8. Straining
We have mentioned above that patients with prostate cancer have urinary hesitancy. This is a sensation of difficulty when they start to urinate, and sometimes they need to push through before the urinary stream initiates. Straining is similar, but in this case, the patient needs to push all the way through, and not only at the beginning of the urinary stream. Straining to urinate and the need to push all the way through make it difficult to void. Patients usually leave the urinary stream halfway or do not achieve a complete voiding of the urinary bladder.