Urine Retention (nocturia): Why am I producing so much urine at night?
Hello,
Per my doctor, I am an otherwise healthy 40 something year old male who was been diagnosed with urine retention and voiding dysfunction (approximately six weeks ago). I've had a cystoscopy, which confirmed I have a very tight external urethral sphincter muscle and a hypertrophic bladder. I was doing self-catherization for over a month and pelvic floor stretches. I opted to have a foley catheter for the next month to relax the sphincter and bladder. I am awaiting a urodynamic study for further details, but its over two months out.
I am drinking 100 ounces of water or more each day per my urologist. I drink over half of the total in the mornings, and taper off through the afternoon. I stop drinking fluids at 6pm.
However, I noticed I am producing more than half of my daily output of urine between 11PM - 5AM, even though I empty myself before bed. When I was self cathing, I would void 300-400 ml on my own and cath another 400-700ml at night! When I wake up with my foley cath, I consistently have over 1000ml in my nigh bag. I asked my urologist and doctor why my urine output is so high at night and they do not know.
WHY am I producing so much urine at night?
Prior to the urine retention problem, I would get up once at night to pee 2-4 times a week, and my prostate is fine. I occasionally snore and my wife has not noticed any issues with breathing during sleep. I was tested for sleep apnea three years ago and it was negative. I exercise at least five days a week and was in the best shape of my life prior to the retention issues.
Could this be hormonal or neurological? Does the fact I worked a swing shift for fourteen years (off at midnight-ish) influence this?
How can I get my urine production to increase during the day and decrease at night?
Please help! I'd like some type of guidance so I can get my life back on track...
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Hello Terwifwoods,
I believe i mostly have the same condition you do. Have you been able to figure out the cause yet? I am 44 years old and healthy. However, i do have a urethral stricture which over the years has led to mild thickening of the bladder wall. I can go 4-5 hours during the day without having any sensation to urinate. I produce about 50 percent of my urine during the evening. I have noticed one thing. If i stay in bed after a night of sleep i will continue to generate the urine. At first i thought it might have to do with just lying down but it does not appear to be that simple. After getting dilations for my stricture i would pee well during the day but this only seemed to last for awhile until the stricture closed up. The doctors are perplexed because most people with strictures have to go to the bathroom frequently. Have you had any luck figuring out what causes you to generate all your urine during the evening?