Constant urgency comes and goes

I would never make an important medical decision based upon what I have been reading here, but I have gained great insight, most of which my own urologist had never bothered to discuss with me.  My urologist is one of those very gifted surgeons who act as if the sun shone from every orifice in their body, and who give "recommendations" as if they were infallible and should never be questioned.

Thank heaven for my very dialogue-oreiented primary care physician, who has been frank in saying what he would do in my circumstance, as well as my allergist who has had bladder issues for years and gives the benefit of his unbiased experience.  But, if it had not been for some of the comments I have read here, I wouldn't even have known enough to question some of the "infallible" directions being given to me by the urologist.

So, as lester suggests, do not fail to consult with your doctor, daniel, and simultaneously use this site to explore your increase of knowledge about symptoms and experience of others.

I have not tried the Cialis for my BPH. do you get it on prescription.

I have had Acute Retention twice and am almost certain that in each case it was a UTI rather than just BPH alone that brought it on.

But it is a chicken and egg question as AUR will very quickly lead to a UTI due to the urine stuck in your bladder!

You need to get to a doctor and have him test for UTI.

Good luck

Jeremy

The alpha blocker type drugs seldom work the same every night,

I also took daily Cialis for awhile and it did improve my bph symptons for a month or so and then started to become less effective. However, in your case it's only been 21/2 weeks so I would think that's too soon for it to stop working. What dose are you taking?

A uti is always a possiblity so doing a urine culture can't hurt. It could also be just one of those nights, as bph symptons aren't always constant. So many things can affect frequency including diet and fluid intake. 

I'd give it a few more days and see how things go, unless you happen to have some urine dipsticks handy, then do a first void test in the morning and see if it picks up anything. 

Jim

Did you ejaculate recently? That can have that effect, but it should go away in a day or so.

Neal

May the flow be with you....

for weeks or even months, and then, without warning I had a "bad night" where I was up most of the night. Standing over the toilet trying my best to pee, and nothing. 15 minutes later some urination occurs. I just think it's part of the BPH thing, and I wouldn't put too much weight into one bad night. If this becomes a habitual matter (nightly or 5 nights a week), then a discussion with your urologist is in order. Be carefull of caffienated drinks anytime past 5pm, same holds true with teas, coffee. I usually cut way back on my liquid intake after dinnertime. Same with alcohol. The key word here is moderation (sadly). Stay away from cold water (ice cubes), that always riled things up for me.

My guess for you is that you had a good, quiet, string of evenings where you were feeling good. One bad night is going to happen. Cut back on your fluid intake after dinnertime and see what happens.

In my case, I dealt with pretty severe symptoms for years, and 2 weeks ago I bit the bullet and had a Terp done. They told me that I'd be up 4-5 times per night for the next 2-3 months while I recover (true). My flow is dramatically improved, very painfiul urination, but slowly improving, some residual bleeding, normal.

Keep an eye on this stuff. Make sure you see your urologist as needed, and make sure his exam includes a DRI. Make sure they draw blood and give you a PSA reading. I had PSA's in the 20's. Taking Avodart faithfully got my PSA's below 5. Make sure you keep a close eye on all this. No reason for panic, but do not ignore symptoms, especially if they are getting worse. If you do not have faith in your urologist, or he's blowing you off, find a new doc. The smartest thing I could have done. If you're in the Phoenix, AZ area I can recommend a really good one.

Best of Luck,  Tim