Blocked Urinating

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I'm a 75 year old male in good health.  For the last couple of years I've been wrestling with frequent need to get up at night to pee.   I've had a couple of cystoscopies and tried a couple of drugs.   

The problem became serious for me after a bout of food poisoning, leaving me with periodic diarrhea and constipation.   Whenever I have either one I start having difficult commencing urination and continuing it until my bladder is empty. It may take me 15 minutes in the bathroom at night before I've peed enough to go back to bed.  But because my bladder isn't really empty I'll likely be up again in an hour or 90 minutes.   

My urologist thinks that when I have bowel problems, the increased pressure in my abdomen pushes my prostate into the urethra, partially blocking it.

I have a 118ml bladder,  36g prostate, no middle lobe. small side lobes.  When I don't have the blockage I have a residual of either 8.5% or 30% depending on which ultrasound test score is used.  

It would seem like there must be some easy way to push my prostate back into position away from my urethra. 

Has anyone had a similar problem?  Found anything that helps?

Thanks  John

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2 Replies

  • Posted

    John,

    As the rectum is right next to the urethra and prostate, constipation is a common cause of difficulty in urination.  If having diarrhea does the same, it may be related to gas; or it may be that you still have a fecal mass, with the diarrhea flowing around the mass.

    Good diet with fiber, plenty of water and exercise always help.   If you've had a recent course of antibiotic, it may have disturbed the normal flora in the bowel; try some good quality probiotic for that.

    There's no moving the prostate away from the urethra, as the urethra runs smack dab through the middle of the prostate.   About all one can do is to complain to the system designer while you're struggling to pee in the middle of the night.   

    Glenn

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