Recent, occasional night time urinary incontinence.

Posted by natem @natem, May 21, 2023

In the past several months I have had an occasional shock waking up wet. I don't understand why or what could be the cause. I will contact my Urologist shortly. I'm wonder if it's something I'm doing different.
I had Gleason 9 and RP in 2013 @53 yo. Last year I had PSA suddenly read .2 then .3 few weeks later. Had the Versa(?) radiation bed for 30 some treatments. I have felt a couple drops get out the gate once in a while. But never anything like this.
I used to cycle 15 to 40 miles a week on upright stationary bike, recently become more active riding 50-70 miles presently. Helped my blood glucose so well I stopped taking my type 2 medicine (on my own). I'm wondering if my blood sugar is spiking at night time, causing increased urination, but wouldn't explain why I don't feel it. I just started my type 2 meds back today. I also wonder if the few hours of increased cycling activity on an upright bike might be making me a little numb in the lower pelvic area. I will contact my Urologist but may wear depends šŸ™ a few days while the type 2 med starts kicking in again. Anyone else have any experience? Thanks!

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I have night leaking too and it is a new event I had RP 9 months ago and I did not have any issue until recently at night. I might need a pad at night. Good luck I am interested to hear what you learn

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I had RALP 8/23/2023, with Pelvic Floor PT before and after surgery. No incontinence at all. But, I was told to continue this PT on my own if I wanted to stay continent. So, I do.

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I had TURP. Doctor advised not to swim or climb upstairs. Does cycling have the same effect?

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@hbp

I have night leaking too and it is a new event I had RP 9 months ago and I did not have any issue until recently at night. I might need a pad at night. Good luck I am interested to hear what you learn

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I have had night incontence for 13 years. have had to wear two pads for the last six years.

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Up to now I have been getting up 1-2 times to urinate at night but now into my 4 th week of radiation Iā€™m getting up almost every 2 hrs ? Is this common? Any meds that can help ?

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@graybeard46

Up to now I have been getting up 1-2 times to urinate at night but now into my 4 th week of radiation Iā€™m getting up almost every 2 hrs ? Is this common? Any meds that can help ?

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That happened to me a year after radiation. The solution starts with buying a urinal bottle and keeping it beside the bed, so that you don't have to fully wake up every two hours (rinsing the empty bottle with a squirt of handsoap and a little water every morning will keep if from smelling sour):
https://www.amazon.ca/Urinals-Men-Tilcare-Pack-Screw/dp/B07V2D9KY1/
Next, if you haven't done so already, temporarily reduce or eliminate the urinary-tract irritants in your diet, like caffeine, alcohol, carbonated drinks, and spicy food, and drink a *lot* of water throughout the day to flush out your system.

If all of that doesn't do it, you can talk to your doctor about prescribing Myrbetriq for a while to relax your detrusor muscle (the involuntary muscle that squeezes your bladder). Flomax never did anything for me, but Myrbetriq (once we got the right dose) helped me get to the other side of what you're experiencing right now.

Best of luck!

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@graybeard46

Up to now I have been getting up 1-2 times to urinate at night but now into my 4 th week of radiation Iā€™m getting up almost every 2 hrs ? Is this common? Any meds that can help ?

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Sounds about right; while having my radiation treatment for prostate cancer it was about every two hours also.

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