Delayed urination; Hesitancy; Difficulty initiating urination
- Monitor, record, and report your urination patterns to your doctor.
- Apply heat to your lower abdomen (below your belly button and above the pubic bone). This is where the bladder lies. The heat relaxes muscles and aids urination.
- Massage or place light pressure over your bladder to stimulate emptying.
- Drink plenty of fluid
- For infections, antibiotics from your doctor will be needed. Symptoms that suggest a possible infection include burning or pain with urination, frequent urination, cloudy urine, and a sense of urgency (strong, sudden urge to urinate).
- Pay close attention to any medicines or supplements you take.
Call your health care provider if:
If you have not been evaluated for this problem previously, you should call your doctor for urinary hesitancy, dribbling, or weak urine stream.
Call your doctor right away if:
- You have fever, vomiting, side or back pain, shaking chills, or are passing little urine for 1-2 days
- You have blood in your urine, cloudy urine, frequent or urgent need to urinate, or a discharge from the penis or vagina
- You are unable to pass urine
What to expect at your health care provider's office:
Your doctor will take your medical history and perform a physical examination, paying special attention to your pelvis, rectum, abdomen, and lower back.
Medical history questions may include:
- How long have you had difficulty starting your urine flow?
- Did it come on gradually or suddenly?
- Is it worse in the morning or at night?
- Is the force of your urine flow decreased?
- Do you have dribbling?
- Do you ever leak urine uncontrollably?
- Does anything help? Like heat or massage to the lower abdomen?
- Does anything make the hesitancy worse?
- Do you have other symptoms like fever, pain or burning when you urinate, cloudy or bloody urine, back or side pain?
- Do you have a history of bladder or kidney infection? Prostate enlargement or infection? Neurologic disorders?
- Have you had a recent injury, surgery, or diagnostic procedures on the pelvis or bladder?
- What medications do you take, including over-the-counter drugs?
Diagnostic tests that may be performed include:
Treatment of urinary hesitancy varies depending on the underlying cause. Often, medications such as alpha blockers can relieve the symptoms. If a bacterial infection is present, antibiotics may be prescribed. A surgical procedure may be required to relieve prostate obstruction (see TURP).