urgently helped. To do this, a catheter is inserted into the bladder.

First, the area where the catheter will be inserted is treated, treated and disinfected. The tube is moistened with glycerin or petroleum jelly and carefully inserted. This procedure must be performed very slowly so as not to harm the patient.

It is prohibited to carry out this procedure if you have prostatitis or urolithiasis. Otherwise, the disease may worsen. The urologist diagnoses it on an ongoing basis and prescribes appointments throughout the course of antibiotics. Over time, the patient can insert a catheter on his own, but this should be done only after consultation with a doctor, following all the rules.

Incomplete emptying of the bladder in men requires treatment, which includes the use of a catheter and treatment with medications.

Treatment of bladder diverticula at home

To alleviate the general condition, traditional medicines are often used. Very often herbal infusions, teas and tinctures come to the rescue. Thus, to eliminate the symptoms of cystitis, decoctions containing horsetail, plantain and cinquefoil are suitable. The recipes are quite simple: the herbs are poured with boiling water and infused for some time, after which they are taken orally.

Herbal products such as bearberry, licorice, wheatgrass root, and corn silk have an active diuretic effect. It is customary to brew them and consume several glasses per day. However, diuretics should not be abused and the course should not be delayed for more than two weeks. Because this creates a risk of leaching of nutrients from the body.

For male diseases, products based on celandine, garlic, lemon, and parsley are more useful. You can also make decoctions or mixtures from them, infuse them and use them morning and evening. Chestnut peel is useful in eliminating problems with urination; it is steamed in a water bath or in a thermal container. You need to drink before eating.

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Prevention of the formation of bladder diverticula consists of timely elimination of the causes of their formation. At the same time, the prevention of pathologies that are a complication of long-term developing diverticula is their surgical removal, which should not be abandoned if the doctor does not see any contraindications.

Complications

The most likely and severe consequence of incomplete emptying of the bladder is acute urinary retention. It is fraught with rupture of a hollow organ followed by peritonitis.

The following complications are also possible:

Cystitis (stagnant urine is an ideal breeding ground for pathogenic flora).
Kidney failure(more details). It does not appear immediately. For such a serious complication to develop, a long course of the condition is required.

In order to avoid adverse consequences, it is necessary to promptly treat the underlying disease.

Incomplete emptying of the bladder is a dangerous condition that leads to serious consequences for health and even life. As soon as the patient notices problems with the urinary system, you should immediately consult a doctor.

If incomplete emptying develops into a chronic form, this is fraught with the manifestation of renal dysfunction. To detect it, you will have to undergo a medical examination. The disease can manifest itself in the form of pain at the base of the spinal column, fever, chills, and changes in blood composition. After diagnosis, treatment should not be delayed, since these abnormalities pose a danger to the patient’s life.

The excretory function is extremely important for our body, because it ensures the timely evacuation of harmful substances and end products of metabolism from it. That is why any deviation from the normal functioning of the urinary system can cause a deterioration in the patient’s general condition, as well as negatively affect the functioning of many organs.

One of the most unpleasant symptoms that indicate dysfunction of urination is incomplete emptying of the bladder. This unpleasant condition often occurs in adult males and females. Its appearance is always associated with the presence of any problems with the health of the urinary organs. In this article we will consider in more detail the causes and methods of treatment of this phenomenon.

What is this and how does this symptom manifest itself?

Incomplete emptying of the bladder is a dysfunction of the genitourinary system, causing a lot of physical inconvenience and psychological distress in patients. This condition is not physiological and in most cases accompanies all kinds of diseases of the genitourinary tract. It is for this reason that the occurrence of this problem should be a reason to visit a qualified urologist. In this case, a man or woman is necessarily recommended to undergo a comprehensive examination of all organs of the urinary system, because only correct and timely diagnosis will help the patient get rid of this phenomenon forever.

Incomplete bladder emptying syndrome in women and men exists in two clinical forms - complete or partial urinary retention. The first is characterized by the absolute impossibility of excreting urine in a natural way, and even with the patient’s great desire, emptying the bladder does not occur. Such patients suffer for years, since their urine is released only artificially - through the installation of a special catheter.

With partial retention, the bladder does not empty completely. The act of excreting urine itself begins normally, but for some unknown reason it is never fully completed. In this situation, a person can still be cured; for this, experts recommend seeking medical help in a timely manner. After eliminating the main cause of the feeling of incomplete emptying of the bladder, this pathological phenomenon goes away on its own. Otherwise, such a condition may become chronic.

Why does this disorder occur?

There are many reasons for incomplete bladder emptying in men and women. Some of them are extremely rare. Often, ordinary inflammation of the urethra can cause a similar symptom. The following disorders lead to the development of a feeling of incomplete emptying of the bladder:

various infectious pathologies of the kidneys;
the presence of malignant neoplasms in the urethral canal;
state of pregnancy and the postpartum period in women;
age-related weakening of the muscular system in older people;
inflammatory diseases of the urinary and reproductive system;
cystitis (especially in advanced, progressive form);
the appearance of pathological narrowings (strictures) in the urination channel;
paraphimosis and phimosis in men;
hyperactive organ syndrome, which is manifested by an increased urge to urinate;
small bladder volume;
infection with viral infectious pathologies (herpes);
urolithiasis disease;
drug intoxication (develops after the use of drugs);
benign neoplasms in the prostate gland (prostate adenoma);
diseases of the spinal cord and brain;
disruption of the nervous regulation of the genitourinary tract.

This is not a complete list of all the reasons that can cause the inability to empty the bladder completely. This condition is often a consequence of various surgical interventions or injuries localized in the pelvic area. Some general diseases can also cause a number of complications that lead to disruption of the normal functioning of the urination channel.

Important! Do not forget that a feeling of a full bladder can occur as a result of drinking a large amount of alcoholic beverages! Also, the condition of this organ can be affected by some intestinal diseases and the effect of low temperatures. In this case, the symptom of an incompletely emptied bladder is usually temporary.

Associated clinical signs of the disease

The main symptom of complete or partial fluid retention in the bladder is usually accompanied by other unpleasant manifestations. In case of inflammatory pathologies (cystitis), the patient may experience a sharp increase in temperature. This dysfunction of the urethra is often accompanied by the following symptoms:

Pain in the lumbar region (acute in nature and often occurs with urolithiasis).
Presence of bloody impurities in the urine.
A feeling of fullness that occurs in the lower abdomen.
Constant pain, aggravated by pressure on the pelvic area or excessive physical strain.
Changes in the quality of urine and its color (turbidity, appearance of flakes, sand, purulent discharge).

Such signs can pose a great danger to the patient. Patients react to such symptoms untimely, which causes constant congestion in the cystic cavity. In case of stagnation of urine, a person experiences an unpleasant pressing sensation and a feeling of fullness of the organ, and the urge to urinate appears much more often. Stagnant urine is an excellent habitat for various bacterial pathogens and other infectious agents. These harmful microorganisms can cause cystitis or urethritis. If you do not get rid of problems with urination and do not stop the inflammation process, pathogens will penetrate the kidneys and lead to the development of pyelonephritis.

Attention! If you experience a feeling of incomplete emptying of the bladder, you should not use alternative medicine and treat yourself! First you need to establish the cause of the disease and undergo the necessary examinations. Treatment should only be carried out under medical supervision!

Diagnostic methods

The main goal of diagnosis in this case is to determine the nature of urinary retention (true, false) and to determine the main cause of this disorder. In this regard, you should visit a specialist in the field of urology.

During the first consultation, the patient’s main task is to describe in detail how he is feeling and the symptoms that he noticed. Based on complaints, the doctor collects anamnesis (information about previously suffered pathologies). A very important fact in this case is the presence of inflammation of the prostate gland or benign neoplasms of the genitourinary area. Often such serious diseases are determined precisely after the patient notices a symptom of incomplete emptying.

The following studies help the urologist make the correct diagnosis:

Urography– examination of the bladder using contrast agents.
Ultrasound of the organ– performed immediately after completion of the act of urination, it provides an opportunity to determine the amount of residual urine and the very fact of its presence.
Cystoscopy– helps in identifying obstruction of the urinary tract (stone obstruction).
Uroflowmetry i – allows you to set the rate of urine output during urination (with spontaneous urination).
Ultrasound of the pelvic area– used to diagnose the condition of nearby organs.
Catheterization– in some situations it is performed instead of ultrasound, if there are necessary indications.

As additional studies used for diagnostic purposes, an ultrasound examination of the patient’s kidneys is performed. Males may be advised to take a prostatic juice test and a spermogram. But, usually, only the above methods are sufficient to make a diagnosis.

Treatment tactics

As mentioned earlier, if the patient does not completely empty the bladder, the root cause of the disease must be eliminated. Treatment of inflammatory diseases should begin with taking anti-inflammatory drugs (Ibuprofen, Paracitamol, Diclofenac). When the pathology is caused by the activity of bacterial or viral pathogens, the patient is recommended to take antibacterial (Monural, Cefuroxin, Furadonin) or antiviral (Ganciclovir, Zovirax, Accyclovir) drugs, respectively.

Treatment of incomplete emptying of the bladder cannot be imagined without taking various vitamin complexes (Urinal, Gentos Forte, Nephrin, Nephrosil) and agents that restore the functioning of the immune system. In a weakened state, the body simply cannot cope with inflammation, harmful infection or neoplasm. Often during therapy, a specialist has to change treatment tactics, because modern strains of bacteria and viruses are quite resistant to the action of antibiotics. In special cases, when the infection cannot be controlled, the patient may be offered surgery. This method of treatment is especially often chosen for a progressive form of the disease, if the disease has not been treated for a long time and has developed rapidly.

In case of incomplete emptying, treatment of the pathology may be urgent. Often the patient requires immediate medical attention, because this condition often becomes a sign of dangerous diseases. In such a situation, treatment comes down to urgent removal of stagnant urine from the body and injection with anti-inflammatory drugs. Injection of medications helps eliminate inflammation and pain.

Sometimes, in a state of incomplete emptying of the bladder, the patient needs surgery for reconstruction of the urethral canal or excision of the affected tissue structures of this organ. The choice of treatment method depends on the stage of development of the pathological process and the degree of its neglect.

Urolithiasis is very difficult to treat conservatively, so with such a diagnosis it is sometimes necessary to undergo surgery. Typically, this method of therapy is used as a last resort, because now, thanks to modern technologies, many doctors recommend crushing stones without surgical intervention.

How to quickly help a patient?

In order to get rid of the feeling of a full bladder, the patient needs to know several useful rules. The following recommendations will help improve the quality of urination and the patient’s well-being:

In order to stimulate the process of urine output, it is recommended to use a sound stimulus - pouring water. To do this, turn on the tap.
Do not rush, otherwise it will be much more difficult to have a bowel movement.
While urinating, relax and do not strain the muscles of the abdomen and bladder.
As urine comes out, lightly press the suprapubic area with your palm - this will help you evacuate more efficiently.
Try not to interrupt the act of excreting urine (often used to train the muscular system) - this does not help, but only aggravates the condition, causing more serious disorders.

Good to know! If the patient begins to feel fullness of the urinary tract, and at the same time cannot empty himself for a long time, the specialist performs the procedure for installing a catheter. Emergency catheterization is the first aid for acute urinary retention.

Incomplete emptying of the bladder is a rather unpleasant and problematic phenomenon. Since this condition can accompany dangerous pathologies, self-medication of such a disorder is unacceptable! If such a symptom appears, it is better to visit a urologist as soon as possible, because not only the health, but also the life of the patient may depend on this in the future.

The urinary bladder is located in the pelvis and serves to accumulate and remove fluid from the body. As soon as the required amount of urine collects in the organ, a person has a desire to empty the bladder, in other words, to go to the toilet.

How does the process of urine excretion occur?

The starting point of departure is the kidneys; urine collected in these organs flows from the renal calyces into the pelvis, and then into the ureters. The structure of the latter allows urine to move drop by drop into the urinary bladder. It gradually fills, but mechanisms called sphincters (valve devices) prevent urine from leaving the organ.

Emptying the bladder is possible due to reflexes, so when there is approximately 300 ml of contents in it, pressure is generated on its walls. And a person has a desire to urinate, but note that a healthy man or woman can “store” liquid in a bladder for as long as five hours.

The walls of the urinary bladder are penetrated by nerve endings that receive impulses and redirect them to the part of the spinal cord responsible for urination. Then this center gives “orders” to the sphincters and walls, as a result of which the muscles contract, the valve devices relax and urine comes out, that is, the bladder is emptied.

Often people face problems with urination, and these simple tips will help you ease this process:

The sound of water certainly helps as a neurological stimulant for urination, especially for men;
If you want to empty your bladder easily, you should not drink large quantities of strong drinks or those containing caffeine. It is true that they increase the number of urges, but at the same time irritate the organ;
Try whistling during this intimate process, this way you strain the muscles located in the lower abdomen, which means you apply safe pressure on the walls of the bladder;

If you are experiencing frequent urine retention, you should immediately consult a specialist, as this can harm your health. For example, urine may flow back into the kidneys, which will lead to disruption of their functions.

Home Remedies

You can also make it easier to empty your bladder by:

Strengthening the pelvic muscles. The famous Kegel exercises (easy to find on the Internet) are best suited here; they will improve the condition of the muscles that control the urinary bladder and uterus in women. This exercise can be done at home in any position convenient for you, but it is best to do it while lying down;
Behavioral therapy. It consists of bladder training, for this you need a schedule for visiting the restroom, which you will strictly adhere to, even in those moments when you really want to urinate. The goal of this therapy is to increase the volume of the organ, reduce the urge, and increase the intervals between urinations. Thus, when emptying your bladder, you will not experience urine retention or incontinence;
There should be no feeling of discomfort in the toilet. To empty your bladder normally in the restroom, you need to create all the conditions in which you feel good. This room should not be too cold, but if there are tiles on the floor, then put on slippers before going to the toilet. Place candles on the shelves, keep them clean - this will give you the opportunity to relax and relieve your natural needs in a pleasant environment.