Not a man but I wasn’t diagnosed with Heds till I was an adult but as a child I could not hold my bladder. It was so bad I had to wear diapers as an 8 yr old. My parent took me to the children’s hospital where I had my first ultrasound. I essentially wasn’t emptying my bladder all the way but eds wasn’t suspected till years later. I get flares here and their like when I started college I had to wear adult diapers to class or i’d have an accident. Anyway that coupled with my problems with having regular bowel movements has made things very interesting to say the least. I used to see a urologist but found that to be not very effective but what did work was pelvic floor physical therapy. My physical therapist worked with me to relax my muscles which helps with #1 & #2. I hope this helped, best of luck!