Diabetic patients presenting with difficulty urinating

  Urinary retention is when you have urine that does not come out or is difficult to pass. By urinary incontinence, we mean that urine drips and drains. Both urinary retention and incontinence are not uncommon in diabetic patients and are the result of autonomic dysfunction of the muscles that control the bladder and urethra. Urinary dysuria can not only be painful for diabetic patients, but it can also increase the chance of urinary tract infections and vulvar skin infections.  Sometimes the use of urinalysis to observe the condition poses difficulties because of dysuria. The patient has a large amount of urine stored in the bladder, and although we check the “secondary urine” or “segmental urine”, it may actually be a part of that one bubble of urine, which may mislead us to observe the condition and adjust the treatment. This is why urinary disorders also need to be treated. The actual fact is that you can find a lot of people who are not able to get a good deal on their own.  The common treatments include: (1) control of diabetes mellitus to reduce autonomic complications; (2) prevention and treatment of urinary tract infections. Urinary tract infections are very common in diabetic patients and may sometimes be asymptomatic, but are often associated with difficulty in urination and must be treated. If urinary tract infections are present, treatment should be long enough, otherwise they are likely to recur; (3) Western medicine. For example, including uratanine, gastrofacial, and phentolamine preparations (e.g., dextran); (4) Traditional Chinese medicine.