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Urination - difficulty with flow

Alternative Names:

Delayed urination; Hesitancy; Difficulty initiating urination

Home Care:

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 passing little urine for 1-2 days.

Call if you have blood in your urine, cloudy urine, frequent or urgent need to urinate, or a discharge from the penis or vagina.

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:

Diagnostic tests that may be performed include:

Treatment of urinary hesitancy varies depending on the underlying cause. If a bacterial infection is present, antibiotics may be prescribed. A surgical procedure may be required to relieve prostate obstruction (see TURP ).

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.

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