Decrease of urinary stream

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


Overview

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.

Differential Diagnosis of Causes of Decrease of urinary stream

In alphabetical order. [1] [2]

Physical Examination

Other

  • After full history, examine abdomen, back and genitals
  • examine genitals for tenderness

Laboratory Findings

MRI and CT

  • Abdominal / pelvic CT to detect any cancers

Echocardiography or Ultrasound

Other Diagnostic Studies

  • rectal exam
  • neurologic exam

Chronic Pharmacotherapies

  • Neuropathic bladder
  • parasympatholytic medications

Surgery and Device Based Therapy

  • Benign prostatic hyperplasia
  • Urethral Stricture
  • open surgical repair
  • Neuropathic bladder
  • section of sacral nerve roots
  • artificail sphincter
  • uretral diversion
  • radical cystectomy in late disease

References

  1. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016
  2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X

Acknowledgements

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



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