Very weak stream after delaying urination

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I have a very large >100cc prostate with an enlarged median lobe confirmed by MRI. My urine stream is not what it was when I was 20 but still acceptable as long as I don't try to hold off urination. But if I hold it for any extended period after I feel the urge, the stream is VERY weak, almost non existent. Yet if I urinate soon after I feel the urge, the stream is fine. Is it my prostate causing this or something else?

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11 Replies

  • Posted

    Pete it is most likely your median lobe. Did they give you anything for it.

    Good luck...Ken

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    • Posted

      Kenneth.... If it was my median lobe causing this, wouldn't I have a very weak stream all the time, not just when I delay peeing for a long time? I'm thinking this is caused by a bladder or sphincter problem because the extremely weak stream only happens after I try to hold off peeing for awhile.

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    • Posted

      Pete

      That is very true. The median lobe is very funny and it also could be your bladder or sphincter.

      Let me tell you about me. I had my Urolift done over 7 years ago it has been great. About 3 years ago my steam was slowing down. My doctor did a scope and told me that my prostate was still open.

      We found out that it was my internal sphincter It was to tight. He put me on Vesicare 10 mg. I take it at night before I go to bed. That was it. I have a good steam and no other problems. It is a muscle relaxer See if you could get a few samples and see if it will help you. You never know

      Be safe...Ken

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  • Posted

    Pete, i had the exact same issue! That problem went away for me after PAE procedure. as well as the extreme urgency preceding that awful dribble dribble. Now i can hold it for as ling as i need to ( have to ) and when the time comes , it flows.

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    • Posted

      Bobcats... That's really good to hear. I'm scheduled for PAE in 2 weeks in Miami with Dr Bhatia. He's done about 1000 PAE's and he's only an hour drive away. I was concerned that PAE wouldn't work because of a bladder or sphincter problem but I read through your very detailed post about your PAE 2 years ago (thank you very much for posting your experience) and as you said, you had EXACTLY the same BPH symptoms as I have and PAE cured you. Hope my results are as good as yours.

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    • Posted

      Good Luck Pete! My PAE worked so well, I decided to do it again 😃

      I got a great 2 years ( which I wouldn't trade for anything)!

      My prostate re-vascularized, I am 56 years old and I exercise everyday. Doc thinks good healthy blood flow regrew my arteries - there by regrew my prostate.

      My symptoms had not gotten so bad, but i could feel them getting worse so my Doc and I decided to repeat PAE. He found 7 arteries that had been feeding my prostate! Usually only 2 or 3.

      Anyway, I'm 1 month post repeat PAE and I can tell you that my results are the same as the first time around - just fantastic! The recovery time was easier this time ( maybe I knew what to expect this time ?)

      Some might say only 2 years is not worth it, but I am a huge advocate of PAE!! Doc thinks I should get more than 2 years this time around.

      Again, good luck to you and keep in mind that the procedure is really very minimally invasive and recovery is easy!

      Bob

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  • Edited

    I have this same issue. Looking at Urolift for relief. Is there a term for this condition? My doctor has tried to do uroflow tests on my, but if I hold it till my bladder is full, my stream is very weak, but not necessarily indicative of my normal flow when I go before I really fill my bladder.

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    • Edited

      not too shabby... My symptoms were exactly like yours and like you, the full bladder and holding it resulting in a very weak stream was not indicative of my normal flow. I'm not sure if there is a term for this condition but since I posted this question, I had a PAE (Prostate Artery Embolization) procedure done. I'm now 13 days post procedure and I can tell you that I'm already urinating much better. Starting at about 7 days after PAE I started noticing a stronger stream. Since then I've tried drinking a lot of liquids and holding it for awhile and found that instead of a very weak or almost non existent stream, I've got a very strong stream, kind of like my younger days after a few beers. I'm very encouraged by my early results and am told that it will get even better in the next few months. I posted my PAE experience on this board if you're interested.

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  • Edited

    Hi Pete - Just curious how you are doing now that a few more weeks has gone by. Is the issue with holding your urine and getting a weak stream resolved?

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    • Edited

      I'm now about 6 weeks post PAE and yes the issue of holding my urine then getting a weak stream has been resolved. Urine stream in general is much better than before PAE. It's funny how all my life I never thought about my urine stream until it started getting very weak. It became a cause for concern every time I used the restroom. Now after PAE when my stream hits the toilet water with some force I just smile.

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