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Difficulty in Urine: Causes of Urinary Hesitancy

difficulty in urine

You may have urinary hesitation if you have problems starting to urinate or keeping urine flowing. Men and women of any age can get it, but older men are more likely to do so. It might result in urine retention in some circumstances. When you are unable to urinate, this occurs. It might be quite serious. Numerous medical problems might cause difficulty in urine. Make a doctor’s visit if you experience it. They can offer suggestions for treatments and assist in determining the root of your illness.

Causes of urinary hesitancy

Urinary hesitation could have a variety of causes. The illness is typically brought on in males by benign prostatic hyperplasia (BPH). It can also happen in both men and women because of:

  • disordered bladder muscles
  • nerve injury
  • surgeries
  • infections
  • mental health issues
  • certain medicines
  • a cancerous growth blocking the urine bladder or urethra

Enlarged prostate

You have a prostate gland if you are a man. It encircles the urethra. The tube leading from your bladder to the outside of your body is called your urethra.

As they age, a lot of men experience benign prostate enlargement. The prostatic urethra is put under strain as it swells inside the prostate gland’s core. Urinary flow is more difficult to initiate and maintain under this pressure.

Nervous system disorders and nerve damage

Your urine’s flow can also be hampered by damaged or ill nerves. Accidents might harm your nerves. Stroke, delivery, diabetes, and infections of the brain or spinal cord are some other reasons for the damage. Nerve damage can also result from conditions like multiple sclerosis (MS) and other nervous system illnesses.


Your nerves may be damaged by the anesthesia you get during surgery. This could lead to urinary issues. Surgery on your bladder, kidneys, or urethra can also leave you with scar tissue that narrows your urethra. Urinary hesitancy could occur from it.


Male prostatitis is typical. Infection may be the cause of the prostate gland’s inflammation. Your urethra may become compressed because of your prostate swelling. This might cause urinary hesitancy. In both men and women, urinary tract infections (UTI) and sexually transmitted infections (STI) can impair urine flow.

Shy bladder syndrome (paruresis)

Rarely, urinary hesitancy may be a symptom of shy bladder syndrome, a psychiatric disorder (paruresis). You could find it challenging to urinate in some circumstances if you feel awkward about urinating in front of people. For instance, utilizing public restrooms could cause urine difficulty.


The inability to urinate is another side effect of some drugs. For instance, some antihistamines, nasal decongestants, and cold remedies can have an impact on your urine. Anticholinergic medications, which are used to treat incontinence, muscle spasms, and stomach cramps, can also lead to hesitation and urine retention. Your urination patterns may change if you use antidepressants.

Medical help for urinary hesitancy

Visit your doctor if your urinary hesitation is ongoing or persistent. They can suggest treatments to help alleviate your symptoms and assist in identifying the underlying cause of your issue. Urinary hesitation may occasionally indicate a serious medical emergency. If you get low back pain, nausea, vomiting, fever, shaking, chills, and difficulty urinating, you should seek emergency medical attention. Get immediate assistance if you are unable to urinate at all. Urinary retention is the medical term for this issue. If not treated right away, it could go quite seriously.


The underlying reason for your symptoms will determine the suggested course of treatment from your doctor. They may suggest drugs, surgery, or other therapies depending on your diagnosis. Sometimes, using natural therapies can help you get rid of your problems. For instance, applying a heating pad or hot water bottle to your lower belly might be beneficial. Your muscles will be more relaxed as a result, which may also enhance urine flow. Increased urine flow may also be achieved by gently rubbing the area. Additionally, it’s crucial to consume a lot of water.

Final Words

Your symptoms might worsen if you neglect issues with urine flow. Urination can become so challenging as to be impossible, which would cause urine retention. This disorder may cause severe pain. It’s best to see a doctor as soon as you notice issues with your urine flow. Your short-term and long-term prospects may be improved by implementing their recommended treatment strategy.

If you are looking for the best urologist for the treatment of difficulty in urine, you can approach Dr. Saket Narnoli. He is a well-known urologist in Dhanbad, known for treating patients with the utmost care and following proper protocols.