The condition of having to exert oneself to relieve urination may be due to urethral stricture, prostatic hyperplasia, and urodynamic insufficiency.
1. It may be due to urethral stricture, urethral stone, bladder neck opening fibrosis, prostate hyperplasia, or chronic urinary tract infection, which leads to an increase in resistance to bladder outflow, thus leading to the appearance of the phenomenon.
2. It may be due to symptoms of lesions in the central nervous system, fibrosis of the bladder’s detrusor muscle, neuromuscular signaling, and other lesions, which lead to weak contraction of the bladder’s detrusor muscle.
3. It may be due to insufficient urodynamics, indicating the presence of pathologic changes in the urinary system, such as the occurrence of defects in the intrinsic sphincter of the urethra.
Finally, if there is a urinary tract infection, you can apply anti-inflammatory drugs to regulate, if there is prostate hyperplasia, you can take some heat-cleansing drugs, and if necessary, perform transurethral resection of the prostate for treatment.
If the symptom of having to urinate hard in order to get rid of it is not relieved for a long time, you should consult a doctor as soon as possible in order to avoid the adverse consequences.