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Online clinic on bladder issues - Jun 2019

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Some nights I have to get out of bed four times to urinate

Postby Guest Posts on Tue Jun 04, 2019 10:28 am

Some nights I have to get out of bed four times to urinate. Other nights I can sleep through without any problem. There seems to be no correlation with what and how much I eat and drink during the day. I was operated on for Bladder Cancer three years ago and all of the regular checks ( three, six, nine months and now annually ) have shown no sign of reoccurrence. I am taking Tamsulosin 400mcg daily for an enlarged prostate. Last PSA test result was 1.7. Advice please.

Thank you, Michael
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Re: Some nights I have to get out of bed four times to urina

Postby Mr Chris Harding on Wed Jun 12, 2019 7:36 am

The first step (if you haven't done it already) would be to complete a bladder diary - some patients make more urine at night than during the day - a condition known as nocturnal polyuria - this would be the first thing I would want to rule out.
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Re: Some nights I have to get out of bed four times to urina

Postby Michael123 on Wed Jun 12, 2019 7:09 pm

Thanks, I will start a diary for both day and, if I’m with it enough, night.
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Re: Some nights I have to get out of bed four times to urina

Postby Prof Christopher Chapple on Thu Jun 13, 2019 1:02 pm

I agree, it is important that you should fill out a bladder diary which is to record every time you pass urine over three days, for a full 24 hour each day, and do this on consecutive days, measuring the volumes that you void. Then you need to see a doctor where that can be interpreted. If there is more than a third of your 24-hour urine coming out at night time then this is unlikely to respond to treatment directed at your bladder alone.
Prof Christopher Chapple
The Urology Foundation expert & Consultant Urological Surgeon

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