How to pee during the night

Posted by bluegill @bluegill, 5 days ago

This is a serious question, and I'll appreciate your suggestions.

I had radiation 5 years ago, and just recently completed salvage brachy. So, now my bladder area is pretty pissed off.

During the day, I can pee "normally" (that is, post- PCa diagnosis "normal"), but at night it's a different story. It seems that if I lie prostrate, my prostate shuts off its valve. (I don't think I've ever used prostrate and prostate in the same sentence before, but I digress).

So, I wake up every 2 hours or so with a strong urge to pee. So far I've tried two options: one is standing at the toilet and waiting. That one isn't working very well, so I usually sit on the toilet, which is more comfortable, and in 2-3 minutes the drops start coming. I can sit there for 5 minutes or so until the drops reach the critial amount to relieve the urge (50-100 mls is my guess), or, once the drops start coming I can stand up to finish the performance a bit quicker.

My next house will have a urinal, but I digress.

I'm considering another option: walking around the house for 5 minutes, and then try peeing standing up. It seems that every morning, by the time I've finished grinding my coffee beans and cooking my oatmeal, I am ready and able to pee almost normally.

The downside to walking around for 5 minutes is that it may be harder to fall back asleep.

Does anyone have any special tricks to share?

Interested in more discussions like this? Go to the Prostate Cancer Support Group.

Have you tried a drug like Fosamax? That seems to be pretty commonly used by prostate cancer patients who’ve had radiation and need help peeing. You only needed it for a while and then things start to come back to normal.

Ask your doctor about it. My brother needed it after he had SBRT radiation to the prostate.

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Would Fosamax be taken in addition to Flomax, or as a replacement?

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"How to pee during the night"

I currently have two choices:

1) Sit on the toilet for 30-45 minutes and wait for enough to dribble out to relieve the urge or,
2) Wash hands, insert catheter, and go back to bed in a minute or so.

Sleep is very important to me. I use method 2.

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@mjp0512

"How to pee during the night"

I currently have two choices:

1) Sit on the toilet for 30-45 minutes and wait for enough to dribble out to relieve the urge or,
2) Wash hands, insert catheter, and go back to bed in a minute or so.

Sleep is very important to me. I use method 2.

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One could consider a TURP to open up the urethra.

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My husband wants to know why his stream is weak at night after high dosage brachytherapy?

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my doc just prescribed mybertiq. Only taken it one day so I can't comment on it's efficacy.

Myrbetriq (mirabegron) is a prescription medication used to treat overactive bladder (OAB) in adults and neurogenic detrusor overactivity (NDO) in children. It is available as extended-release tablets or granules for oral suspension. Myrbetriq works by helping the bladder hold more urine.
May take 4 to 8 weeks to see improvement in OAB symptoms.
Full effect may be seen within 12 weeks for some people.

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@ecurb

One could consider a TURP to open up the urethra.

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I'm only a couple of weeks into PCa treatment. Haven't even been to radiology yet. Besides, I've gotten used to self-catheterization over the last few months and it's actually become pretty convenient knowing exactly when I'm going to pee throughout the day. No more searching for a rest room when out and about and no cutting involved.

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@mjp0512

I'm only a couple of weeks into PCa treatment. Haven't even been to radiology yet. Besides, I've gotten used to self-catheterization over the last few months and it's actually become pretty convenient knowing exactly when I'm going to pee throughout the day. No more searching for a rest room when out and about and no cutting involved.

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Your a tougher man than I am. Please avoid bladder infections. Keep that tube sterile. I m impressed!

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@bluegill

Would Fosamax be taken in addition to Flomax, or as a replacement?

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I blew it and wrote Fosamax when I meant Flomax. Sorry about that.

Fosamax only strengthens your bones.

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An interesting variety of responses here.

The line as to what is acceptable keeps shifting over time. Sure, I'd love to be able to strip the paint off the back of the barn with my strong urine stream, but those days are long gone. Now, it's acceptable if I have any stream at all and can do the business within 3-4 minutes.

But self-catheterization is too much for me right now. But, on the other hand, I had to self-enema twice this past month, and after the second time, I thought it was easy.

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