Urinary Hesitation: Causes and When to See a Doctor

Q: Urinary Hesitation: Causes and When to See a Doctor

Hello： Is it kidney deficiency or something else? -- Kidney deficiency is not a diagnosis in Western medicine. <br>If you are concerned about abnormal kidney function, swelling is usually one of the first symptoms. <br>Should I see a doctor? -- You can have a urinalysis and blood

Urinary hesitancy issue?

Hello, doctor.
Recently, I have to wait about 5 seconds before I can start urinating when I go to the bathroom.
Could this be due to kidney deficiency or some other issue? Do I need to see a doctor? I had a urinary tract infection at the end of April this year, and I also experienced pain in my right lower back.

Ruby, 20~29 year old female. Ask Date: 2021/06/15

Dr. Du Shixi reply Urology

Hello: Is it kidney deficiency or something else? -- Kidney deficiency is not a diagnosis in Western medicine.
If you are concerned about abnormal kidney function, swelling is usually one of the first symptoms.
Should I see a doctor? -- You can have a urinalysis and blood tests.
I had a urinary tract infection at the end of April this year, along with symptoms of pain in my right lower back.
It's important to take care of yourself, maintain proper hydration, and pay attention to urine color, frequency, pain during urination, and decreased urine output.
If you notice any of these symptoms, you should seek medical attention.
Wishing you good health.

Reply Date: 2021/06/15

More Info

Urinary hesitation, or the delay in starting urination, can be a frustrating and concerning symptom. It can be caused by a variety of factors, and understanding these can help determine whether you should seek medical attention.

One common cause of urinary hesitation is an obstruction in the urinary tract. This could be due to conditions such as benign prostatic hyperplasia (BPH) in men, which is an enlargement of the prostate gland that can compress the urethra and impede urine flow. In women, urinary hesitancy can sometimes be related to pelvic floor dysfunction or urinary tract infections (UTIs), which you mentioned experiencing in April.

Another potential cause is bladder dysfunction. Conditions like overactive bladder or bladder outlet obstruction can lead to difficulty initiating urination. Neurological conditions can also play a role, as they may affect the nerves that control bladder function.
Given your history of urinary tract infection and the right flank pain you mentioned, it is important to consider that there may be underlying issues that need to be addressed. The pain in your lower back could indicate a kidney issue, such as a stone or infection, which can also contribute to urinary symptoms.
If you are experiencing urinary hesitation along with other symptoms such as pain, blood in the urine, or recurrent UTIs, it is advisable to see a healthcare provider. They may recommend a series of tests, including:
1. Urinalysis: This will help identify any signs of infection, blood, or other abnormalities in your urine.

2. Ultrasound or CT scan: Imaging studies can help visualize the kidneys, bladder, and urinary tract to check for stones, obstructions, or other structural issues.

3. Urodynamic studies: These tests assess how well the bladder and urethra are storing and releasing urine, which can help diagnose functional problems.

4. Cystoscopy: In some cases, a doctor may recommend this procedure to directly visualize the inside of the bladder and urethra.

In your case, since you have a history of urinary tract infection and are currently experiencing hesitation, it would be prudent to consult a urologist. They can provide a thorough evaluation and determine the best course of action based on your specific symptoms and medical history.

In summary, urinary hesitation can be caused by a range of issues, from benign to more serious conditions. Given your previous urinary infection and current symptoms, seeking medical advice is a wise decision. Early diagnosis and treatment can help prevent complications and improve your quality of life. Remember, it’s always better to err on the side of caution when it comes to your health.

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