prostate enlargement

He lives in Turkey.

They had banners over main roads advertising it.

Hi Hagi,

Here's the thing. Different symptons (diagnosis) require different treatments. So before you waste time and efforts on drugs or supplements that may not be relevant to your father's condition, he needs a proper diagnosis. Ideally, he would see a urologist who would run some tests. One important test is called a post void residual (PVR). It is non invasive and can be done in the doctor's office. Another is called a bladder/kidney ultrasound. Depending on the results, he may want to have what is called a cystocopy.

Going back to his complaint of getting up at night. This is a common complaint but sometimes has nothing to do with the prostate, especially in older men. So even the best drugs for the prostate may not help.

In addition to the doctor tests, suggested above, you could try something at home. Find a plastic beaker that has measurements on it. Have him urinate into the beaker for 24 hours. Each time he urinates, have him write down the time and the amount of urine in milliliters. This is called a void log. Then post the results here. This is a very simple test to rule out another condition, non prostate related, that may be causing him to go to the bathroom at night.

Also, please keep in mind that none of us are doctors here, just trying to help the best we can.

Jim

Any other symptons. You can google "IPSS Score" and have your husband take the simple test online. Takes just a couple of minutes. It will give you a better idea in terms of what symptoms he has and what treatments may be needed. Again, this is not a substitute for seeing a doctor, but the test is used by doctors to get helpful treatment information. Feel free to report back the results.

Jim

Derek, That's a good point but for purposes of ruling out nocturia polyuria, really not necessary so I tried and kept it simple. The important number is the percent of night time urination versus daytime urination. If more than a third of the urine is produced at night, then the prostate may not be the sole cause (or perhaps any of the cause) for bathroom trips in the evening. If it turns out that it's less than a third, then the prostate may be at play and/or excess fluid intake or perhaps simply taking fluid too late in the day. FWIW most of the people I suggest doing a simple void log don't bother so I can only imagine how many will do it if they have to write down their fluid intake as well! But yes, the more info the better.

Jim

 amount  into it. That is really les trouble than peeing into a jug and having to rinse it out.

We don’t know if he restricts his liquid intake as people are advised to in the evenings. In Turkey as in Continental and Eastern countries people usually eat and socialise later and go to bed later than in other countries.  

Hi Derek,

Maybe I'm misunderstanding what you're saying, but while fluid in will more or less equal fluid out (less perspiration, etc) in the long run, this doesn't necessarily hold true on a daily basis, nor will fluid out (urine volume) correspond to the timing of fluid in. For example, someone with nocturia polyuria can drink a ton of water in the morning and yet have only little or moderate voids during the day. It will be at night that the kidneys unload that water, and it unloads it as first in, first out, so the urine coming out isn't necessarily from what you just drank.

I guess the short way of saying all this is that a void log is very separate from a fluid intake log, and while they're both useful, one can not substitute for another, or maybe you're saying something else.

Jim