We often hear the saying, “Young people can hold their urine, but they can’t hold their words; when they get older, they can hold their words, but they can’t hold their urine”, which vividly tells us the physiological changes of urination. But is it normal to have difficulty in urination, frequent urination, urgent urination, and waiting for urination at an older age, and does it not need treatment? The answer is no. When elderly people have difficulty urinating and other symptoms, they need to come to the urology department of a hospital in time. For example, frequent urination at night, the need to get up frequently to go to the toilet, poor sleep quality, irritability, which makes their blood pressure and blood sugar rise, even if they usually take expensive drugs can not make blood pressure and blood sugar control satisfactory. We can often encounter many elderly people in the clinic, because of long-term urinary difficulties, incomplete urination, bladder residual urine gradually increased, resulting in obstructive reflux nephropathy, or even the uremic phase before coming to the clinic. When you arrive at the urology department, your doctor will ask you to fill out two questionnaires based on your symptoms, one is the International Prostate Symptom Score (IPSS) and the other is the Quality of Life Questionnaire; then you will be targeted to choose some tests, the common ones are: blood and urine routine, prostate specific antigen (PSA), bladder and prostate ultrasound + residual urine, prostate finger diagnosis, etc. If the diagnosis is clearly bladder outlet obstruction (BOO) (prostate hyperplasia BPH or bladder neck orifice sclerosis, etc.), your doctor will give you a stepwise treatment measures: first lifestyle guidance, medication conservative treatment; if the result is not good, surgery will be used.