I also have this problem. The cause is evidently the burning pain that I had since as long as I can remember. Even so I had no really issues with this until my late twentieths. I could urinate as usual and had no real problems with retention, so it was more like an inconvenience. Since my late twentieths it became more difficult to urinate while standing as the flow is often weak and intermittent. Retention is not a real problem at least as I can hold it as long as I want, however it is often difficult to start the flow and it is more than just due to the pain as it was ways more excruciating several years ago. I guess some permanent damage was caused to the nerves, so I can no longer control this function adequately. While I can hold the urge indefinitely it is still rather problematic to do so, as my POIS symptoms would usually escalate rather quickly then and sometimes some really bad chest inflammation can occur due to this. Thus I try to go to the loo as often as I can even if only to leak a few drops. Waking up in the middle of the night due to the urge also became an everyday issue. It is interesting though that even then the amount I produce is often very small, sometimes only a few drops. I don’t like this as if I don’t get up I often can’t sleep back as it bothers me so much, however if I get up and take a leak I get too aware and then I can’t sleep either. Similarly to other members if I don’t sleep more than an average man would my POIS symptoms are much worse and my whole day is messed up doubly so.
I had many urine tests throughout the years, but doctors had never found anything wrong, so they were kind enough to deny any kind of pharmacological help as well.
