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About Arthur Goldstein, M.D.
Expertise
Any problems or questions related to the field of urology; ie urinary stone disease, urinary cancers (kidney, bladder, prostate, testis, etc.), urinary infections, impotency, etc.

Experience
I am retired from the active practice of urology. My 34 years was totally in the clinical field and involved the entire gamut of genitourinary problems, with special interest in male impotence and endourology.

Organizations
American Medical Association, American Urological Association, American College of Surgeons

You are here: Experts > Health/Fitness > Urology > Urology > Geriatric Relief

Urology - Geriatric Relief

Expert: Arthur Goldstein, M.D. - 11/8/2009

Question
Hello Doctor, there is another urination position exhibited by an older man about which I'm curious. He sometimes goes into a stall (leaving the door open) and spreads his legs very wide so he is right over the commode. Then he leans forward toward the opposite wall with one hand to steady himself and he aims with the other hand while he voids. Does that indicate a bladder or prostate problem?? Thanks.

Answer
Ken, there are many reasons for a man to assume the position you describe while urinating. These may include unsteadiness (from a variety of medical problems) & an improvement in one's ability to aim the urinary stream. It does not specifically indicate "a bladder or prostate problem". In fact, with an enlarged prostate, men will often sit to void so that they can generate a greater pelvic force on the bladder (which is what happens during a BM). Sitting further enhances the ability to direct the stream better than when stand or leaning forward. Good luck.

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