How To Fix Frequent Urination at Night: Urologist Explains All About BPH 

I suffered for far too long until I was Totally Blocked up and blew out the wall of my Bladder. After having the TURP surgery it changed my life. It's been 18 years now and I sleep through the night as I should, What a blessing.

Very helpful. I like the lightness you bring along while discussing , sometimes, serious and not so serious medical conditions. Adding guests are a good thing too.

Thanks to your videos, I feel more prepared to go to my doctor and have conversations about medical topics without starting from scratch in the moment. The information is so good, I wish my doctor's office would use your videos to help prepare me and others for topics we will cover at appointments. It saves so much time, energy, and misunderstanding ... the public service you're providing is profound! Please keep up the great work.

I'm 62 and have had BPH since I was in my 30s. I've tried everything that you mention in this video and more. It's been decades since I have slept through the night. My urologist is suggesting surgery but I don't like the low odds of a complete fix. I need to discuss with him the procedure that is the least invasive with the greatest results.

Going to the VA doctors for 25 years, and not once would any of them even say the word, BPH, or admit that even existed. It was always, prostate cancer, and you need a biopsy. Listening to them almosty killed me. After allowing serveral biopsies, over the years, and then never finding any cancer, the last one turned into sepsis, and I almost died. Spent 2 weeks in intensive care, and then months after on drip antibiotics trying to cure the infection I got from the biopsy. Went bankrupt because of it. Thanks so much VA. It was BPH all along.

From the video it appears that you, all doctors, take it lightly! I'm 75, suffer from BPH since I was 54, tried lots of herbs and drugs, finasteride and alfuzosin, for 20 yrs with some but limited impact! Finally, I had a TURP last year and albeit improvement, it didn't work as expected! I don't take any related medicine and have to go often to the WC, 1-2 during the night, have difficulty in containing the urine, use adult diapers often (go out, travelling, etc.), and take a long time to pee including stopping! Yes, I'm 75, I played regular sports until I was 55, bike every day and often go for walks. Have 4-5 other medical non-prostate related issues and I'm sick and tired of doctors, drugs, etc.! I live in Canada and consider myself quite healthy and lucky too! I try to avoid drugs and have a healthy diet! My youngest son is an excellent family doctor who helps me a lot but ... I still have to deal with this not so small problem even after TURP!

Great information. If I had gone to my doctor for a check-up on this, this advice could easily cause me over a hundred dollars. I hope you get something out of this advice because they are beneficial information for everyone. Most avoid going to the doctor because they can't afford it, but here it is. You guys rock. Keep up the excellent job Docs

I was diagnosed last year with BPH. Would get up once during the night, a couple times a week. I greatly reduced my Dairy intake (at least by 95%) and no more issues. No getting up at night and when I go in the morning, immediate start and a strong stream. I highly recommend giving this approach a try.

I noticed that eating carbs for dinner caused more urination at night. Supposedly, carbs are processed by the liver all night, requiring frequent urination. Now I try to avoid carbs for dinner.

Currently 70 years old, had been taking medications for BPH since at least 2007. Was increasingly frustrated with having to deal with frequency, urgency and dietary influences. Last July had the HoLEP laser procedure and am very, very happy with the results! Recommend people consult with their urologist on this option when they've tired of other treatments.

Thanks again to Docs and Dr. Incze. At 70 plus, these information sessions are extremely useful. I now know what to discuss with my personal physician. Have referred others to your channel.

Very educational coverage of this topic. Thanks for the presentation.

Great information for the fellas….wondering about a similar issue in women😊

I’m 63 and can sleep about 5 hours without needing to pee. CBD really helped reduce the frequency of the urges.

Happy to hear Dr. Incze mention Saw Palmetto. My PSA was as high as 7.5 a year ago, now down to 3.8. I'm taking 2 540 mg. Saw Palmetto capsules in the morning and 2 capsules at night. Getting up fewer times at night.

I had this problem waking up 4 or 5 times a night to pee. All my symptoms resolved when I started a low carb ketogenic diet and I am 59 years old.

Fantastic video, my Cowboy is 82 and uses a 2 qt. Pitcher as a urinal bedside he has this problem. He urinates 5 or 6 times a night. We actually stopped taking road trips because he has urinate all the time. He drinks a lot of water per day due to 3rd stage kidney disease. No pain, he is OK, no CA ....

I needed a Talking with Docs fix tonight. How did you make a prostate diseases video so cute and uplifting? Talent. ❤

Very informative. Thanks for the great content. The three of you present this topic in a relaxing and informative manner without scaring your audience in thinking this is Cancer related. See you next time.

Thanks for this info. I am 70 years old, I sleep all night, pee like a race horse every morning at 6:00 AM sharp, have a bowel movement like a plow mule at 6:30 AM sharp. The problem is I don't wake up until 7:30 AM.

Alright, time for some very straight forward honesty. I am 61. BPH started about 6 years ago. Within the last two years my flow had shrunk to 30% ( which they can measure) and then over last two years it was a slight glow and dribbling. Often onto my clothing while standing to pee. It became so bad that I would have to change my underwear and pants. I tried sitting down at the bowl and that helped but there would always be latent dribbling. Simply horrible. My rush to the toilet at night was 4-6 times. It would come on so quickly that I would literally run to the toilet. Often just barely making it. Most times my pyjamas would be wet. The next day was pure fatigue. No sleep to speak of. Urologist put me on Flo max and another pill to shrink the prostate. They provided minimal relief. Flo was a bit better but frequency continues both night and day. I would have to sprint to the toilet even at work or outside of the house. Often I would pull over the car to find a bush. Finally had TURP done 2weeks ago. I elected the full anesthesia rather than a spinal. Really glad I did. No need to be a hero and be awake for the 2 hour procedure. Who needs PTSD from surgeon rooting around and sticking a probe up your urethra. At same time they also removed large stones in my bladder which were the size of small walnuts. These are essentially Uric acid stones from my kidneys ( caused by my type 2 diabetes) that ended up in my bladder because I couldn’t pee them out due to the BPH. I was absolutely miserable with clothes drenching urination and lower abdomen cramping and nausea. I woke up from the TURP procedure with a huge catheter dangling from my penis. Blood leaking from it into a plastic container. This was the aftermath of the surgery. I was also hooked up to an iv that was filling me with saline to flush out the bladder which was full of post surgical blood and prostate tissue and stone residue. They had my legs bound with compression socks that would mechanically squeeze my legs every 5 seconds to prevent the legs from developing deep vein thrombosis due the the saline. I laid in the bed on my back for about 14 hours and could not move. The catheter in my penis was a torture device from hell. My bladder felt like it was going to explode the entire time. The compression socks felt like my legs were being crushed. At one point the urology technician had to flush out a blood clot from the catheter and his manual procedure with a huge syringe was unbelievably painful. I was able to get 1 hour of sleep the whole night. At 5:30 am the technician removed the catheter which again made me yelp in pain and disbelief. I immediately was given a small jug to place my penis in to try and urinate out the post surgical aftermath on my own. Blood from my attempts to urinate were all over the bed sheets. Here it started. The pissing of razor blades. The urethra was raw and injured from the TURP. I could barely muster anything out. After a few hours of trying my best I got out a few dribbles out of red red urine. I was determined to get the hell out of the hospital and never return. Cleared to leave I gingerly walked out of the hospital with tears of joy. Now two weeks later I am pretty satisfied. My urine is still reddish pink but I only get up once in the night to pee and during the day it seems back to pre-BPH normal. Haven’t had an erection or even desire to test out my ejaculation. They say to wait for 4-6 weeks before trying to. Also no lifting over five pounds for 4-6 weeks. The pressure in my pelvis is gone. Wouldn’t want to ever go through that again.

Very helpful video,and I thank you so much for bringing this to us,from a guy that is plagued by frequent trips to bathroom.I always enjoy your videos😊❤

I guess I was like the average middle age man, now I'm older. In my fifties my stream slowed fown, in my sixies I found my self having more trouble with my urination. I was on some sinus medicine once and felt like I was dribbling all the time, but I learned it was the meds causing the trouble. I hurt my back and was given some muscle relaxer meds which also caused me trouble, I couldn't go at all. I'll be seventy this year and what I've learned about my own boady has helpoed me the most. I drink plenty of water all day long, even right before I go to bed. It I limit my water intake at night I find myself waking up with severe leg cramps. So I drink my water around the clock. What I have found out that helped me the most is to stand up, or walk a few steps before I go to the bathroom. If I quickly get up from a sitting position I can't go, or at least I can't empmty out. If I stand or walk a few steps I completely empty out and can sleep all night. I've known three men who sit to pee and all three had serious trouble, even caths. My brother was one. If I had to sit to pee I'd have serious trouble, too. I believe a man was created to stand when he pees. I know what works for me. I had one Urologist who had me sitting for a long period of time and then told me to pee. Well, you know what happened, I didn't empty out and she wanted to do surgery, which is a big money maker for her.This was a big waste of her time, my time and my miney. She knew what would happen, if she didn't she needs to change her occupation. My suggestion for all Urologists is to tell your patients to stand to pee and even stand for a few minutes before they pee, or walk a little bit before they go. This might help a lot of patients without meds or surgeries. If the moto is still, "first do no harm" this would be the best practice.

Dr Weening's facial expression at 6:48: "carved??" 😧 I really enjoy the mix of humour with the education you and your guests provide. My husband's been using a OTC supplement for a few months now and it's really helped with the nighttime jaunts to the bathroom. Thank you for making these vids guys. You're making a difference 🙂

You guys are rock stars, excellent episode!

great topic with great news!! thank you from a healthy 63 year old who was a bit worried for 13 years. ; )

No mention of incontinence after the procedure. That would be way up there on my list.

My BPH commenced in my early 40s but I had been an endurance cyclist for many years.

Great stuff DOCS !! BPH symptom no.1....wet toes or shoe tips)) I have this annoying problem too...not fond of the rotor-rooter approach or Flomax ....or the multiple trips to bathroom....but as long as it flows ....C'est la vie))....Thanks Guys!! your the Best!!

Dr. Incze is really good!

Found it irritating getting up 5 times a night so I got a bedside urinal, less disruptive to sleep, and drink no liquids before bed and at 87 and living on the beach in Costa Rica my main worry is keeping my hammock in good working order. 🌴😎🌴

Very helpful, this has answered quite a few questions.

I went through the whole BPH thing. When you can't pee it gets serious very quickly (not funny). I had the Urolift procedure (the least invasive) and it worked for me. I will add that when you start having this problem get in to see your doctor early . The problem will not go away by itself.

Hope many subscribe to this channel as a way to say thank you to the doctors for the valuable information they give which your family doctor is unable to give but just prescribe medication due to lack of time . Thank you Docs for the valuable information which will help myself as my dad is a prostrate cancer survivor too .

Have you ever thought about having Physician's Assistants on the show? They are used in so many places in the USA.

Great explanation of bph with detail thanks docs

A lot is also psychological, because my prostate was checked, no cancer, no enlargement. The pelvic floor should be strengthened. No obstructions whatsoever were found in my urethral tubes at all, no catheterization required at all. The anticholinergic drug was horrible, stopped it after bad side effects. Thank you to you specialists. This video helped to relax me further, with this knowledge you gave. 🤗

Interesting discussion, Thank you guys. Guess my age is a problem. (born 1952) No prostate issues, no streaming problems, I just have to go pee up to 4 times per night. Been doing annual PSA and other essential blood tests since the age of 50 with no problems whatsoever. (OK maybe once or twice a long time ago a problem with the prostate but cleared up within a fortnight. The only meds I use currently is a sleeping tablet (Dormonoct 2 mg) and 2 slo mags half an hour before hitting the sack. Do not drink anything after 5 pm, apart from a mouthful to down the pills. Insomnia is my main "attraction" but it is related to the food intake during dinner. No pasta, no cauliflower or broccoli, no brown bread etc. At least the dog sometimes accompanies his grandad on his nocturnal outings.

Thank you doctors for your advice ❤.

Thanks Dr's for the Great Info.....

Excellent information! Learned a lot

😂I had a turp a few years back and I started getting blood once and awhile had the scope and it was the regrowth of the prostate. After the procedure I got a bacterial uti acute. I took antibiotics and Starting taking finersride and flowmax they both helped, still getting up twice a night.

Awesome guys - thank you for the information. I'm up 6-8 times per night!

Dr. Zazaal and Dr. Intze are two of my doctors. Both are excellent and very laid back. Nice to see them.

I have major problems, I did the turp procedure by my doctor at his office and still had minor problems then the doctor to make more money he had me in the hospital to do the same thing by lazor ,now here is the catch , when they do any laizor procedure they kill all the nerves around the area as result now I am incontinent .Not only I do get up every 2 hours at night to urinate ,in the day time if I go out and wear all kinds of clothing I could not hold more than 10 seconds to go to urinate not only that I come home with my clothes all wet even though I used all those protections paddings or special underwears SO MY ADVISE TO THE PUBLIC IS NEVER DO ANY LAZOR PROCEDURE BECAUSE IT DESTROYS ALL THE NERVES IN THE AREA AND YOU CANNOT FUNCTION NORMALLY FOR EVER . UNLESS THERE IS SOME CANCER OR OTHER FACTORS INVOLVED WHEN I URINATE BESIDES SLOW FLOW IT SPAYS OUT URINE EVEN AFTER I FINISHED,

I have these symptoms, typically getting up 4 to 6 times each night. Interestingly, three years ago when I had Covid, my taste changed and I completely lost my desire for any wine or coffee. After about a week with no morning coffee and no evening wine, the symptoms disappeared. Of course, now I’m back to a morning cup of coffee and a glass of wine most evenings, but so far have been unable to commit to denying myself these pleasures to see if I would be “cured” again.

I'm in the middle of having prostate issues the last year or so....and I'm not yet 50 (I'm 47 as of this writing)! but, the first urologist I went to a few months back did that one scopy thing where they take the Hubble telescope and look up your urethra. allegedly, they didn't find any blockage BUT, I was still having to go every couple of mins all throughout the day! so, I'm on my second urologist as of a couple weeks back and he prescribed me an antibiotic used for UTI (no change at all). then he prescribed me something called Mybetriq. I saw a slight improvement, but, I'm still having to go more than I should (plus the occasional pain/cramp in my side when I go - which had started up occasionally about a year ago). this "getting old" thing suuuuuuucks!!!!

brilliant advice Dr Pete. I got a lot from this. many thanks

Wow doc y'all are definitely taking us to school on this video super great intel . I have some underlying conditions that cause hematuria issues from stones that will not pass with a j hook urethra. With all my issues my docs probably call me job Security . You all could make a plethora of video on my issues of what I've had and what I have. Sometimes you just wonder what is next ! Thank you Dr. Paul & Dr. Brad & Dr Incze

Very well presented from ignore, to procedures. Well done

Everything that is miserable can be attributed to getting older! What's the cure for aging? 🤣🤣 Another informative video Docs! Thank you!

Thank you Doctors ❤❤❤

A good insight into this subject of which I am one of the sufferers. I'm surprised that no one has mentioned the reason that I believe causes me to urinate often and with some urgency - diabetes; in my case type 2. I do get up every night 3 of 4 times but if I'd broken my no beer rule then it could be significantly more. Sometimes I do wonder if when I wake up during the night because I can't get comfortable then I think while I'm tossing and turning I'll go to the toilet or do I really need to go? Who knows I'm so used to it now it doesn't really bother me.

This video viewed by one who had a radical prostatectomy in 2010 for cancer. The problem became incontinence, of course, for which I was helped by a surgeon in 2011 (in the part of Italy called Alto Adige (Süd Tirol in German). The device he used to control flow perhaps didn't help much after a subsequent operation in which a catheter was necessary. Shortly I reach 84, so perhaps I must resign myself to the inconvenience.

You guys are great and this was great info but my husband has the symptoms of the up at night visits and slow urination but he has had his prostate removed due to cancer. Are there solutions for him since he no longer has the prostate? Thanks guys keep the great videos coming❣️

Excellent informative video . Dr Incze is my urologist . Great Doctor .

You guys are the best. Dr Brad makes me laugh buy his trying NOT to laugh. I love your channel learned Lots. Thank You Ernie.

For 7 years in the past had problem of frequent urination. The Urologiest I was seeing told me it was caused by an enlarged prostate. Suffered for years and had numerous awful and painful test. Saw new urologis, he gave me one test and told me I didn't have an enlarged prostate. Said my proplem was caused by MS. Put me on meds and proplem went away.

this helped me immensely....now not so worried

I have been dealing with BPH for years. I take finasteride and tamsulosin daily. I guess it's helping because I have never stopped taking them to see what would happen. I have an annual physical and my PSA always comes back very normal. I sometimes have to get up twice a night to urinate. I also have urinary urgency. The add insult to injury, I have been diagnosed with Parkinson's disease since 2019 and don't know if that plays into the equation.

Have a wonderful weekend Docs!

*Pay attention...an Urologist in South America...developed a surgical procedure and a laser/tool equipment a lot less invasive than traditional HOLEP...after removal of the enlarged part...it won´t grow back...and the patient will preserve his sexual /ejaculatory capability...the next day the patient can leave the hospital...after 2 weeks he´s already allowed to have fun with it...plus the great feeling of urinary flow etc...all included it will cost without insurance around 9k.(HoLEP 100g - Brazilian Technique)*

All about BPH was extremely helpful to me, thanks.

Please educate us about why women, get up 3 or 4 times a night to urinate. I have dry mouth, so I have to sip water all day and all night, so there must be another answer to allow me better sleep during the night. WONDERFUL information for men! I sleep with a heating pad every night, due to severe pain (hip/knee/ankle), perhaps I need more education on hip knee replacements.

I like the guy on the left, dry sense of humor! Great material guys!

Great information Thanks RS. MD. FRCS Canada

I have no problem urinating during the day, however I get up every two or three hours at night and cannot empty my bladder. I've taken generic Flowmax, but I couldn't breath to the point of feeling I was suffocating which was more distressful than the symptoms of BPH. I don't know if certain foods trigger these symptoms or not, because I can go some time without waking to go to the bathroom.

I like the dry jokes and laughter. Doctors have to act serious and it sometimes that makes them seem uncaring. Thanks for the video.

This video is going to help a lot of men surely.

I was taking Saw Palmetto and Stinging Nettle Root Extract for a while. When my urologist put me on Tamsulosin (aka Flomax), I stopped using the Stinging Nettle Root. I'm not sure which of those two I preferred. The Flomax might be increasing the flow, but now I have dry ejaculation. 😕 I'm not a candidate for Urolift (which you didn't mention directly) and have no interest in TURP (WAY too many possible complications). 😱 I'm considering one of the laser treatments in the future, but I'm okay where I am for now.

Super helpful and informative. I really like vids like this where I can learn about medicine.

🎯 Key Takeaways for quick navigation: 00:48 🦷 Symptoms like slow urine stream, frequent nighttime urination, and dribbling can occur in men after the age of 50 due to benign prostatic hypertrophy (BPH). 03:20 🍺 To alleviate mild BPH symptoms, try not drinking fluids three hours before bedtime, and consider herbal supplements with saw palmetto. 05:40 🌿 Medications like Flomax and Avodart can help relax or shrink the prostate to improve urine flow if herbal supplements are insufficient. 07:29 🚽 If medications are ineffective, there are various minimally invasive procedures to increase the diameter of the prostate tube and improve urine flow, but some may affect ejaculation. 08:26 🩺 It's essential to understand that BPH is common, typically unrelated to prostate cancer, and can be treated effectively through different options based on severity. Made with HARPA AI

Having been through Prostate Cancer and all that it entails I can honestly say that there is very little that works to avoid BPH. I had 2 years of treatments for my PC and was fine for a few years. Then I got the urine retention problem due to scarring in the urethra, followed by dilations in hospital, Now I have to self catheterize each day to avoid getting blocked again, and I find Decaf tea does help the frequency of peeing, but nothing will stop night visits

Thanks Docs, really good information!

This video is extremely helpful! Thanks gentlemen!!

As a urology patient with BPH and a strong family history of prostate cancer, I learned more from this video than my attending the urology clinic for a year now. Why is Doug Ford ruining our health care by moving Rezum to private clinics? Spending 6000 beans every five years is a bit much for us pensioners. No?

As a highly regarded Google doctor, my extensive online research has determined that saw palmetto does next to nothing for BPH.

Dr Z you Crack me up, Clutz Ha ha ha. Ty so much for this topic. After 30 yrs of marriage, I've noticed (hear through the bedroom door lol) when he goes that it is a start stop pattern. Wasn't sure how normal this was Really appreciate the info

Eye opening discussion...

What about women who have a similar thing happen. With peeing 2 or 3 times per night. Also you stop peeing towards the end of emptying the bladder but you know there is more to come.? Can't blame the prostrate here.

Love these guys! Very informative and useful information with a laugh!

There could be a number of reasons why someone urinates frequently at night called polyuria or nocturia. Enlarged prostate, urinary tract infection or cystitis, high glucose levels in the urine and a weak bladder can be all contributing factors.

Thanks. Very helpful information. 🌹👍

After years of various prostate procedures for problems due to a “peach” size prostate…the Holmium laser reduced the prostate size with minimum trauma and a quick recovery.

Movember. That’s great Docs,you’re both looking good!

These Guys are Great. Thank You Gentlemen Very Much. 👍

Wonderful channel. I like the humor and information. Keep up the good work.

I know you are busy thanks for you time im 60 years old and wake one at night Bless you 🙏

Thanks we’ll explain ed for urological problem

i've been getting up a couple times during the night for 20 years, my prostate is normal, been to see GP, Urologist, had tests on kidney's, bladder, lower tract, no issues, it's just normal for some people

J Just came across that post, thanks docs for such priceless info, will consult my doctor immediately,

Thanks a lot doctor's.

Taking terazosin for blood pressure and it has the benefit of improving flow!

Amazing doctors ..the best of luck ..😊

Thanks a lot guys, you're wonderful.

Great show and info. Thank you!

Great intel, much appreciated.

Great vid, learned a lot about growing older 😢

I have hernia and frequent urinating how do I get relevant medication? I'm a south African.

I'm past 50 but the only time I have to get up and pee is when I drink lots of tea at night or if something else wakes me up like I get too hot or my neighbors dog barking. So far I've been lucky.