Can urine retention lead to prostate cancer?

Question

Hello doctor,

I have pain in my hips and both legs behind my knees, and I occasionally have difficulties passing urine. My results also indicate that there is some remaining urine in my bladder. What may this be, and how would you handle my condition? I am 69 years old; would this lead to prostate cancer? How can I completely empty my bladder?

Kindly help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern. (attachments removed to protect the patient's identity).

The symptoms you describe, such as pain in the hip region, legs, and difficulty passing urine, along with residual urine in the bladder, can be indicative of several conditions. It is important to consult with a healthcare professional for a proper diagnosis and treatment plan.Here are some possible causes:

Urinary tract infection (UTI): UTIs (a bacterial infection that affects the urinary tract) can cause pain, difficulty urinating, and residual urine.
Enlarged prostate (benign prostatic hyperplasia or BPH): As men age, the prostate gland can enlarge, leading to urinary symptoms.
Kidney stones: Kidney stones (kidney stones are clusters of crystals that form from substances in your urinary tract) can cause severe pain in the side or back, difficulty urinating, and blood in the urine.
Arthritis (joint inflammation) in the hip or knee joints can cause pain and stiffness.Nerve problems: Nerve damage can affect bladder function and lead to urinary symptoms.

To determine the underlying cause of your symptoms, your doctor may recommend:

Urinalysis: A test to check for signs of infection or other abnormalities in your urine.
Blood tests: To assess your overall health and rule out other conditions.
Imaging tests: such as an ultrasound (a procedure that uses high-energy sound waves to look at tissues and organs inside the body) or CT scan (an imaging test that helps healthcare providers detect diseases and injuries) to examine your prostate, kidneys, and bladder.

Once the underlying cause is identified, your doctor can recommend appropriate treatment. For example:

UTIs (urinary tract infections): Antibiotics can treat UTIs.
Benign prostatic hyperplasia (BPH) is a health issue that becomes more common with age due to enlarged prostate. Medications or minimally invasive procedures can help manage BPH.
Kidney stones: Depending on the size and type of stone, treatment may involve medications, drinking plenty of fluids, or procedures to remove the stone.
Arthritis (joint inflammation): Pain management medications, physical therapy, and lifestyle modifications can help manage arthritis pain.
Nerve problems: Treatment may involve medications or physical therapy.

To empty your bladder fully, you may need to:

Double void: Urinate, wait a few minutes, and then try to urinate again.
Timed voiding: Set a schedule to urinate at regular intervals.
Pelvic floor exercises: Kegel exercises (pelvic floor exercises ) can help strengthen the muscles that control urination.

It is important to see a healthcare professional for a proper diagnosis and treatment plan. They can help you manage your symptoms and prevent complications.

I hope this information will help you.

Kindly revert in case of further queries.

Thank you.