Peeing at night often

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I have been on Tamusolin 0.4mg for last fours years for BPH. I have a problem with getting up multiple times at night to pee ( atleast twice, sometimes thrice). Can someone suggest a remedy for this, since I would like to avoid getting up at night since it disturbs sleep and getting back sleep is sometimes difficult.

Also I feel that I am unable to void fully first time but it improves as the night wears on and multiple john trips..

pls suggest from your experience...

thanx

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  • Posted

    Most of us with BPH know your dilemma. Have suffered it for years. For me, it was up every two hours -- for many many months. 

    But I have some relief now quite by accident for my suggesting to the urologist "Could it be prostatitis?" -- which I had forgotten was a problem for me some years ago. 

    Long story short, I am two weeks in to a regimen of Bactrim aka sulfameth and feeling much, much better.  (I had been feeling significant whole-pelvis and back discomfort that is now largely gone...and I am voiding "just" twice in the night 'sted of four times+.  Also, at the doc's reminding, I am limiting fluids to none after 7 pm.  Sometimes I violate, though...and pay the price.)

    I am, btw, otherwise healthy and age 72.

    So I'd suggest you rule out prostatitis as part of your problem.  BPH is likely not going to go away, but prostatitis can at least be fought to a draw and you may find some lesser tendency to be up in the night --- if you watch your fluids in the evening.  But the BPH, unfortunately, is likely here to stay.  Good luck.

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    • Posted

      Owen I had Resume done on 6-18-18 And have had no good results from it. If anything it made . me WORST!!! I used to per 1.5 to 2hrs before I had it done. Now it's 45.min to 1.5 hrs

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    • Posted

      But my peeing always varys. And I don't drink any liquid after 10.30pm but I still pee out alot threw out the night. Up to 10.30am

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  • Posted

    Hi S,

        I can very much relate and have a number of comments and questions.  Don't assume that surgery is necessary. I have had the same pattern for a long time: up 2 or 3 times /night, with the first void not a complete emptying.

      

        Did your symptoms improve when you first started taking tamsulosin and then get worse at some point?  Tamsulosin can stop working after being on it for some time. You could try switching to Daily Cialis to see if that helps control your symptoms. If tamsulosin never helped, that could indicate something else is going on, I'm not sure.

       Do you have BPH symptoms during the day? While your symptoms do sound BPH related, there can be other causes of nocturia (“the complaint that the individual has to wake at night one or more times for voiding"wink. I have noticed for myself that sometimes I wake because I need to void, but sometimes I just wake, and then after being awake for a minute or two recognize that I should void, but it really wasn't urgent.

       One thing that has absolutely helped with getting back to sleep after waking up is using a portable plastic urinal next to the bed instead of traipsing to the bathroom each time. I barely wake up, and more often than not fall back to sleep immediately. There are even times when I do not remember getting up, but the evidence is in the urinal. You can get one at a local pharmacy.  I'm using one that has a much better design that I bought on-line. I can PM you a link to it if you're interested.

         I eventually did opt for a relatively non-invasive procedure (PAE), and it has provided some improvement to the point where I'm am off any meds, but still waking 2 or 3 times a night, unless I restrict liquids for several hours before going to sleep. As I have had a kidney stone in the past, restricting liquids is not a great idea. If my symptoms get worse, I will go back on daily Cialis.

       Happy to answer any other questions you might have.

    Rich

     

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  • Posted

    Hi the short answer is get an ultra sound which is both cheap and harmless which may well identify your specific issue as bph can vary greatly, also realize that while drugs may seem more sensible than a surgery option know that if surgery is the inevitable outcome prolonging it will damage your bladder and kidneys so do not push to pee as the back pressure may damage your kidneys and restricted flow prevents correct bladder function and pushing ruins the bladder wall often permanently, drugs have  really bad side affects be aware of each side affect,in my case an ultra sound identified an enlarged prostate median lobe pushing upwards against my bladder neck valve restricting flow in which case traditionally urologists resort to turp but turp in the case of an enlarged median lobe pushing the bladder neck requires surgical damage to the bladder neck valve resulting in the lower prostate valve now being the only remaining valve between you and incontinence, and no urologist surgeon can guarantee it will hold urine, along with bladder neck surgical damage is retro ejaculation meaning your sperm no longer comes out the usual way but goes into the bladder and has to be exited via urine, turp has other damage eg they also shell out usually half your prostate naturally including your prostate urethra, additionally they often slice up your penis urethra to fit in all the tooling required and to minimize penis urethra damage but in any case can cause penis urethra damage which will be very painful and may need more surgery, so knowing this many men search for other less invasive options I chose FLA which is amazing, no damage at all, no pain at all iether during FLA or after with excellent results by a Dr Karamanian in Houston Texas but you will find there are many surgical options mentioned on this forum but first you will need to identify what your specific issue is all the best,Brian.
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    • Posted

      You said, ".... but turp in the case of an enlarged median lobe pushing the bladder neck requires surgical damage to the bladder neck valve....."

      just wondering from where did u get this information?

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    • Posted

      Hi, its a very good question and I hope you will reply with what you know, first its common knowledge that turp  especially with an enlarged median lobe has a very high chance almost guaranteed retro ejaculation of sperm going into the badder because of tissue removal at the bladder neck, also I was told by some urologists I would not have incontinence if I had turp but the surgeon who was going to do the tup on my median lobe said I will be incontinent and added its because no one can guarantee that the lower prostate valve will hold the urine, another prostate surgeon said to me in his experience when an enlarged median lobe has been pushing the bladder neck up often the bladder neck has been permanently stretched open justifying the need to cut away the blockage without concern for the bladder neck, but since you asked me your question I looked at actual live turp videos where the surgeon mentions he has to be very careful not to damage the sphincter valve near the bladder neck so I assume that he means even if he removes tissue at the bladder neck but does not damage the sphincter valve incontinence may be avoided, so although this is new to me it appears that each individuals bph scenario may well be completely different from another's with regard to incontinence and also depending on the knowledge and skill and care and experience of the surgeon. Please let me know what you have discovered thanks.  kind regards Brian.

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    • Posted

      All your info. Is new to me. All I know is my Dr did the surgery right in his office. While I was awake. VERY PAINFUL!!!! I'D NEVER HAVE it done again awake. But he refused to put me out.. I do t know how big my prosyate. All he said was it was very large. And I would have to wear a Cath for 2 weeks. But it ended up having to be taken out In 7 hrs. My pee was comming around the Cath and wetting my underwear. So I went to the ER. And they took it out and put in a 16 Cath I think

      And I still peed around it. So they took it out and I went home then for the next 2 weeks I peed fine.with no blockage. My Dr was BLOWN AWAY. he said your the first patient that had to have a Cath taken out shortly after surgery. In his entire career.

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    • Posted

      Good to hear!  Me, I'm to wary of operations, so got my own ultrasound to determine size at 96.6mL (grams).  Also, the position/intrusion into the bladder. This high-res ultrasound operator said "no cancer".

      What particular procedure did you get?

      Please update us in three months after your surgery.

       

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    • Posted

      I am a bit confused. I thought u already  had FLA and are very happy with the result. Are u thinking of  having TURP?

      U brought up a very interesting and intrigue issue, to my knowledge,  which has never been discussed in forums or patients have never asked urologists that is : what happens to the function of  the internal sphincter when a large medium lobe protrudes through the bladder neck and into the bladder? In other words,  the internal sphincter could not be properly closed due to the blockage to the bladder neck by the protruding medium lobe and what happens to incontinence? This has nothing to do with whether the external sphincter is strong or weak.

      About incontinence caused by injuring or damaging the internal sphincter due to BPH surgeries there has been a lot of discussions on this topic in another thread.  If u are interested, I could send u the link to see if u agree with the views given there. These discussions seem to be related to the above  question. After u have a chance to read those posts in that thread, I would be interested to hear ur opinion and also we could have further discussions.

      According to several studies, the rate of RE for TURP is about 66%. But there is a technique that could reduce the chance to 10-20%. If u are interested, could also send u the link.

      I had watched hours and hours of YouTube videos on various type of BPH surgeries using various techniques. When any type of resecting instrument entered the prostatic urethra from the apex side of the prostate  and when the surgeon  said he started to become cautious, I believe he meant the external sphincter and not the bladder neck. Not sure if u agree.

      U raised many questions. Perhaps, when u have a chance to narrow them down, it would be easier for me to give u my uninformed opinion which  u may not agree with.

      there is also another member of this forum who is interested in this issue. It would great if he joins this thread or u joins his thread so that information could be shared.

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    • Posted

      In my view, The large medium lobe protruding into the bladder is a very interesting topic. perhaps, the author may want to transfer his post and create a new thread so that it wouldn't be buried in this thread asThere may be members interested in this information.

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    • Posted

      Hi, a short answer is yes I have already had FLA and are extremely impressed and well satisfied with FLA, I will try to research tissue removal of the bladder neck to unblock an enlarged median lobe etc, but what do you think about this as regards logic-if a man who has not had any surgery but has bph in the form of an enlarged median lobe pushing up against the bladder neck causing urine flow restriction but before surgery does not have retro ejaculation suggests his bladder neck valve is somehow closing off to prevent sperm entering into the bladder despite the fact that the bladder neck is being pushed upwards by the prostate median lobe, but if the same man decides to have turp he is told he has a very high chance of retro ejaculation, the live videos on the internet show the surgeon removing tissue from what I assume appears to be not just the enlarged median lobe but also the bladder neck resulting in retro ejac does this not suggest the possibility of bladder neck damage which may lead to incontinence? clearly I need greater understanding and will try to find time to research it more,  I am however so very glad FLA is available and is a far less an invasive option which is not entry through the penis but through the rectum with a very tiny 1 mm laser done under live mri with exacting precision so in my case with an enlarged median lobe (but with no retro ejac before surgery and none after) FLA simply deadens unnecessary median lobe overgrowth tissue allowing the bladder neck to function unrestricted without harm to anything important so everything works well, no pain during and no pain after it is brilliant.
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    • Posted

      I have been watching a lot of YouTube videos about large medium lobe and found this  video useful and educational. Perhaps, u may be interested.

      Moderator comment: I have removed the link(s) directing to site(s) unsuitable for inclusion in the forums. If users want this information please use the Private Message service to request the details.

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