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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Difficulty In Starting Urination And Poor Urine Flow?

I am 65 years of age and jog 5 day a week for a hour non stop and has helped me urinate 6 to 8 times a day but while lying sometimes but not all the time I need to urinate more often and some times have a hard time starting to urinate but than I urinate and it does not come out strong but only after lying down sometimes do I have this problem never when I am standing during the day. I also only get up once during the night again only lying down during the day this all happens What do you think the problem is?? email address is YYYY@YYYY thank you
Thu, 6 Aug 2015
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Urologist 's  Response
Hello
Thanks for query.
Difficulty in starting urination (Hesitancy) and poor stream at this age is mostly due to Enlarged Prostate and needs to get evaluated .

Please consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.
1) Urine routine and culture.
2) Ultrasound scanning of abdomen and pelvis
3) Serum PSA.
4) Uroflowmetry.

In the meanwhile take Tomsulosin and Dutasteride once daily .It will help you to improve hesitancy and urine flow .

Further treatment will depend upon result of these tests and final diagnosis.

Dr.Patil.
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What Causes Difficulty In Starting Urination And Poor Urine Flow?

Hello Thanks for query. Difficulty in starting urination (Hesitancy) and poor stream at this age is mostly due to Enlarged Prostate and needs to get evaluated . Please consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis. 1) Urine routine and culture. 2) Ultrasound scanning of abdomen and pelvis 3) Serum PSA. 4) Uroflowmetry. In the meanwhile take Tomsulosin and Dutasteride once daily .It will help you to improve hesitancy and urine flow . Further treatment will depend upon result of these tests and final diagnosis. Dr.Patil.