We all know that the human bladder is mainly used to store urine. When people feel the urge to use it, the bladder is full. For women, it is easy to be infected with urethritis, so you must not hold your urine, and you must discharge it in time. Some women often find that their urine becomes thinner, and it is a bit laborious when urinating, and they may even feel pain in the lower abdomen. So what are the reasons for women's thinner urine? 1. Weak bladder contraction:1. Detrusor muscle weakness can be seen in: taking related drugs; pelvic and spinal surgery; trauma, bladder distension, diabetes, etc. 2. Insufficient bladder contraction force, such as excessive expansion, severe infection, fibrosis, etc., causing damage to bladder smooth muscle. 3. Transient inhibition of urination reflex: psychological inhibition and secondary pain in the pelvis and perineum.
1. Mechanical obstruction: prostatitis, prostatic hyperplasia, bladder neck obstruction, prostate cancer, urethral stenosis, etc. 2. Functional obstruction of the internal and external sphincter planes, etc. 3. Trauma, surgery, etc.
(I) Mechanical dysuria 1. Urethral lesions (1) Includes foreign bodies, scars, stones in the anterior urethra and injuries to the posterior urethra. (2) The diagnosis can be made based on the history of trauma and urinary tract stones, and urethrography can confirm the diagnosis. 2. Bladder lesions (1) People with bladder stones experience colic in the lower abdomen that radiates to the thighs and perineum. Gross or microscopic hematuria may occur when the pain occurs. Bladder stones can be detected by cystoscopy or B-ultrasound. (2) Patients with bladder tumors may experience gradually worsening dysuria, painless macroscopic hematuria or microscopic hematuria, which can be confirmed by cystoscopy. 3. Compression by an enlarged uterus or tumor in the pelvis (1) Large uterine fibroids in the mid-pregnancy uterus, lower uterine segment, or cervix, cervical cancer, late-stage vulvar cancer invading the urethra, or large pelvic masses can cause the bladder neck to move forward and press against the back of the pubic symphysis, compressing and blocking the urethra, causing urination disorders or even urine retention. (2) Physical examination and imaging examinations can provide clues to find the primary lesion. |
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