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I am 72 years old, and other than the prostate issues, am in excellent health. Work out 3x per week, not overweight, no sugar or junk food.
Had successful treatment for prostate cancer (radiation) in 2014, and a PAE for BPH issues in 2017. The PAE was only partially successful due to median lobe issues.
Now, I am up to two Tamsulosin per day, and my trips to the bathroom are increasing. At night I am up every hour to hour and a half and it takes me 10-20 min each time to clear enough urine from my bladder so that I can get back to sleep. My latest measured PVR was 200ml.
Here's what happens at night: my bladder wakes me up with the message - you have to pee. I go to the bathroom and pee out about 50-75ml. Then, I try to go back to bed, but I still have that sensation in my bladder that I have to pee - so can't get back to sleep. Then, it's back to the bathroom again. I am now up to 3-5 of these repeat peeing attempts before I can actually get to sleep. This condition is getting worse.
I have been able to get some relief by taking Trospium (for overactive bladder), a small amount of melatonin, and Tylenol before going to bed. The Tylenol seems to dull down the bladder irritation.
I have had many urine culture tests and I do NOT have an infection.
The lack of sleep is wearing on me. I have to do something, and I know this decision is coming up soon. My only three options (based on my insurance, location and finances) is a second PAE, a bipolar TURP and Greenlight. Urolift won't work for me because of the median lobe.
I hate to take my little fistful of pills before bed (the second Tamsulosin, Trospium, Tylenol and melatonin), and recently added a few drops of Passion Flower liquid. Anything to help me sleep.
Does any of this sound familiar? Any ideas that might help me would be appreciated.
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