Why do men have urgent urination, frequent urination and inability to urinate completely?

Male urgency and frequency of urination may be related to prostatic hyperplasia, urinary tract infection, overactive bladder, diabetes or psychological factors.

1. Prostatic hyperplasia

Prostatic hyperplasia is a common disease in middle-aged and elderly men. The enlarged prostate compresses the urethra, causing symptoms such as difficulty urinating, frequent urination and urgency. Patients may experience increased nocturia and thinner urine stream. For treatment, tamsulosin hydrochloride sustained-release capsules, finasteride tablets and other drugs can be used as directed by the doctor. In severe cases, transurethral resection of the prostate should be considered.

2. Urinary tract infection

Bacterial infection of the urethra, bladder and other parts of the body can cause frequent urination, urgency and pain during urination, and may be accompanied by turbid urine or hematuria. Common pathogens include E. coli, Proteus, etc. You can use antibiotics such as levofloxacin tablets and cefixime dispersible tablets as directed by your doctor. It is also recommended to drink more water to promote the elimination of bacteria.

3. Overactive bladder

Involuntary contraction of the bladder's detrusor muscle causes urgency and frequency of urination, which may be accompanied by urge urinary incontinence. The causes involve abnormal neuroregulation, bladder hypersensitivity, etc. Treatment can include tolterodine tartrate sustained-release tablets, mirabegron sustained-release tablets and other drugs, combined with behavioral therapies such as bladder training.

4. Diabetes

Long-term high blood sugar can damage the nerves that control the bladder, causing urinary dysfunction. Patients often present with frequent urination and incomplete urination, which may be accompanied by symptoms of polydipsia and polyphagia. Diagnosis needs to be confirmed through blood sugar monitoring and glycosylated hemoglobin testing. Treatment is mainly focused on controlling blood sugar, and hypoglycemic drugs such as metformin enteric-coated tablets can be used.

5. Psychological factors

Emotions such as anxiety and tension may cause abnormal urination through neural reflexes, manifesting as frequent urination, urgency and low urine output. In this case, there is usually no organic disease, and the test results are mostly normal. It is recommended to improve through psychological counseling, pelvic floor muscle relaxation training and other methods. If necessary, short-term use of anti-anxiety drugs such as lorazepam tablets can be used.

It is recommended to drink 1500-2000 ml of water every day to avoid holding in urine and overexertion. Limit the intake of irritating drinks such as coffee and alcohol, and pay attention to perineal hygiene. If symptoms persist for more than 1 week or fever, low back pain, etc. occur, you should promptly see a urology department for routine urinalysis, ultrasound and other examinations. You can try regular urination training in daily life and record a urination diary to help doctors diagnose.