A delay starting your stream, a weak flow or a feeling you have not fully emptied your bladder should not be ignored - however it is often very treatable. Seen within days at 4 private London hospitals. No GP referral needed.
Assessed personally by Mr Maneesh GheiConsultant Urological Surgeon · GMC 5208045
Platinum Consultant
142 verified reviewsDifficulty passing urine, also called urinary hesitancy, means a delay starting to urinate, a weak or intermittent stream, straining, or a feeling of incomplete emptying. Common causes include an enlarged prostate, a narrowed urethra or an infection, and it should be assessed by a urologist, especially if it comes on suddenly or you cannot pass urine at all.
A noticeable delay before urine begins to flow after you try to urinate.
A reduced force of flow, or a stream that stops and starts.
Needing to apply pressure to start or continue urinating.
A sensation that the bladder is not fully empty, leading to repeated attempts shortly after.
This is called acute urinary retention - a sudden, complete inability to urinate. It can cause severe pain and needs immediate medical attention.
As men age, the prostate gland often enlarges, pressing on the urethra and causing obstruction.
Narrowing of the urethra due to scar tissue from injury, infection or surgery.
Infection can cause swelling and obstruction, making it harder to pass urine.
Stones can obstruct the urinary tract, making it difficult to pass urine.
See Mr Ghei at one of 4 London private hospitals. No GP referral needed. Most patients are seen within a few days of enquiry.
A clinical history, examination and urine test, with a flow test or scan arranged if needed to find the cause.
From medication to a minimally invasive procedure - the right treatment for whatever is found, explained in plain English.
Mr Ghei is a consultant urological surgeon with a specialist focus on prostate diagnosis and treatment. He holds a Research MD from University College London and is a Fellow of the Royal College of Surgeons.
In his NHS role he is Cancer Lead and Academic Lead at Whittington Hospital London - one of a small number of consultant urologists in the UK to hold both positions. Every private patient is cared for by Mr Ghei personally, from first appointment through to any treatment that follows.
Platinum recognised consultant
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