What is the reason why men cannot urinate?

Male incontinence may be related to prostatic hyperplasia, urinary tract infection, overactive bladder, urethral stricture, neurogenic bladder and other factors. Incontinence refers to the feeling of residual urine after urination or the frequent urge to urinate, which is usually accompanied by symptoms such as difficulty urinating and frequent urination. It is recommended to seek medical treatment promptly to clarify the cause of the disease and carry out targeted treatment under the guidance of a doctor.

1. Prostatic hyperplasia

Prostatic hyperplasia is a common disease in middle-aged and elderly men. The enlarged gland compresses the urethra, causing increased resistance to urination. It may be related to changes in androgen levels and imbalance of cell proliferation, manifested by thinning of urine lines and increased nocturia. The diagnosis requires a combination of digital rectal examination and ultrasound examination. Tamsulosin hydrochloride sustained-release capsules, finasteride tablets and other drugs can be used as directed by the doctor to relieve symptoms. In severe cases, transurethral resection of the prostate is required.

2. Urinary tract infection

Bacterial infection of the urethra or bladder can cause mucosal congestion and edema, and Escherichia coli infection is common. It is often accompanied by urgency and pain in urination, and some may have fever. Routine urine examination shows an increase in white blood cells. You need to take antibiotics such as levofloxacin tablets and cefixime dispersible tablets as directed by the doctor. During the treatment period, drink more than 2000 ml of water every day to avoid holding urine.

3. Overactive bladder

Involuntary contraction of the bladder detrusor leads to frequent urination and urgency, which may be related to abnormal regulation of the nervous system. Urodynamic examination can confirm the diagnosis. It is recommended to record a urination diary, use solifenacin succinate tablets, mirabegron sustained-release tablets and other drugs as directed by the doctor, and cooperate with pelvic floor muscle training to improve symptoms.

4. Urethral stricture

Urethral scar contracture caused by trauma or inflammation is common after straddling injuries or catheterization. It manifests as bifurcated urinary stream and labored urination. Urethrogram can identify the stricture site. In mild cases, regular urethral dilation can be performed. In severe cases, urethroplasty is required, and infection must be prevented after surgery.

5. Neurogenic bladder

Diabetes or spinal cord injury causes abnormal bladder innervation, leading to urinary dysfunction. May be accompanied by sensory disturbances in the lower extremities, requiring urodynamic evaluation. Treatment includes intermittent catheterization, the use of tolterodine tartrate tablets and other drugs, and the primary disease needs to be controlled at the same time.

In daily life, you should avoid sitting for long periods of time which may cause pressure on the perineum, and limit the intake of alcohol and spicy food. It is recommended to perform daily levator exercises to strengthen the pelvic floor muscles and try to relax the abdominal muscles when urinating. If symptoms continue to worsen or hematuria occurs, you must seek medical attention immediately. Long-term urinary retention may damage kidney function. During treatment, routine urinalysis and urinary tract ultrasound should be reviewed regularly, and the treatment plan should be adjusted according to the condition.