Patient's question:
Prostate enlargement, currently being treated in the hospital, with an indwelling catheter but still finding it difficult to urinate, always feeling like not fully emptying the bladder, and experiencing discomfort from holding it in. Isn't it supposed to be possible to urinate with a normal catheter insertion? Why can't I urinate even with the catheter in now?Doctor's answer:
Prostate enlargement can lead to recurrent urinary difficulties, an increase in the frequency of urination, thin urine stream, post-urination dribbling, and strained urination. In severe cases, urine may not be able to be expelled, requiring catheterization to stimulate the bladder, which can cause significant bladder spasms, along with the sensation of urination and intermittent pain. Treatment options for prostate enlargement include conservative treatment and surgery. If the urinary difficulties are mild and short-term, with no residual urine or kidney hydronephrosis upon examination, oral medication may be prescribed. However, if the urinary difficulties are severe and have repeatedly led to urinary retention, surgery may be necessary. Surgical options include transurethral resection and laser vaporization.