Voiding complaints can be found in both sexes, all age groups, and can be the result of a multitude of causes. Non-urologic causes of frequent urination, such as diabetes and other conditions, should be excluded before assuming it a primary urology problem.
Although not the only reason, often as men age, progressive prostate enlargement can lead to urinary complaints. As the urinary channel through the prostate narrows, the stream slows, it may take longer to initiate urination (hesitancy), and the man may not be able to empty the bladder fully. Other symptoms such as frequent day and nighttime urination or dribbling at the end of the stream, can also occur.
If the problem is likely prostate related, a stepwise progression of treatments can be pursued, moving from least aggressive to most aggressive. These include the medication class of alpha blockers such as tamsulosin (Flomax) which “relax” constriction of the prostate channel. Other medicines can be used to actually shrink the prostate. Lastly, surgical treatments, primarily outpatient, could be pursued.
Your husband should see a urologist to better determine the cause and the treatment options.
Lawrence R. Volz, M.D., F.A.C.S.
Urology of Virginia
757-345-5554
