The exact cause of micturition syncope isn't fully understood. But it may be related to opening (vasodilation) of the blood vessels that occurs when getting up and standing at the toilet or that occurs at the rapid emptying of a full bladder. This is thought to result in a sudden drop in blood pressure.Other factors that may play a role in micturition syncope include: Alcohol Hunger Fatigue Dehydration Medical conditions, such as a respiratory infection Use of alpha blockers to improve urination in men with prostate problems