Dysuria is a common symptom in life, and there are many factors, so it is necessary to judge the specific causes of difficulty in urination according to the patient's medical history, age and the results of relevant examinations after the occurrence of difficulty in urination.
Dysuria refers to poor voiding and laborious voiding. The degree of dysuria is related to the condition of the disease. Mild cases are characterized by delayed urination and short-range, while the severe cases are characterized by thinning of the urine stream, dripping of urine. It even requires people to hold their breath and press the lower abdomen with hands to excrete urine. In some severe cases, it can develop into urinary retention.
Dysuria can be caused by mechanical causes. Obstructive diseases below the neck of the bladder can cause dysuria. These diseases include bladder neck obstruction, prostatic hyperplasia, bladder, and urethral stones and foreign bodies, bladder and urethral tumors, urethral stricture, urethral valves, obstruction caused by tumor compression of adjacent organs of the bladder, stricture of the urethral orifice, etc.
Dysfunction can also be caused by dynamic causes. This includes neurological dysfunction or bladder detrusor dysfunction. The causes of nervous system dysfunction include neobladder, post-anesthesia, spinal cord diseases (including deformities, injuries, tumors, etc.), complications of advanced diabetes mellitus, etc. The causes of bladder detrusor dysfunction include diabetes mellitus, detrusor-sphincter dysfunction, etc.
Some dysuria cases can also be caused by the above two reasons together. Mechanical causes may predominate in the early stage, while dynamic disorders may occur in the late stage. For example, in the early stage of benign prostatic hyperplasia(BPH), dysuria can be caused by obstruction of the proliferated prostate. If not treated in time, it can lead to detrusor injury and dynamic dysuria in the later stage.
Generally speaking, the most common cause of dysuria in middle-aged and elderly men is BPH. For dysuria caused by BPH, treatment can generally be done by three different methods: observation, waiting, drug treatment, and surgical treatment.
Generally speaking, mild hyperplasia does not cause obvious clinical symptoms, so we can choose to wait for observation. If the symptoms of dysuria occur, and affect the work and life of patients, drugs can generally be considered for treatment at this time. Generally, patients need a long period of oral medicine to control the symptoms of dysuria. When patients have symptoms of urination failure, acute urinary retention, or severe dysuria, they usually need to consider surgical treatment.

Normally, they can go to the hospital for transurethral resection of the prostate or transurethral prostate dilatation. Diuretic and Anti-inflammatory Pill can be used as adjuvant drugs to inhibit the reproduction of pathogens after surgery. The effects of promoting blood circulation and removing blood stasis, promoting diuresis and relieving stranguria can prompt the rapid elimination of toxins, accelerate new metabolism, and eliminate swelling. The effects of anti-proliferation and anti-fibrosis can also prevent recurrence and reduce the rate.