What Causes Urinary Obstruction?

Posted on Sat, 10 Dec 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sat, 10 Dec 2016 Answered on

Tue, 27 Dec 2016 Last reviewed on

Question : I drink a lot but in the morning don't feel like i need to urinate. Sometime it takes a few hours before I can go. Then in the evening I go a lot. I take flow a twice a day.. I need to press on my bladder to make my self go..

Answered by Dr. Dr.Albana Sejdini Greca (2 hours later)

Brief Answer:
Need to investigate at what extent the tumoral mass is causing pressure...

Detailed Answer:
Hi,

I have gone through your medical history carefully and understood your concerns.

Your case:
- male 71 years old
- symptoms: don't feel like to urinate; pressing on the bladder to make yourself go
- personal history of drinking a lot; and CLL prostate
- tests done so far: PSA 0.1
- current medications: atenolol, flowmax, klonopin, Nplate for ITP; chemo every other week for CLL (possibly Chlorambucil)

Now, I am sorry for the health problems you are going through. Unfortunately, the actual urinary problems (blockage) you are facing are due to CLL prostate (prostate leukemia and lymphoma) and chemotherapy.

What is worse, you keep drinking a lot (I believe not alcoholic drinks). The presence of tumoral mass is causing pressure on the urinary pathways, making it difficult to pass the urine.

A further physical examination (digital examination) and ultrasound are recommended to evaluate the enlargement and possible urinary pathways.

All the best!
Dr.Albana

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar