Q. Why do I have to constrict my muscles to urinate?
Hello doctor,
I am 53 years old with type 2 insulin dependent diabetes. For the past five years, my urine stream has become slow. As the stream is slow, I cannot stand and urinate. But, I feel that the bladder is empty after urination. In all scans the prostate is normal including the latest one. It is embarrassing many times; I may not find a western seat. What do you suggest? And what is your opinion about the same. I have to constrict the muscles several times for the urine to come out till the bladder is empty. I am just taking Insulin for diabetes. I am attaching my scan reports for your reference. Please help.
Hi,
Welcome to icliniq.com.
I would like to know few more details to help you in a better way.
- Do you have any stress incontinence? Is there involuntary dribbling of urine when coughing?
- Do you have any urgency that is unable to control passing urine once you got the thought of passing urine?
- Do you have any hesitancy and incomplete bladder emptying?
- What is the post-void residual urine volume in the abdomen ultrasound report?
- Do not worry; your problem is not with prostate as scan is normal (attachment removed to protect patient identity). If possible please send other reports.
- Most likely the problem is with bladder musculature (detrusor weakness) or may be within the bladder (any diverticulum).
- You need to undergo some tests like uroflowmetry or micturating cystourethrogram (MCUG).
Revert back with the answers to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician
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