Split Urine Flow among Men with Enlarged Prostate

by Alex Shteynshlyuger MD

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What are the Causes of Split Urine Stream in Men with Enlarged Prostate?

 Split urine stream occurs when urine flow splits and goes in different directions.  This can cause inconvenience and embarrassment as the urine does not hit the urinal or toilet but goes all over the place.  Beyond embarrassment, a split urine stream may be an indication of the underlying urinary tract problem.

Split urine stream can be accompanied by a very strong stream or inconsistent urine flow.  Some men have discomfort in the lower abdomen and urge to urinate while other men do not have these symptoms.

Split urine stream and dribbling often occur together.  Sometimes urination may be intermittent and men may need to push to empty their bladder.  While usually there is no pain with urination, occasionally men may experience burning while peeing.

There are numerous causes of the split urine stream in men.  Split urine stream occurs only occasionally, a few times a year or less, there is likely little to worry about.  On the other hand, if a split urine stream is constant or occurs most of the time, urological evaluation is advisable.

Common causes of split urine stream include urethral stricture, meatal stenosis, enlarged prostate, high voiding pressures due to overactive bladder or obstructing prostate.

Treatment  for Split Pee Stream in Men

 The choice of treatment for a split urine stream is determined by the underlying problem.  There is a urethral stricture, treatment of urethral stricture is undertaken depending on its length and severity.  The problem was related to enlarged prostate obstructing urine flow, medications or a surgical procedure for enlarged prostate usually alleviate the symptoms.

Occasional Split Urine Stream: Is there a Need for Concern?

Split urine stream occurs rarely, only a few times a year, most likely there is no significant underlying problem that would be found during evaluation in particular if the patient is young.  In older men, the likelihood of finding an underlying problem is higher.

What are the Risks of if the Urinary Stream is Split?

 If a split urinary stream is caused by an underlying urethral stricture or enlarged prostate, the stricture can lead to incomplete bladder emptying or urinary retention.  Over time, the bladder can be damaged to the point that it will not contract to empty the urine out.  Urinary retention with high voiding pressure can also cause irreversible damage to the kidneys over time.

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

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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 urologist 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 the New York area.

He has successfully performed hundreds of prostate procedures in adults. Urolift procedures are performed in the office under local anesthesia, in a 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.