Why Your Urine Stream Sprays Every Which Way And Splits Into Two

About this video

• Video Title: Why Your Urine Stream Sprays Every Which Way And Splits Into Two
• Channel: Rena Malik, M.D.
• Speakers: Rena Malik, M.D.
• Duration: 00:05:05

Overview

This video by Dr. Rena Malik explains the common reasons why a urine stream might spray or split into two. She discusses various potential causes, ranging from simple adhesions to more complex medical conditions like urethral strictures and enlarged prostates, and advises when to seek medical attention.

Key takeaways

• Urine stream anomalies are caused by blockages or turbulence in the urethra: Similar to water flow in a hose, anything impeding the passage of urine can cause it to spray or split.
• Adhesions: The most common cause, where the edges of the urethra stick together, often due to residual dry semen. This is usually temporary and not dangerous.
• Paraphimosis: In uncircumcised individuals, the foreskin can sometimes block the urethral meatus, leading to a splayed stream. It's important to retract the foreskin after urination to prevent this condition.
• Urethral Stricture: A narrowing of the urethra, often resulting from trauma or STIs, which can cause a weaker stream, straining, and incomplete emptying. This requires medical intervention.
• Enlarged Prostate: As the prostate grows, it can compress the urethra, affecting urine flow and potentially causing a split stream. Various treatments, including medication and procedures, are available.
• Kidney Stones: A kidney stone passing through the urethra can obstruct urine flow and cause a splayed stream, especially if accompanied by flank pain.
• Other potential causes: Less common reasons include urethral polyps, genital warts, and prostatitis.
• When to see a doctor: If you are bothered by a splayed urine stream, or if it is accompanied by other symptoms like flank pain, it is advisable to consult a urologist or primary care doctor for evaluation, which may include a cystoscopy.