What's wrong with men's urination?

Unclean urine in men may be related to factors such as prostatic hyperplasia, urinary tract infection, bladder dysfunction, urethral stricture, and neurogenic bladder. It usually manifests as symptoms such as difficulty urinating, frequent urination, urgency, and post-urinary dripping. Intervention can be achieved through drug treatment, urinary catheterization, surgery, etc.

1. Prostatic hyperplasia

Prostatic hyperplasia is a common disease in middle-aged and elderly men. The enlarged prostate compresses the urethra, causing difficulty in urination. Patients may experience symptoms such as increased nocturia, thin urine lines, and interrupted urination. For treatment, tamsulosin hydrochloride sustained-release capsules, finasteride tablets, Qianlieshutong capsules and other drugs can be used as directed by the doctor to relieve symptoms. In severe cases, surgical removal of part of the prostate tissue is required.

2. Urinary tract infection

Bacterial infection of the urethra or bladder can cause frequent urination, urgency, and a feeling of incomplete urination, which may be accompanied by cloudy or burning sensations in the urine. Common pathogens include Escherichia coli, Proteus, etc. After diagnosis, antibiotics such as levofloxacin tablets, cefixime dispersible tablets, and fosfomycin tromethamine powder need to be used. It is also recommended to drink more water to flush the urethra.

3. Bladder dysfunction

Weak detrusor contraction or overactivity of the bladder will affect emptying efficiency and may be related to diabetic neuropathy and pelvic surgical injury. Symptoms include delayed urination, weak urine flow, or urge incontinence. It can be improved through bladder training, and if necessary, drugs to regulate bladder function such as tolterodine tartrate tablets and solifenacin succinate tablets can be used.

4. Urethral stricture

Urethral trauma and repeated inflammation may lead to narrowing of the urethral lumen, bifurcation of the urinary line, and prolonged urination time. Mild strictures may require urethral dilation, while severe strictures may require urethroplasty. To prevent infection after surgery, antibiotics such as ciprofloxacin hydrochloride tablets and azithromycin dispersible tablets can be taken for a short period of time.

5. Neurogenic bladder

Central or peripheral nerve injuries such as spinal cord lesions, cerebrovascular accidents, etc. can lead to abnormal bladder sensation and contraction function. Patients often have urinary retention combined with overflow incontinence. Treatment requires intermittent catheterization combined with neurotrophic drugs such as methylcobalamin tablets and vitamin B1 tablets. Some patients require bladder pacemaker implantation.

Daily attention should be paid to keeping the perineum clean, avoiding sitting for long periods of time and holding in urine, and limiting the intake of alcohol and spicy food. It is recommended to keep a urination diary to monitor changes in symptoms and conduct moderate pelvic floor muscle training. If fever, hematuria or complete inability to urinate occur, seek medical attention immediately. Men over the age of 50 should undergo regular prostate-specific antigen screening and urinary system ultrasound.