Urinary hesitancy

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List of terms related to Urinary hesitancy

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Synonyms and keywords: hesitancy; delayed urination; difficulty initiating urination

Overview

Urinary hesitancy is defined as difficulty in initiating and maintaining a flow of urine.

Causes

• Amitriptyline
• Amoxapine
• Anticholinergics
• Benign prostatic hypertrophy
• Nasal decongestants
• Norpramin
• Pamelor
• Prostatitis
• Shy bladder syndrome
• Sinequan
• Surmontil
• Tofranil
• Tricyclic antidepressants
• Urinary tract infection
• Vivactil

Epidemiology and Demographics

Urinary hesitancy is observed in both genders at all ages. It tends to affect elderly males more frequently.

Diagnosis

Laboratory Studies

The following diagnostic studies may be of use:

• Catheterization of the bladder to determine residual urine volume and to get urine for culture (a catheterized urine specimen)
• Cystometrography
• Transrectal ultrasound of the prostate (similar to a transvaginal ultrasound
• Urethral swab for culture
• Urinalysis and culture
• Voiding cystourethrogram

Treatment

Treatment for urinary hesitancy depends on the cause. Often, medications such as alpha-blockers can relieve the symptoms. If you have a bacterial infection, your health care provider may prescribe antibiotics. You may need surgery to relieve a prostate obstruction (see TURP).