I have two urethra starting further back and ending at the tip with smaller opening below larger pee hole. My urine stream is wide. I had a urologist explain that it is a rare malformation that one in 2 million men have.
When I was young (around my teenage years), my father advised me to pee sitting down. Ever since, I don’t have to aim and I can urinate at full power when my bladder is really full without making a mess everywhere. (But I do stand up to pee when I’m away from home because it’s really inconvenient to do it sitting down and often the toilet seats are dirty).
That was a good post. Thank you. I've had a split stream since I was a young man. My urologist never seems to concerned about it. The explanation was good.
Thank you Dr. Rena Malik. I come across patients with complaint of "split stream" very commonly in my practice as a urologist. This video gave me a deeper clinical insight in dealing with this problem, moreso because this complaint, of all other storage and voiding symptoms, is much less discussed in clinical literature than the others.
I just really appreciate your professionalism on these topics. As for me...I'm holding it and squeezing the head and making sure the very opening isn't in a semi open position...there is where I found where my stream would split...hope that helps someone... sometimes you have to hold it in and then... adjust and then...let it flow...👍🏿👍🏿
Great information as always Doc. I had this with frequent occurrence. Last year had green light laser surgery, extremely large prostate, over 130 grams. In retrospect I waited too long for this procedure, which helped resolve because flow was restored. Now a different issue. Because of the extensive work the bladder sphincter(s) were weakened. Now doing kegals to work on that. Guys....my message to you is be vigilant and don't wait. Consult your urologist.
Thank you so much for making this and all of your videos. I’ve been wondering why I have had a splayed stream, and was starting to get a little worried. I appreciate your expertise and time to explain things.
Once again, an incredibly interesting bit I've learned about myself. This was something I'd noted but now I understand. Thank you, Dr. Malik, I don't know about anybody else, but I really appreciate and value your educational videos.
Great video. Had this problem on and off along with a very enlarged prostate. Had Holep laser treatment in June 23 and no more spray since. Wonderful being able to pee properly again after symptoms for around 10 years.
It's strange as I get older things like that happen occasionally, one time it splits another time it goes sideways. Sometimes it's forceful other times it's weak. Not always fun getting old. 😢
Didnt know I had a stricture for over a decade. Had it treated with several surgeries and doing much better now. Massive improvement in quality of life.
Thanks for the explanation Doc!!!! I guess I can stop calling it "squeezing the water hose syndrome ". When I was younger the term was adhesion!!!!! I'm older now Doc I now have a broken water valve (slower stream) or the medical term a large prostate (slightly bigger than the walnut size). I'm learning more and more from you Doc!!!! Thanks and enjoy the rest of your week!!!!!!❤❤❤❤
Okay, I feel better now know that I only get the split stream soon after I've launched a load of baby batter. What's bad is that once you've adjusted your position so that one stream lands in the bowl the other stream is arching over the tank or hitting the wall. It's impossible to get both split streams into the bowl. A few times, I've managed to get outside in the back yard and stream away; this way there is no mess to deal with. My tip of the day.
Very informative video doctor. I had a cystoscopy done in november. When the nurses prepped me for the procedure , they inject a numbing and lubricating gel into the urethra. I felt the tube with the camera and light going in , but it was no pain, .Or anything like that. So when are you guys doing it don't worry about it. Additionally , one month ago I had a prostate procedure where my doctor removed some tissue that with surrounding the Bladder. My urologist said this is a permanent solution. It was an outpatient procedure and was really nothing. I had no pain afterwards and had the catheter in for a few more days. And then once it was removed I was urinating like I was eighteen years old.
Thank you so much for your expertise in this area. I don’t always have to ask my urologist so many questions when I go there and I understand him more now because of you. Thanks again Doctor Malik.
Wow I’m not alone. I asked my primary care about it and he had never heard of it . He just got on his knee and said now explain it to me again. So I went to my urologist. Three times for other issues, hi how do you do ,oh that will have to be another visit. I call him Dr fifty visits. I don’t see either anymore. I resolved to just sit down to urinate. They never mentioned any thing like you did. How is it I can know more than them by watching u-tube? Thank You so much. Now I know more to find a real urologist.
For me, it is simply by getting older. As a boy or a young man, I had no problem with aiming. But getting 60+, it became difficult and I started 'spraying', although I have not the impression that it takes longer to empty the bladder. Sometimes I get two streams. So I am now sitting down except I can go to an urinal where it works mostly like in former days.
When I was little, I was at the mall with my grandfather and he took me to the restroom for a leak. He needed to take a slash too, and we peed side by side at the urinal. I asked him why he shook during the pee and not wait until the very end. He said, "I'm not shaking the pee out. That's called Parkinson's." 😂 That was nearly forty years ago and I still tell that story.
Thank you for your videos. I was very blessed with a lot of hair everywhere, especially around my junk. One day I was urinating and I had that spray, and I noticed I had a pubic hair in my pee hole. So I decided to trim the "bush" and the issue went away. I was in my 20's then , now I'm 56.
I took Tamsulosin for 10+ years and never thought a thing about it-until side effects started showing up. Just check out the side effects before you take any meds.
Thanks Doctor I have had lots of problems since I had surgery to remove a tumour and not been right since up 8 times a night and proper struggling to pass urine and cannot fully empty my bladder.
The meatus naturally has a little bump where the two sides meet. Weak streams make it not open fully and cause the slit stream, which is what you get from having an enlarged prostate.
Omg don’t even go there because that happened to me last week right at midnight before I went to bed!! It was half way too!! I could feel it and I was scared as hell because i just knew that the only way I was getting it out was going to the hospital and getting catheter in me. Well I tried something, since it really wasn’t hurting and I didn’t have to pee anymore I decided that I would just try to go to sleep with it stuck in there and deal with it when I woke up. I could hardly sleep because all I was thinking about was going to the hospital when I woke up. Well a miracle happened, I woke up and went to the bathroom scared as shit but I did, and luckily it popped out. Thank goodness it was small and perfectly a round one because if it would have been rectangular like most I get and turned sideways I would have been screwed!!!! I sure hope that shit never happens again.
I had a split stream once , it was a simple simple fix. At the time I was very hairy down there and one of the hairs got stuck in the tip of the urethra. So I did a little bush trimming.
I noticed in your lengthy list of pharmaceuticals you didn't mention saw palmetto, which is a natural substance and far less expensive than those other medications. I told my doctor I was taking it and she's on-board with it. Nevertheless, a well done and information video.
Ive had three procedures for the prostate n only get better for a year. Seems like it keeps growing. After last time now have e d issues. I need it again but im lookin for somrthing else ur recommendation please if u will.
Hi Doc, is there a vitamin supplements that you would recommend to take for preventative of swollen prostate? I’m 53, I do not have anything yet. Thank you very much:)
Thanks Doc!! Iam 66 a weak stream them it breaks to a full stream. After a small crystal or mineral passes iam thinking kidney stones? Had a little blood in urine but it cleared up.
I think the most common reason in circumcised guys is meatal stenosis. Without the foreskin, the penis head gets irritated from constantly rubbing against clothing, so it gets keratinized, where it develops a rough outer layer of skin, and also this irritation causes the urinary tract to narrow, a condition called meatal stenosis. Studies say it's present in 10-15% of circumcised men, but it's probably a lot more because most guys don't even know they have it if it's not severe enough.
I am a circumcised and purified man after my penis foreskin was cut up after birth. I rarely peed split and triple-stream, but I controlled them to single-stream urine. It did not harm me anything. I am not concerned about the split-stream. 👍😊👍
I have always emptied my bladder standing up and never made a huge mess or shot it everywhere. I often lose an entire pound by simply emptying my bladder.
I suppose mine is the result of trauma, as the duel stream developed after the removal of a kidney stone. At home its just easier to sit down to empty the bladder. In a men's room I stand between two urinals. I get a few glances (not glans) but it works. Thanks. Narragansett Bay
You forgot Prostate Artery Embolization for enlarged prostate. Urologists tend to forget this option because they don't offer it. These are done by interventional radiologists.
I had a stricture as a child, which was corrected and recently had a aquablation surgery and developed a splayed stream after that. It occurs from time to time. Any thoughts on what might be causing it?
They used a large catheter or the tool used in the aquablation was so large in diameter that it was slowly tearing the urethral opening. Examing your person would show that the urethral opening is no longer an "I" but is more like an "J" so that hook is what is causing you split when the bladder is not full but you still have to go.
Had a stricture before. The worst pain I ever felt, from emergency room nurse was tryna figure out what it was. She jammed a catheter in my opening tryna push it thru, but it didn’t penetrate completely. So after asking the doctor, she got a bigger gauge and tried it. I pissed blood the rest of the night. I literally couldn’t pee at all. And that just made close more.
I have a question for years I've had a U.T.I. that I can NOT get rid of I'll take meds for weeks meaning 2 and it comes right back I have to hurry to go urinate my PCP has tried everything what can be my problem please help
I have two urethra starting further back and ending at the tip with smaller opening below larger pee hole. My urine stream is wide. I had a urologist explain that it is a rare malformation that one in 2 million men have.
When I was young (around my teenage years), my father advised me to pee sitting down. Ever since, I don’t have to aim and I can urinate at full power when my bladder is really full without making a mess everywhere. (But I do stand up to pee when I’m away from home because it’s really inconvenient to do it sitting down and often the toilet seats are dirty).
He advised you because his mom didn't like the dribble on the seat.
⁸888
I go on one knee like a knight. 😂
Well that’s okay as long as you don’t shit standing up
Then ya piss all the floor through the Crack between the seat and bowl.
That was a good post. Thank you. I've had a split stream since I was a young man. My urologist never seems to concerned about it. The explanation was good.
Thank you Dr. Rena Malik. I come across patients with complaint of "split stream" very commonly in my practice as a urologist. This video gave me a deeper clinical insight in dealing with this problem, moreso because this complaint, of all other storage and voiding symptoms, is much less discussed in clinical literature than the others.
I just really appreciate your professionalism on these topics. As for me...I'm holding it and squeezing the head and making sure the very opening isn't in a semi open position...there is where I found where my stream would split...hope that helps someone... sometimes you have to hold it in and then... adjust and then...let it flow...👍🏿👍🏿
A scratchy catholic ruined my urethra to put iodine therein. Hurts to hold my urine sometimes because of it.
Thanks for the info. I have been having this problem and you definitely have answered my questions ❤😊👍
Thank you, Dr Malik. You advice is always valuable
Great information as always Doc. I had this with frequent occurrence. Last year had green light laser surgery, extremely large prostate, over 130 grams. In retrospect I waited too long for this procedure, which helped resolve because flow was restored. Now a different issue. Because of the extensive work the bladder sphincter(s) were weakened. Now doing kegals to work on that. Guys....my message to you is be vigilant and don't wait. Consult your urologist.
Prostate has enlarged greatly in last 5 years and I fnally started taking Saw Palmetto. Has worked wonders.
@@boethius1812do you take extract or natural whole plant?
Thank you so much for making this and all of your videos. I’ve been wondering why I have had a splayed stream, and was starting to get a little worried. I appreciate your expertise and time to explain things.
Thank You for this video. You have given me more information than I have received from military and VA doctors/urologists over the last 35 years.
WOW!
Thankyou.
She seems like a very knowledgeable and nice doctor.
This has been really good information for me, because I know that I have a stricture. Thank you very much.
Wow! Thank you for relieving me of stress!
Thanks for the explanation. I've always wondered why it does that sometimes.
Thank you and GOD bless Dr. Malik
Excellent as always. thank you !!
Once again, an incredibly interesting bit I've learned about myself. This was something I'd noted but now I understand. Thank you, Dr. Malik, I don't know about anybody else, but I really appreciate and value your educational videos.
My number one favorite doctor in the world , love her❤
Great video. Had this problem on and off along with a very enlarged prostate. Had Holep laser treatment in June 23 and no more spray since. Wonderful being able to pee properly again after symptoms for around 10 years.
Did it cause Ed problems?
Not at all.
It's strange as I get older things like that happen occasionally, one time it splits another time it goes sideways. Sometimes it's forceful other times it's weak. Not always fun getting old. 😢
Yup, it happens to me sometimes and I get annoyed because it's unexpected and I have to clean the toilet seat after.🤣
@DiamondGlow44 now double it to get to mine.
Might want a new doctor
Pizza makes pee flow normal. Causes sugar spikes. Take your pick.
@@tonymouannes?
Didnt know I had a stricture for over a decade. Had it treated with several surgeries and doing much better now. Massive improvement in quality of life.
several surgeries ?😮
This Doctor Knows Everything. And Got The Answer. Smart & Intelligent.
Always such great content!
Thanks for the explanation Doc!!!! I guess I can stop calling it "squeezing the water hose syndrome ". When I was younger the term was adhesion!!!!! I'm older now Doc I now have a broken water valve (slower stream) or the medical term a large prostate (slightly bigger than the walnut size). I'm learning more and more from you Doc!!!! Thanks and enjoy the rest of your week!!!!!!❤❤❤❤
You are incredibly professional and much appreciated for your excellent information. Thank you!
Thanks for the information. Very helpful.
Okay, I feel better now know that I only get the split stream soon after I've launched a load of baby batter. What's bad is that once you've adjusted your position so that one stream lands in the bowl the other stream is arching over the tank or hitting the wall. It's impossible to get both split streams into the bowl. A few times, I've managed to get outside in the back yard and stream away; this way there is no mess to deal with. My tip of the day.
Thank you Doc,great video. Blessings.
Great video and very informative.
Can u do a segment on calcification within the prostate not enlarged either but still causing these same symptoms . 👍🏼
Good one, Doc! Thanks!
Very informative video doctor. I had a cystoscopy done in november. When the nurses prepped me for the procedure , they inject a numbing and lubricating gel into the urethra. I felt the tube with the camera and light going in , but it was no pain, .Or anything like that. So when are you guys doing it don't worry about it.
Additionally , one month ago I had a prostate procedure where my doctor removed some tissue that with surrounding the Bladder. My urologist said this is a permanent solution. It was an outpatient procedure and was really nothing. I had no pain afterwards and had the catheter in for a few more days. And then once it was removed I was urinating like I was eighteen years old.
Very informative video
Great show! I get that once in a while.
Yes, very informative and understandable. Nice video shorts too.
Doc is stacked with knowledge
I had to get surgery for a stricture. Misery with that split stream.and After the procedure what a relief
Great information thank you
Love the video clips you used to illustrate this!
Thank you so much for your expertise in this area. I don’t always have to ask my urologist so many questions when I go there and I understand him more now because of you. Thanks again Doctor Malik.
You visit a urologist on regular basis? I've never seen one in my life (at 52).
@@dingdong2103 It depends on the person, though. Since there's a family history of prostate cancer, I go in for a checkup twice-a-year.
Great informative videos Doc, but it'll be great if you were to respond to some of the questions and concerns from your followers. Thanx!
God bless yall on what yall do always
Thanks. Good info.
Great video and even greater interview on Hubermann Lab!
thanks doctor I will check that out for sure
Great dokter 🙏
Dr. Malik, I want to know if you are up to date on the BPH no evasive procedure for treating an enlarged prostate.
Wow I’m not alone. I asked my primary care about it and he had never heard of it . He just got on his knee and said now explain it to me again. So I went to my urologist. Three times for other issues, hi how do you do ,oh that will have to be another visit. I call him Dr fifty visits. I don’t see either anymore. I resolved to just sit down to urinate. They never mentioned any thing like you did. How is it I can know more than them by watching u-tube? Thank You so much. Now I know more to find a real urologist.
Thanks, I'm sharing this video with all my close male friends and family 👍🏾
I'm going to share it with only my male friends and family, too. I'm such a misogynist.
Thanks Dr. Rena.
For me, it is simply by getting older. As a boy or a young man, I had no problem with aiming. But getting 60+, it became difficult and I started 'spraying', although I have not the impression that it takes longer to empty the bladder. Sometimes I get two streams. So I am now sitting down except I can go to an urinal where it works mostly like in former days.
When I was little, I was at the mall with my grandfather and he took me to the restroom for a leak. He needed to take a slash too, and we peed side by side at the urinal. I asked him why he shook during the pee and not wait until the very end. He said, "I'm not shaking the pee out. That's called Parkinson's." 😂
That was nearly forty years ago and I still tell that story.
yes i don't pee on the toilet or floor by sitting . much cleaner .
Thanks for this video... now I know
Great video
I passed kidney stones for a month and experienced this. I was really concerned about what it might be until I heard pinging on the porcelain.
I know it can also be caused from having meatal stenosis which is a side effect from a circumcision.
Thanks!
Thank you for your videos. I was very blessed with a lot of hair everywhere, especially around my junk. One day I was urinating and I had that spray, and I noticed I had a pubic hair in my pee hole. So I decided to trim the "bush" and the issue went away. I was in my 20's then , now I'm 56.
Thanku Dr! I’ve been asking for this video for a while. Why tall guys should sit not stand.
I took Tamsulosin for 10+ years and never thought a thing about it-until side effects started showing up. Just check out the side effects before you take any meds.
Thanks Doctor I have had lots of problems since I had surgery to remove a tumour and not been right since up 8 times a night and proper struggling to pass urine and cannot fully empty my bladder.
I Know 😮
Thank You Dr. Malik
Terrible Situation & Mess!
Good infos. 👍
The meatus naturally has a little bump where the two sides meet. Weak streams make it not open fully and cause the slit stream, which is what you get from having an enlarged prostate.
I always found your videos useful. 😊 Sometimes my husband has urine spray. He is only 37 years old.
How about you?
@Rena Malik I wish you was my doctor I love to as my doctor you tell more them my doctor thank you for this information
Excellent. Nothing like having a 5 - 6mm stone stop mid shaft. Everybody should do it a couple times.
Omg don’t even go there because that happened to me last week right at midnight before I went to bed!! It was half way too!! I could feel it and I was scared as hell because i just knew that the only way I was getting it out was going to the hospital and getting catheter in me. Well I tried something, since it really wasn’t hurting and I didn’t have to pee anymore I decided that I would just try to go to sleep with it stuck in there and deal with it when I woke up. I could hardly sleep because all I was thinking about was going to the hospital when I woke up. Well a miracle happened, I woke up and went to the bathroom scared as shit but I did, and luckily it popped out. Thank goodness it was small and perfectly a round one because if it would have been rectangular like most I get and turned sideways I would have been screwed!!!! I sure hope that shit never happens again.
Everyone should try out a kidney stone atleast once in their life. Been there dont that too many times now. Goodtimes
I had a split stream once , it was a simple simple fix. At the time I was very hairy down there and one of the hairs got stuck in the tip of the urethra. So I did a little bush trimming.
A split stream happened to me for the first time a couple days ago. I’m hoping the next time is in winter so I can admire my handiwork in the snow.
I had actually already assumed the first reason you mentioned.
i use this cbd oil made with mid chain trigliceride coco oil and it turns the split and sputter to normal stream...sleep more comfortably too.
I noticed in your lengthy list of pharmaceuticals you didn't mention saw palmetto, which is a natural substance and far less expensive than those other medications. I told my doctor I was taking it and she's on-board with it. Nevertheless, a well done and information video.
The stock footage you worked in at 0:32 belongs in the hall of fame 😂
Seriously, I’ve just been wondering about this lately!
That literally happened to me for the first time ever yesterday.
Ive had three procedures for the prostate n only get better for a year. Seems like it keeps growing. After last time now have e d issues. I need it again but im lookin for somrthing else ur recommendation please if u will.
Who does your thumbnails ? There are some of the best I've seen !
Yeah I’ve had this before especially in the morning waking up
Hi Doc, is there a vitamin supplements that you would recommend to take for preventative of swollen prostate? I’m 53, I do not have anything yet. Thank you very much:)
Saw Palmetto
Your thoughts on Prostate Artery Embolization (PAE) for enlarged prostate from BPH?
Tadalafil is really senior men's best friend. 5 mg treats enlarged prostate, 10 - 20 mg treats erectile dysfunction.
It has helped me with urgency 👌
Thanks Doc!! Iam 66 a weak stream them it breaks to a full stream. After a small crystal or mineral passes iam thinking kidney stones? Had a little blood in urine but it cleared up.
Hi Rena, do you have any news about complications from Laproscopic hernia repair? I have pain shooting down one leg on ejaculation?
Doctor messed you up.
I think the most common reason in circumcised guys is meatal stenosis. Without the foreskin, the penis head gets irritated from constantly rubbing against clothing, so it gets keratinized, where it develops a rough outer layer of skin, and also this irritation causes the urinary tract to narrow, a condition called meatal stenosis. Studies say it's present in 10-15% of circumcised men, but it's probably a lot more because most guys don't even know they have it if it's not severe enough.
I am a circumcised and purified man after my penis foreskin was cut up after birth. I rarely peed split and triple-stream, but I controlled them to single-stream urine. It did not harm me anything. I am not concerned about the split-stream.
👍😊👍
The most common thing from my experience is blowing loads. Its stickey and basically glues your pee hole and causes the split stream. Not a big deal.
I have always emptied my bladder standing up and never made a huge mess or shot it everywhere. I often lose an entire pound by simply emptying my bladder.
I have a hernia in the abdomen it restricts my flow of pee it just trickles out, sometimes it can be very uncomfortable
I get such a kick out of the stock footage used in your videos doc.
Keep up the good work.
So for the uncut, do you leave the lid on or keep it rolled back from a doc. view
Would you do another video on Hydrocele. Is surgery the only solution. Thanks
I suppose mine is the result of trauma, as the duel stream developed after the removal of a kidney stone. At home its just easier to sit down to empty the bladder. In a men's room I stand between two urinals. I get a few glances (not glans) but it works. Thanks. Narragansett Bay
She pretty much nailed the reason there the first time. Doesn't take days though, just once after
You forgot Prostate Artery Embolization for enlarged prostate. Urologists tend to forget this option because they don't offer it. These are done by interventional radiologists.
In the Air Force, one of the reserve’s aircraft had a sign posted in the restroom that stated, “We aim to please, so please aim”
We aim to please, your aim will help.
My aunt had a poster above the toilet which read " My aim is to keep the bathroom clean, Your aim would be appreciated"
I had a stricture as a child, which was corrected and recently had a aquablation surgery and developed a splayed stream after that. It occurs from time to time. Any thoughts on what might be causing it?
They used a large catheter or the tool used in the aquablation was so large in diameter that it was slowly tearing the urethral opening. Examing your person would show that the urethral opening is no longer an "I" but is more like an "J" so that hook is what is causing you split when the bladder is not full but you still have to go.
CBD made with Mid ChainTrigliceride coconut oil works for me. and has side benefits as well.
Usually when that happens to me, i just open the pee hold at my tip because sometimes it closes slightly and once i do that no problems🎉
Also forgot to mention hypospadias can cause split streams as well.
The first thought that came to mind was kidney stone...😮
And I hate drinking prune juice. And other home remedies to shrink the stones.
Had a stricture before. The worst pain I ever felt, from emergency room nurse was tryna figure out what it was. She jammed a catheter in my opening tryna push it thru, but it didn’t penetrate completely. So after asking the doctor, she got a bigger gauge and tried it. I pissed blood the rest of the night. I literally couldn’t pee at all. And that just made close more.
Should have put it in the mouth
I have a question for years I've had a U.T.I. that I can NOT get rid of I'll take meds for weeks meaning 2 and it comes right back I have to hurry to go urinate my PCP has tried everything what can be my problem please help
I have never heard of it ever happening before seeing this.