Urination may be skewed?
Hello, Doctor.
When using a squat toilet outside, I often find that my urine goes off to the side (I'm not sure if that's the right term, but some urine ends up on the floor beside the toilet, while some does reach the middle).
Even though I squat properly and position myself correctly, sometimes the urine still flows to the side, and occasionally it splashes onto my shoes, requiring me to wipe the floor with tissue (which is not provided at my workplace).
I end up using a whole small pack of tissue for one visit.
I've read online that this might be related to the labia, but mine are quite small and closed, not protruding.
How can I improve this issue? If I have this problem, should I see a gynecologist or a urologist? If I visit a urologist or gynecologist, will there be an internal examination of my private area? Thank you, Doctor.
KK, 30~39 year old female. Ask Date: 2017/05/27
Dr. Du Shixi reply Urology
Hello: There isn't much that can be done to improve this.
If it happens every time, you may need to adjust your urination position.
If the labia obstruct the flow during urination, it can alter the urine stream.
Reply Date: 2017/05/27
More Info
Urinary spraying or splashing when using squat toilets can be a frustrating issue, and it’s important to understand the potential causes and solutions. This phenomenon can occur for several reasons, including anatomical factors, positioning, and even the design of the toilet itself.
Possible Causes of Urine Spraying
1. Anatomical Factors: The female anatomy can contribute to how urine is expelled. The urethra is shorter in females than in males, and its angle can vary from person to person. If the urethra is angled in a way that directs urine towards the sides, it can lead to spraying. Additionally, the presence of labia can also affect the flow direction, although you mentioned that your labia are small and closed.
2. Positioning: The way you position yourself on the squat toilet can significantly impact urine flow. If you are not squatting low enough or if your feet are not positioned correctly, it can alter the angle of your body and the urethra, causing urine to spray sideways.
3. Toilet Design: Some squat toilets are designed in a way that can cause urine to splash back, especially if the bowl is shallow or if the angle of the toilet is not optimal for urination.
4. Urinary Flow Rate: A strong urinary stream can also contribute to splashing. If the flow is rapid, it may hit the toilet surface at an angle that causes it to spray.
Solutions and Advice
1. Adjust Your Position: Experiment with your squatting position. Ensure that you are squatting low enough and that your feet are firmly planted on the ground. You might also try leaning slightly forward to see if that helps direct the urine flow more accurately into the toilet.
2. Use a Barrier: If you are in a public restroom and concerned about splashing, consider using a piece of toilet paper or tissue to create a barrier in front of the toilet bowl. This can help absorb any splashes and keep your shoes clean.
3. Practice: Like any other skill, urinating in a squat position may take some practice. You might want to practice at home in a controlled environment to find the best position that minimizes splashing.
4. Consult a Specialist: If the problem persists and is bothersome, it may be worth consulting a healthcare professional. A gynecologist or a urologist can provide insights into whether there are any anatomical issues contributing to the problem. Generally, a gynecologist would be more focused on female anatomy, while a urologist specializes in urinary tract issues.
5. Avoiding Internal Exams: If you decide to see a doctor, it’s important to communicate your concerns clearly. Not all consultations will require an internal examination, especially if your issue is primarily about urination and not related to reproductive health.
Conclusion
Urinary spraying when using squat toilets can be attributed to a combination of anatomical, positional, and design factors. By adjusting your position, practicing, and possibly consulting a healthcare professional, you can find ways to minimize this issue. Remember, it’s a common problem, and many people experience similar challenges. Don't hesitate to seek help if you feel it’s necessary, as healthcare professionals are there to assist you with these concerns.
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