I've sort of alluded to this before here but never really had the question answered. Here's my problem: Middle of the night. 2 a.m. (like right now). The stream is nowhere near what is in the middle of the day. i.e. It's as if the prostate has a grip on the pipeline such that 5 minutes or longer at the toilet (sitting, for the time involved), is standard -- and for a fairly paltry volume of urine intermittently released in short squirts. 2 hrs later, up again with the same routine. DAYTIME, though, not so bad -- though hardly a gusher. At least the stream is there within seconds of the brain ordering it. That's in the daytime. But in the middle of the night awakened from sleep , good luck. Again, 5 minutes or longer of nothing...then a dribble...then nothing...then another dribble. And on and on. Anyone experience similar? I am not TURP inclined right now and can handle the annoyance...but left wondering: Why daytime and nighttime differences? (My uro essentially dodges the question.) Thanks for any input.
Good morning Owen
I get where you are coming from. I don't know if it has anything to do with the brain. I think it is because during the day you are moving around much more. They at night you are laying down and there is really no movement
Also when did the getting up at night start. Sometime that can be just habit. Not say that is you. But even men that have had procedure done what to know why they still get up at night. If you do the same thing for 2 or 3 years it is hard to stop.
That is a very interesting and maybe we should keep a eye on it. Thank you Ken
I don't have an answer for you but I do know you're not alone. During the day I flow ~ 20 ml/sec. At night it can be just a dribble. I asked my uro about it, he had no answers. I'm sure its something life style related food/drink/stress etc but figuring it out is difficult
I am similar ,my stream is a dribble first thing in the morning but improves all day till its not too bad before i go to bed . Ive always found it odd and put it down to as soon as i start moving around something down there relaxes a bit and allows the flow to improve . regards Darren
I have had the same. Slow after waking up to pee at night or when I get up in the morning. It improve quickly for some reason after I had my morning 4 cups of coffee and some water. The interesting thing is I found that if I was driving and held off peeing till a stop down the road for 30 miniutes or so the same thing happened. Most of the time I would need to sit on the toilet since it took so long.
I've been on Tamusolin twice a day for 5+ years. I notice that if I refrain from urinating for say an hour or two (mainly at night while sleeping) I have a very weak stream when I get up. I does return to a more normal, but not perfect, within an hour or so.
Exploring options...not inspired with the Urolift procedure. Looked into the Green Light Laser, but not covered by Medicare and price is $20K +.
Still looking..
I I was wondering the same exact thing. I think it may be that I don't have a lot of urine in my bladder when it wakes me up in the middle of the night. but I'm not sure but what you described is exactly what is happening to me so you're not alone
To answer your question: This has been going on for several years. The bladder discomfort is such that I can't ignore it -- waking up as I do. When I (severely) moderate fluid intake after 7pm, I have a better night frequency-wise. But still the stopped-up dribble syndrome each time when I do go. It's as if a nerve is being pinched and shutting down communication to the bladder along the lines of "It's ok. You can release now." BTW I do have years-long low back issues and am thinking of seeing a chiropractor over this. MDs just seem to shrug it off.
Thanks for your thought though.
To clarify: if I do have a nerve issue, perhaps a chiro can figure it out.
Hmmm...and wow. Maybe there is a nerve involved here. You said the problem is after sitting for a long time. Pressure on the prostate, no doubt.
Why is it nice to know I'm not alone :)
But if there is so little urine in the bladder in the middle of the night as you suggest, why the pain until it is released? My other theory is that if you sleep on your stomach (which I do) it puts pressure on the bladder. Working now on losing weight to see if that's my problem. I am 5'11" and 240 with, yes, a moderate belly to press on as I sleep. If I weighed 180 as I did in college, perhaps the problem goes away. I am, btw, age 72.
HI Johnnyringo just out of interest why are you not inspired by Urololift ? thanks
Good morning
Yes it may be something to look into. I think more men should be kepting a list of how many times they go during the day and at night.I just found out that my brothers doctor told him that he has a enlarged prostate. PSA 2.21 I told him he has been lucky all these years. He is 75 and this is the first sign. . This doctor put him on Dutasteride 0.5. I told him he need to go and see a urologist because of the side effect. Some he does not care about but it can cause him a lot of problem. He has had 4 heart attacks and he was just put on a pills for his A-Fib that just came back. He told me he does not get up at night. It all depends on what he drinks. This is his GP She is doing this because of his PSA is higher then the last one. I told him he may not need that he may just need something mild to relax the bladder. He told me at 75 he is not going to have any surgery at his age. I don't want his to mess up his heart.
Later my friends Ken
Johnnyringo
Good morning.
Yes that is something I would like to know.. Have you researched the Urolift. That may be all you need is to open up the prostate. It does the same that all the others do without cutting and also less down time
Ken
Owen,
Some ideas for you: 1) standing up produces a stronger urine flow for me than sitting down 2) when I stand up in front of the toilet I lean forward against the wall to relax and this helps the flow 3) to clear my bladder I pee, then wait a few minutes, then try again, then sometimes try a third time. This helps to clear the retention and allows me to sleep longer before getting up again 4) if you are not already on tamsulosin, give it a try. It can relax the tissues and help you 5) consider that your issues are not prostate but bladder neck constriction. We have had some recent discussions on this forum about this. Many here (including myself) were treated for BPH with various techniques and nothing helped. So, it's possible the the issue is a narrowing of the bladder neck that restricts urine flow. You have to get tested and scoped for this. Look up on the net PBNO - primary bladder neck obstruction. 6) try CIC. Some here have been successful and getting relief by learning how to self cath, especially before bed. This in not for everyone. Perhaps you have tried this, perhaps not.
I get up 5-6 times per night to pee - I have gotten used to it, but the nocturia is a challenge.
My best,
Tom
Owen,
Sleeping on your stomach can pinch the nerves in your low back, ask a chiropractor or doctor about it.
I also have a low back problem, degenerated L5 disk and L4, L3 , are not the best. I have always wondered if that has something to do with my urinary difficulties. It seems that the bladder may not get as strong a signal to empty.
Thomas
The fuller your bladder, the more pressure it puts on (what sounds like) an already enlarged prostate. How often are you going during your waking hours? If you are going every two hours at night but every hour during they day, your bladder will be less full. Have you had any tests done?
it seems to me like a hit or miss procedure. I've seen two uros and neither were interested in addressing my concerns ...like RE! One actually said it wasn't important to him.
Same issue for me. no one seems to know why its worse at night.
Urololift is one of the few proceedures that avoids RE . Ken has had it done , he can tell you more about it .