What to do if…
you cannot pass urine and feel increasing discomfort
Short answer
If you cannot pass urine at all and your discomfort is increasing, go to A&E now. If you’re unsure where to go or need help arranging urgent care, use NHS 111 online or call 111; call 999 if you think it’s life-threatening or you cannot get to A&E safely.
Do not do these things
- Do not keep forcing/straining to pee (it can worsen pain and doesn’t fix a blockage).
- Do not “try to flush it through” by rapidly drinking lots of water.
- Do not take someone else’s medication (including leftover antibiotics or painkillers) to “see if it helps”.
- Do not try to insert anything into your urethra or attempt catheterisation yourself unless you have been specifically trained and told to do so for this situation.
- Do not ignore this or try to sleep it off.
What to do now
- Go to A&E now if no urine is coming out and discomfort is building. This needs prompt assessment and treatment.
- Call 999 if you think it’s life-threatening or you can’t get to A&E safely, for example if you are collapsing/fainting, severely confused, or too unwell to travel.
- Do not delay leaving.
- If it does not delay you, you may make one gentle attempt to pass urine (no straining), then stop.
- Do not repeat attempts—focus on getting to urgent care.
- Bring (or note) details that help clinicians act quickly.
- When you last passed urine; whether none has come out or only drops.
- Any blood in urine, fever/rigors, back/flank pain, recent injury, recent surgery/anaesthetic, pregnancy/postpartum status.
- A list/photos of all medicines (including recent changes), especially opioids, antihistamines, decongestants, antidepressants, and bladder/prostate medicines.
- If you already have a urinary catheter and it has stopped draining: treat it as urgent. Do not pull on it. Go to A&E.
- If you have new leg weakness, new numbness around the genitals/inner thighs (“saddle area”), or symptoms after a back injury: treat as an emergency—call 999 or go to A&E immediately.
What can wait
- You do not need to work out the cause right now (prostate, infection, medication side effect, nerve issue, stone, etc.).
- You do not need to decide on tests, referrals, or long-term treatment today—focus only on being assessed and safely relieved.
- You do not need to “manage this at home” first.
Important reassurance
This situation is frightening and painful, and it’s common to worry you’re overreacting. You’re not: a sudden inability to pass urine with increasing discomfort is a recognised urgent problem, and getting prompt help is the right call.
Scope note
These are first steps only—aimed at getting you safely assessed and relieving the immediate problem. Follow-up and prevention depend on the cause and should be handled with a clinician.
Important note
This guide is general information, not a diagnosis. If symptoms are severe, rapidly worsening, or you feel unsafe at home, use emergency services.
Additional Resources
- https://www.nhs.uk/nhs-services/urgent-and-emergency-care-services/when-to-use-111/
- https://www.nhs.uk/nhs-services/urgent-and-emergency-care-services/when-to-call-999/
- https://bnf.nice.org.uk/treatment-summaries/urinary-retention/
- https://cks.nice.org.uk/topics/luts-in-men/management/urinary-retention/
- https://www.rcemlearning.co.uk/reference/assessment-and-management-of-acute-urinary-retention/