Urologist Questions Urine Problems

Why don’t I have my urine coming in a normal flow?

I am 26 years old and I noticed a strange problem with the general flow of my urine. It stops, and then starts again. Even when I have to go really badly. Is there a problem?

3 Answers

It may be due to obstruction for which a renal and bladder ultrasound with post-void residual is needed. Also, you may have that symptom due to bladder dysfunction for which a urodynamics evaluation is needed.
There are various reasons the flow of your urine could be intermittent and of decreased intensity. You should see a urologist to evaluate for the possibility or urethral stricture (scarring of the urethra that results in narrowing-often associated with history of gonorrhea or straddle/perineal trauma), dysfunctional voiding (inappropriate contraction of bladder neck and urethral sphincter when bladder is contracting), poor contraction of the bladder (from possible underlying undiagnosed neurologic abnormalities), in addition to other possible causes. Your flow can be measured to see if it is even actually abnormal. Urinary symptoms can be caused by various, even contradicting causes (the bladder may be overactive or underactive, and a patient may have the same symptoms). It is best to be evaluated by a board certified urologist.
I recommend you see a urologist. A flow study for urine will help to find out the cause. A urethrogram may locate the area causing the flow to slow. If not, a cystoscopy may be an alternative.