What Medical Condition Could Cause a Woman to Be Unable to Urinate?

Some women feel the urge to urinate but are unable to do so, which may be caused by distal urethral stenosis, bladder neck spasm, cystitis, pelvic floor prolapse, etc.

This problem of distal urethral stenosis mainly occurs in older women. The main reason is that these women have very low levels of estrogen in their bodies, which causes the urethral mucosa to atrophy and adhere to each other, narrowing the urethra and making it difficult to urinate. Once the issue of urethral stenosis is resolved, the difficulty in urination will disappear.

The second reason for women's inability to urinate is bladder neck spasm. The main clinical manifestations are difficulty in urination, thinning of urine, etc. In addition, some women with bladder neck spasm may experience bladder pain, which requires early treatment to prevent it from worsening.

Cystitis is a common urinary system disease that occurs in women. The cause is usually urinary tract infection. Women's urethras are much shorter than men's, and they are very close to the anus, making it easy for bacteria to enter the bladder and eventually develop into cystitis. This urinary disease can cause symptoms such as frequent urination, urgency, and difficulty urinating, which can have a significant impact on women's urinary system.

Some older women may experience relaxation of the pelvic floor, which can lead to prolapse. The more severe the prolapse, the more difficult it is to urinate, until it becomes completely impossible. This condition can be extremely harmful and requires early treatment.