The inability to urinate actually means two things. One is frequent and incomplete urination, unable to hold urine, always wanting to urinate; the second is difficult to urinate with effort and thin urine line. The former is because of lower urinary tract irritation symptoms, similar to overactive bladder, that is, the bladder is more sensitive, such as when swimming, cold water stimulation leg cramps, is the reason for feeling more sensitive, need to stabilize the bladder treatment, as well as blood circulation herbal treatment will also be effective. The latter is because of edema or hyperplasia of the prostate gland, which is the reason why the lower urinary tract exit switch does not open, such as the gate bouncer does not allow the way, urinating out of the door is difficult, if the bouncer disperses, the gate is opened. So the clinical choice to relax the muscles around the prostate, commonly used alpha-blockers, such as tamsulosin, doxazosin, terazosin, etc., corresponding to the trade names of Halle, Cordova, Gottlieb, etc., the elderly population is mainly in this category. If you can’t urinate, you can use alpha-blockers to promote bladder sphincter relaxation and facilitate urination, or you can adopt a squatting or sitting position, allowing yourself to involuntarily relax the anus and increase abdominal pressure, which can serve to compress the bladder and cause contraction of the detrusor muscle. Some people can barely complete urination in this way. You can also take warm towels on the abdomen, which may also increase bladder contraction. If none of the above methods work and you still can’t urinate, the bladder will swell up, which is medically called urinary retention. Examination can reveal that the bladder is bulbous, and later it can also cause hydronephrosis, which requires emergency indwelling catheterization, otherwise the bladder and kidneys will be damaged. So serious prostatitis symptoms can’t urinate, there are two kinds, symptoms of prostatitis and symptoms of prostate enlargement, the two treatments are not the same, both need specialist consultation.