Urine Retention (nocturia): Why am I producing so much urine at night?

Hello @sbwitte. I self cath 3-4 times per day. At night, I get 3-6 hours of sleep before I wake up. Sometimes I have a strong urge to urinate and sometimes it’s weak. I take melatonin after self cathing in the middle of the night. Initially I could not fall back asleep. I now concentrate on deep breathing and progressive muscle relaxation to fall back asleep, which works more often than not. I usually awake around 6am and have to self cath a large amount again. I’ll self cath after lunch and before bed, which are usually smaller amounts. I started using the Calm app which has meditation on it that may help you relax and get back asleep. Hope this helps.

Thank you appreciated

My husband's bladder was not fully emptying and he had a urolift procedure (urologist) to provide stents to the prostate so that the ureter would not be pinched. It was a simple, in office thing; but it sure relieved the retention. It works even though he does drink a lot of water at night. He is also diabetic-have they looked at that?

Bill has seen the ads for a Urolift and has been thinking of asking his doctor about one. He is 88 with a lot of health issues - rare leaves his lift recliner other then bathroom 'runs'. He is on generic Flomax and Avodart but still goes a lot. And has an incontinent problem. Most of the time he doesn't even realize he has started. He doesn't drink liquid's after six o'clock other than taking his night pills. Seems to empty his bladder but has to go about every hour or so - makes sleeping really difficult (he uses a bottle as has fallen a few time getting up at night).

I wonder if he would be a good candidate for a Urolift?

@mpeters, source?

I don’t remember specifically and have read many books and articles since then. I read Medscape every week and other reliable sources of medical information.

Might not be relevant, but my husband's prostate was crowding his ureter so he was not completely emptying. He had a urolift. Of course, he is in his 70s, and earlier treatment might have prevented bladder damage (it looks like the moon). It sounds like you are really attending to the problem and I hope a better answer shows up.

I am 78 and also thinking about Urolift or similar procedure. I've been taking a generic Flomax (Tamsulosin) for many years for problems emptying my bladder. I too would get up 3+ times a night for bathroom trips even after starting on the Tamsulosin. Then by chance, I had switched pharmacies and when I refilled the RX, the pharmacist went over the medication and told me it should be taken in the evening. All along I had been taking it in the morning with my blood pressure meds. Now I usually only have to get up once at night for a bathroom trip.

Turns out Bill has been doing the same thing! Taking as generic Avodart at night and the Tamsulosin in the morning. At one point the doctor had him taking the Tamsulosin 2x a day and he was peeing worse than ever. Will try switching to evening on him and see if that helps. Thank you.

Wonder how many men are in similar situations never having been told to take it at night. My prescription is twice a day and have had the same issue.