Decrease of urinary stream

Decrement in urinary flow is a common complaint that is accompanied by anxiety due to potential prostate problems. In addition, dribbling and incomplete emptying are complaints also made by patients.

In alphabetical order. ^{[1] [2]}

• Benign prostatic hyperplasia
• Bladder neck contracture
• Bladder Neck Cancer
• Bladder stones
• Chronic Urethritis
• Neuropathic bladder
• Posterior urethral valves
• Prostate Cancer
• Urethral or bladder foreign body
• Urethral Cancer
• Urethral polyps
• Urinary Tract Obstruction

• Note: STD

• After full history, examine abdomen, back and genitals

• examine genitals for tenderness

• Catheterization of urethra to rule out obstruction and residue (normal = <100 mL)
• BUN / Creatine
• CBC
• electrolytes
• Urinalysis
• Urine culture

• Abdominal / pelvic CT to detect any cancers

• Renal ultrasound to rule out stones

• rectal exam
• neurologic exam

• BPH

• beta blockers

• Chronic urethritis / [[prostatitis]

• Antibiotics (long term)

• Neuropathic bladder

• parasympatholytic medications

• Benign prostatic hyperplasia

• TURP

• Prostate cancer

• Prostatectomy

• Urethral Stricture

• open surgical repair

• Neuropathic bladder

• section of sacral nerve roots
• artificail sphincter
• uretral diversion

• Bladder cancer

• radical cystectomy in late disease

The content on this page was first contributed by Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2]

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