Dysfunction of urination in women and men: symptoms, treatment
Dysuria is called urination disorder, which is characterized by a variety of manifestations. Impaired urination includes incontinence of urine, difficulty in emptying the bladder, and the delay of urine, and increased urination. The term «dysuria» is descriptive of more than 10 disorders have different signs and symptoms.
Causes of disorders of urination
To temporary sources changes urination include:
- a lot of stress;
- moments of intoxication;
- menopause in women;
Other causes of disorders of urination:
- Dysuria in children can often occur due to diseases that provoke inflammatory processes in urinary and reproductive systems.
- The use of medications that have a diuretic effect or slow down the process of urine output.
- Malignant and benign tumors of the urogenital tract and adjacent organs.
- The growth of stones in the organs of the urinary system.
- The weakening of the muscles of the pelvis, leading to prolapse of the organs.
- Congenital sexual pathology.
- Pathology of the urinary system.
- Acquired injuries of the genitourinary system.
- Diseases of the Central nervous system, which become a source of failure in urination.
Types of dysuria
Divided syndrome of dysuria for the following types:
frequent urinary urges, during which defecation is observed in small amounts (pollakiuria);
- reduced urination (oliguria);
- involuntary urine output in which the patient is not experiencing urination (enuresis);
- increased secretion of urine (polyuria);
- problems with urination, in which the person has acute pain and a sense not end up drained cavity bladder (strangury);
- complete cessation of urine excretion (anuria);
- the inability to empty the bladder cavity own (ischuria);
- incontinence of urine, which is accompanied by a sudden urge urinary.
The most common symptoms of dysuria include:
- frequent excretion of urine;
- urinary incontinence;
- pain in the process of emptying;
- urinary retention (more than days);
- problematic urination.
In addition to the above symptoms, dysuria in men and women can have such symptoms:
- pain at the bottom of the abdominal cavity;
- high temperature;
- muddy color of urine;
- increased concentration of protein in urine (proteinuria);
- the presence of blood in the urine (hematuria);
- itching of the vulva;
- unusual discharge from the genital tract.
Diagnosis of the disease
For starters the attending physician conducts patient interviews, which learns how long ago began urination disorders, what they have symptoms than can be caused, and whether there are additional patient of the disease. After interviewing the patient sent for a gynaecological examination, in which the doctor examines sexual organs and their sets of possible pathology. Followed by a General examination, which shows possible sources of the appearance of dysuria. These include changes in weight and body type of the patient, cardiac work, difficulties in breathing, increasing or decreasing the pressure and temperature of the body.
To take patient and have a urinalysis, which shows the presence of diseases of the urinary tract and bacteria that will result in the development of inflammatory processes. After the attending doctor prescribes bacterial examination of the discharge from the genital tract, which can be used to establish the presence of bacteria negatively affecting the reproductive system. Followed by research body that includes the ultrasound of the genitourinary system cystoscopy which is an examination of the bladder cavity using an endoscope and a comprehensive urodynamic study aimed at examining the bladder cavity and the function of sphincters.
The treatment of the disease
The complex of therapeutic methods is based on reasons that appeared dysuria in women and in men, and also depending on its type. The primary goal of treatment is the deliverance of the patient from the disease and elimination of pain caused by urinating. Complex conservative therapy measures include:
- Kegel exercises to strengthen pelvic floor muscles.
- Special bladder training, which allows to restore normal urinary mode, when the disease is expressed by pollakiuria.
- The use of drugs that affect the changing roles of nervous activity of the bladder cavity.
- Changes in the diet, which is aimed at excluding food that is an irritant of the mucous membrane of the bladder.
- The use of medications designed to relax the bladder cavity.
- Changes in diet drinking.
- The use of drugs to combat viruses, bacteria and fungi in cases where urination disorders caused by infections.
- The use of sedative medication, if the illness is triggered by stress.
- The use of special devices, which hold the organs of the reproductive system in the pelvis.
- The use of electrical stimulation of the pelvic floor muscles to restore their functionality.
- The use of hormones when provoked dysuria of women’s menopause.
Surgical measures the treatment of dysuria:
- Surgical intervention aimed at removing the tumors, which developed voiding.
- Injection of special chemicals into the tissue, which are able to increase their size, so that the sphincter of the urinary canal closed.
- Surgical intervention, whose goal is the creation of a new sphincter of the urinary tract.
- Surgical intervention, during which the experts fix the bladder in the desired position.
- Plastic surgery to address abnormalities in the development of the urinary and reproductive systems.
The consequences of dysuria
The most common consequences of the disease include:
- deterioration of the General condition of patients and of their life;
- urinary retention, which can cause elevated concentrations of toxins that have adverse effects on the entire body of the patient;
- fading of the skin in the crotch area;
- diseases characterized by inflammatory processes, such as pyelonephritis and cystitis.
Prevention of the disease
In order to prevent experts recommend to follow the rules which will allow people to protect themselves from dysuria. The main principle is that the patient it is important to treat all inflammatory and infectious diseases of the genital and urinary systems. In addition, the person should be monitored and General state of health, in order to diagnose tumors, in case of their occurrence. Not recommended people to lift excessively heavy objects.
We should pay attention and control their weight and prevent it from overabundance. Doctors recommend to lead an active and healthy lifestyle, and try to observe proper and balanced diet, which will as little as possible foods that irritate the bladder. In the winter it is important to prevent hypothermia and to dress warmer. It is useful and the use of Kegel exercises to strengthen pelvic floor muscles.