Bladder outlet obstruction
Alternate Names : BOO, Lower urinary tract obstruction, Prostatism
Symptoms & Signs
The symptoms of bladder outlet obstruction may vary, but can include: - Abdominal pain
- Continuous feeling of a full bladder
- Delayed onset of urination (urinary hesitancy)
- Frequent urination
- Inability to urinate (acute urinary retention)
- Pain on urination (dysuria)
- Slow urine flow
- Urinary tract infection
- Urine stream starts and stops (urinary intermittency)
Diagnosis & Tests
If bladder outlet obstruction is suspected, your health care provider will take a thorough history of your problems. During a physical exam, your provider may find one or more of the following possible causes: - Abdominal mass
- Cystocele (women)
- Distended bladder
- Enlarged prostate (men)
Tests may include: - Blood chemistries to reveal kidney damage
- Cystoscopy and retrograde urethrogram (x-ray to look for urethral narrowing)
- Ultrasound to locate the blockage of urine, and find out how well the bladder empties
- Urinalysis to look for blood or infection
- Urine culture to show an infection
- Uroflowmetry to determine how fast the urine flows out
- Urodynamic testing to see how much the urine flow is blocked and how well the bladder contracts
|