Difficulty in urination in the elderly can be caused by many diseases, such as urinary system diseases, reproductive system diseases, etc., which need to be treated for the original disease, such as medication, surgical treatment. 1. Urinary system diseases: the elderly urinary difficulties caused by urethral stenosis or bladder neck fibrosis, the need to dilate the urethra; caused by urinary stones, smaller stones to be tamsulosin, indomethacin and other treatments, the larger stones need to be extracorporeal shockwave lithotripsy, lithotripsy, and other surgical treatments; bladder forceps contraction weakness caused by active treatment of the primary pathology, if necessary, you can stay catheterized. 2. Reproductive system diseases: female pelvic organ prolapse caused by urinary difficulties, mild symptoms to the pelvic floor function exercise, uterine support and other conservative treatment, severe symptoms to the paravaginal repair surgery and other surgical treatments; male prostate hyperplasia caused by urinary difficulties in mild cases of drug treatment such as finasteride, severe cases of transurethral resection of the prostate and other treatments; tumors caused by the operation should be carried out or radiotherapy. The above drugs should be used under the guidance of a doctor. Difficulty in urination in the elderly may also be caused by other factors, which require different treatment methods. It is recommended that patients go to regular hospitals for timely consultation and treatment, and strive for early recovery.