have you ever wondered why your urine
seems to spray everywhere I'm Dr Rena
Malik urologist and pelvic surgeon and
today I'm going to explain why your
urine stream goes everywhere or
otherwise splits into two now this first
reason you're not going to believe in
fact even I didn't believe it when I
first learned about it so if you think
about the urinary tube or the urethra
it's just like when water flows through
a hose or a straw and if anything is
blocking that flow through the tube it
can make the flow more turbulent and
eventually spray out or be split into
multiple streams it's essentially like a
high pressure stream trying to pass a
blockage and typically in this case it's
in the urethra or at the urethral meatus
so the first reason is adhesions and
that's essentially the edges of the
urethra sticking together this is the
most common cause of a split stream it's
often because of dry semen that didn't
completely exit the urethra during
ejaculation now this is not dangerous
it's not serious and it usually goes
away in a a couple days another reason
is that when you have uncircumcised
phallus sometimes that skin can get
stuck in front of the urethral meatus
because of friction from your underwear
or friction from Recently having sex and
so that can cause some of that stream to
kind of go all over the place so what
you can do is then kind of gently
retract the foreskin when you're trying
to urinate once you're done make sure to
replace the foreskin where it's supposed
to be because otherwise you can develop
what's called a paraphymosis which is
where that force can get stuck and then
you have to go to the emergency room to
get that reduced if you want to learn
more about phimosis I've talked about it
before in one of my videos so make sure
you check it out another reason can be
from a urethral stricture so that's
essentially a urethral narrowing and
that typically is more common after some
sort of trauma but usually people don't
really remember having a trauma it can
also be found in men who've had sexually
transmitted infections before who
develop strictures from that and so what
happens is you might notice that your
stream gets a little bit weaker your
kind of having to strain a little bit
more to empty and then over time you
might feel like you're not emptying
completely and you feel like you have to
go to the bathroom more often now this
is something that you definitely need to
see a urologist about because there's no
easy treatment for this that you can
just do at home you do need a procedure
to either open up that stricture which
can be using a camera or it can be
actually cutting the ends of the urethra
and sewing them back together or other
surgical techniques now I've talked
about this before because in fact Johnny
Knoxville had a pretty bad urethral
stricture and so I talked about his
experience and what to expect if you
have a urethral stricture and what you
can do about it similarly an enlarged
prostate now the prostate is a walnut
shaped gland that sits underneath the
bladder and there it can enlarge over
time in fact 80 percent of men at the
age of 80 have an enlarged prostate and
so as that prostate enlarges it pushes
on that P tube narrowing the P tube that
urine can't get through quite as easily
now if that's the case that can also
cause you to have somewhat of a split
stream now what can you do about an
enlarged process State well we have a
whole array of treatments for enlarged
prostate and in fact there's more and
more coming each and every day in terms
of procedures there's medications you
can take like alpha blockers tamsulosin
alfuzosin things of that nature you can
also take pde5 Inhibitors like
tedalaphil five milligrams daily you can
also take medications like finasteride
or dutasteride which are five Alpha
reductase Inhibitors now if you don't
want to take medications there's also a
number of different treatments available
I've talked about a couple of them
including eurolift and resume you can
watch my video about that there's also
Aqua ablation laser nucleation of the
prostate as well as simple prostatectomy
that are all available to you for an
enlarged prostate as well that can help
the stream another cause can be if you
have a sudden onset accompanied with
maybe some flank pain or some new
urinary symptoms it could be that you're
passing a kidney stone and if that
kidney stone is getting stuck in the P
tube when you urinate it can cause that
splade stream or uh kind of spraying
everywhere now those are the most common
causes so rarely you can see things like
urethral polyps or genital warts that
can create splayed stream or things like
prostatitis which can cause a host of
different urinary symptoms so if you
have a splayed stream and you're
bothered by it definitely see your
urologist or your primary care doctor to
get further evaluated oftentimes if
we're not sure after your first visit
what exactly it is we'll do what's
called a cystoscopy now I've talked
about a cystoscopy before and if it's
painful or not in a video as well but
basically it's a procedure where we look
in the bladder with a camera that goes
through the urethra to make sure there's
nothing actually visually blocking the
urethra on the way into the bladder
bottom line I want you to rest assured
if you're having a splayed stream or
you're spraying urine everywhere it's
probably not a major issue but if you're
bothered by it and you're not really
sure it's absolutely a good idea to go
see your urologist and get checked out
if you enjoyed this video make sure you
check out my video on shocking facts
about erections and if you have enjoyed
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