• Home

Home > Medical Reference > Encyclopedia (English)

Toggle: English / Spanish

Urination - difficulty with flow

• Overview
• Treatment

Definition:

Difficulty starting or maintaining a urinary stream is called urinary hesitancy.

Alternative Names:

Delayed urination; Hesitancy; Difficulty initiating urination

Considerations:

This problem affects people of all ages and occurs in both sexes, but it is most common in older men with enlarged prostate glands.

Urinary hesitancy usually comes on gradually. It sometimes goes unnoticed until urinary retention (complete inability to urinate) produces distention and discomfort in the bladder.

Almost all older men have some degree of difficulty in starting urination, dribbling, or decreased force of the urinary stream.

Common Causes:

Urinary hesitancy can be caused by:

• Benign prostatic hyperplasia (enlarged prostate)
• Urinary tract infection, especially if chronic and recurrent
• Prostatitis (inflammation or infection of the prostate gland)
• Drugs (some cold remedies, some nasal decongestants, tricyclic antidepressants, and anticholinergics which may be used for incontinence)
• Shy or bashful bladder syndrome in younger people (unable to urinate when another person is in the room)
• Neurologic disorders

References:

Bass PF. Urinary tract infections. Prim Care . 2003; 30(1): 41-61, v-vi.

Hua VN. Acute and chronic prostatitis. Med Clin North Am . 2004; 88(2): 483-494.

• Review Date: 7/23/2007
• Reviewed By: Marc Greenstein, DO, Urologist, North Jersey Center for Urologic Care, Denville, NJ. Review provided by VeriMed Healthcare Network.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's accreditation program is the first of its kind, requiring compliance with 53 standards of quality and accountability, verified by independent audit. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial process . A.D.A.M. is also a founding member of Hi-Ethics (www.hiethics.com) and subscribes to the principles of the Health on the Net Foundation (www.hon.ch).

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 1997-2007 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.