I'm 70 and had a bilateral NS RALP at Mayo Phoenix in late 06/2024. I was real happy with the care I received at Mayo Phoenix and the results from the surgery so far. My urine flow is really great now (much better than before surgery), but I still get up 2 or 3 times a night during an 8 hour sleep. In my case, part of the problem is I consume a lot of liquids during the evening so I kind of expect to need to get rid of it during the night and I don't worry about it. My point though is that while I urinate much easier now, I personally didn't see any improvement from before surgery to after surgery regarding how many times I get up during sleep. In fact, I think I get up a bit more now as I'm less confident I won't have an accident if I wait too long. I haven't discussed it with my doctor because it's not a big deal for me, but thought I'd share that while getting rid of the prostate greatly improved flow, it didn't improve my frequency. Also, even though I've been continent since the catheter came out (except for a few minor accidents as I'm figuring a few things out), I'm certainly less confident of my ability to resist urine leakage in stressful situations. I'm am gaining more confidence as the weeks go by, but I don't know if I'll ever be fully as confident as before surgery. Since this is one of the factors affecting your decision to have surgery, I'd suggest discussing this with the Mayo urologist so you understand whether it's likely you'll get the result you're seeking regarding less trips to the toilet while sleeping. While I didn't, I have no idea if other men do see a benefit from the surgery in this regard. I'm interested in seeing how others respond to your post and I think I'll ask about this at my next urology visit. Best wishes.