The most common cause of urinary difficulties in elderly men is prostatic hyperplasia, and if the diagnosis is confirmed, it is recommended to temporarily give an indwelling catheter to relieve the patient’s urinary difficulties, and then take oral tamsulosin hydrochloride extended-release capsules, finasteride tablets and other drugs for conservative treatment. After one course of conservative treatment, the urinary catheter is removed to observe the improvement of urination. If you are still unable to urinate after removal of the tube, it is recommended to undergo surgery to restore normal urination through minimally invasive prostate surgery. 2. If the examination is due to acute infection of the urinary tract resulting in acute congestion and edema of the urinary tract mucosa and difficulty in urination, you need to use intravenous antibiotics after diagnosis, such as intravenous injection of levofloxacin hydrochloride or Ciprofloxacin injection and other drugs for treatment. It is better to take urine specimens from patients and do urine culture and drug sensitivity test to guide the clinical use of drugs.3. If there are stones blocking the urethra causing difficulty in urination, it is recommended to remove the stones or break them up under urethroscopy to restore the patency of the urethra and restore normal urination in the future.