Slow Urination and Weak Urine Stream in Men with Enlarged Prostate: Specialized Treatment in NYC

by Alex Shteynshlyuger MD

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What are the Causes of Slow Urination in Men with Enlarged Prostate?

 Slow urine stream in men is most commonly caused by BPH related prostate growth.  The prostate surrounds the urethra through which the urine flows.  Recall this part of the urethra and the prostatic urethra.  As a prostate growth, the narrowing of the prostatic urethra causes a blockage to urine flow.  As the prostate grows, progressively slow urine flow slowly develops over a period of years.

Other causes of slow urine flow in males include urethral stricture which is a narrowing of the urethra from scar tissue. Scar formation in the urethra can result from injury, inflammation or infection.

Poor functioning of the bladder detrusor muscle is another cause of weak urine stream in men.  Most often weak bladder muscle occurs in patients with diabetes and other neurological problems such as multiple sclerosis. 

Weak pee stream can be caused by a combination of an enlarged prostate that blocks urine flow and poorly functional bladder muscle that cannot push adequately against enlarged prostate to empty the bladder.  Commonly men with a slow urine stream also experienced frequent urination and urine dribbling after they urinate.  The bladder does not empty adequately, discomfort in the pelvis and lower abdomen can occur which typically gets better after urination.

Treatment Options for Slow Urine Stream and Weak Flow for Men with BPH

 Weak urine flow and constant urge to urinate a common and man with an enlarged prostate caused by BPH.  The problems caused by weak urine flow and a constant urge to urinate can be effectively treated with medications such as tamsulosin and finasteride.  His symptoms are more severe, enlarged prostate surgery such as prostate enucleation, Greenlight laser, bipolar TURP procedure and prostate laser surgery such as ProTouch laser enucleation of the prostate can be performed.  For patients who desire less invasive therapies, Urolift procedure and Rezum procedures are good options that can be performed under local anesthesia in under 30 minutes.  

In the next few years, treatment such as PAE, AquaBeam aquablation for enlarged prostate, Butterfly Medical procedure and i-Tind for BPH would become available.

Slow Pee Flow at Night or in the Morning?

A common symptom of enlarged prostate in men is a weak urine flow early in the morning.  Men often have hesitancy in the morning but report good urine stream during the day.  This is a typical symptom of an enlarged prostate.  Depending on the patient’s symptoms as well as postvoid residual volume in the bladder some men may require treatment.  Other men who do not have many symptoms may choose observation with re-evaluation in 6 months to a year.

We offer personalized treatment options for BPH for men with symptoms of an enlarged prostate.

Why Choose New York Urology Specialists for Treatment of Urinary Retention Caused by Enlarged Prostate?

  • All treatment is performed by a Board-certified urologist experienced in treating men with symptoms of BPH using medical therapy, minimally invasive therapies, lasers and open surgery.
  • We are one of the few practices in the region to offer a full range of options for treatment of BPH.
  • We offer BPH treatment options under local anesthesia which avoids the risks, costs, and recovery from general anesthesia. Most men are able to return to office work and other normal activities the next day.
  • Extensive Experience: Hundreds of men treated successfully using medical therapy, Urolift, lasers for BPH (Holmium, Thulium, Evolve, Greenlight lasers), Bipolar TURP, traditional TURP, open suprapubic prostatectomy, robotic suprapubic prostatectomy for BPH.
  • We treat men with BPH who have heart problems (hypertension, CAD, CHF), renal failure (ESRD) on hemodialysis, men on blood thinners such as aspirin, Lovenox, Coumadin (Warfarin), apixaban, rivaroxaban (Xarelto).

Excellence-Urology_Care VasectomyWhen it comes to experience and innovation – New York Urology Specialists are a step ahead.  Better Science Means Better Care.  We specialize in minimally invasive highly effective treatment for symptoms of enlarged prostate and BPH. Many treatment procedures are performed in the convenience and privacy of office settings under local anesthesia.

If you have any questions, to schedule a consultation or if you need a second opinion, please contact us or call: 646-663-4044


Medicare and major insurances accepted.  We offer affordable rates and financing options.

Schedule an Appointment with Dr. Shteynshlyuger:

Call today: 646-663-4044 or make an appointment online

Dr. Alex Shteynshlyuger is a fellowship trained board-certified with expertise in evaluation and treatment of urinary problems in men.  He uses modern effective and proven treatment methods including prostate enucleation and Urolift for BPH.  He is highly recommended by top primary care physicians in New York area.

He has successfully performed hundreds of prostate procedures in adults. Urolift procedures are performed in the office under local anesthesia, in surgical center and affiliated hospitals under anesthesia.

If you or someone you know has been experiencing urological symptoms, make an appointment to take advantage of Dr. Shteynshlyuger’s expert advice. Please feel free to Contact Us with any questions.


If you have any questions, to schedule a consultation or if you need a second opinion, please contact us or call: (646) 663-4044

We offer affordable, highest-quality urology care with or without insurance.   Find out our office hours or directions to our office. We offer weekday, weekend, and evening office hours.