Kidney failure with desire to urinate but not urinate may be related to acute urinary retention, entering anuria or more serious kidney injury, etc. It can be treated conservatively, catheterization treatment, diuresis, and renal replacement therapy if necessary. 1. Acute urinary retention: renal failure with the urge to urinate but not urinate may be acute urinary retention, you can use hand warmer or hot water bag on the bladder area to apply warm compresses to relax the bladder sphincter to help urination, and catheterization can be done if necessary. 2. Entering anuric phase: renal failure with the desire to urinate but not urinate may be the condition of anuric phase, the need for diuretic treatment, can be appropriate use of furosemide, torasemide and other diuretics. 3. Serious kidney injury: Kidney failure with desire to urinate but not urinate may be more serious kidney injury, the kidneys can not support normal function, can be hemodialysis or peritoneal dialysis and other renal replacement therapy. When you have the urge to urinate but not urinate, it is recommended to go to regular hospitals in time to find out the cause of the disease, and take corresponding treatment programs under the guidance of the doctor, and the medication needs to be guided by the doctor.