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

Guest physician Dr. Peter Incze, a urologist, discusses benign prostatic hypertrophy (BPH). He discusses the signs, symptoms and treatment of this condition.
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The general information provided on the Video is for informational purposes only and is not professional medical advice, diagnosis, treatment, or care, nor is it intended to be a substitute therefore. Always seek the advice of your physician or other qualified health provider properly licensed to practise medicine or general healthcare in your jurisdiction concerning any questions you may have regarding any information obtained from this Video and any medical condition you believe may be relevant to you or to someone else. Never disregard professional medical advice or delay in seeking it because of something you have read on this Video. Always consult with your physician or other qualified healthcare provider before embarking on a new treatment, diet, or fitness program. Information obtained on the Video is not exhaustive and does not cover all diseases, ailments, physical conditions, or their treatment.

[@matthewgraham2546]

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.

[@TalkingWithDocs]

Oh man 💩

[@Dan-qt7kq]

Good one. You made me chuckle. Thanks.

[@wilburfinnigan2142]

The solution is a diaper !!! DUUUUUUUHHH!!!!!!! Or set your alarm for 5:45 AM !!!!! simple !!!

[@matthewgraham2546]

@@wilburfinnigan2142 where's your sense of humor, it's a joke Dude.

[@garycortesi8406]

First time I heard that joke I fell off my dinosaur! Good joke!

[@JohnSmith-gb6tg]

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.

[@ko8957]

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.

[@janosvas8597]

Yes the TURP is the golden solution. I am now 76, TURP was before 2 years. If I would had known how perfect the TURP is, I would had insisted earlier my urologist for TURP. Before the TURP I used the medicament finasterid, and aglandin. Now I use dutasterid after the TURP, because the finasterid/dutasterid makes the skin looking very healthy. 18 years after TURP, I want to congratulate to you, it is phenomenal! Stay healthy!

[@dixonbuttes6564]

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.

[@TalkingWithDocs]

Thanks so much Dixon and for the donation!

[@maplecanuck6454]

On a different subject, I have suggested to my family doctor to recommend affected patients to watch TWD videos... not all doctors are good teachers like Paul and Brad... some doctors , it seems, do not want to spread knowledge.

[@Humpflicks]

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.

[@TalkingWithDocs]

Thanks so much. That’s the goal to empower you. Thanks for watching and subscribing

[@bw6078]

Great video and thanks for speaking about the many and varying treatments. I've known people that used to take prostate meds and have been so dissatisfied with them they stopped taking them, so many thanks for all the information

[@TalkingWithDocs]

Very welcome BW. Thanks for watching and subscribing

[@wordswordswords8203]

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

[@TalkingWithDocs]

It’s what we do Words!!

[@pubmeatman]

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

[@chucksknowledge2791]

which cbd..gummies or smoke?

[@pubmeatman]

@@chucksknowledge2791 oil sublingually

[@snatchinitback4635]

@@chucksknowledge2791 CBD oil?

[@philippirrip8761]

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

[@TalkingWithDocs]

Welcome Philip. Thanks for watching and subscribing

[@tg9754]

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.

[@TalkingWithDocs]

Doing our best T G

[@billh4285]

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.

[@happycamper5900]

Bill, understand that less invasive means less effective. Don't be swayed by the infomercials here on YT saying everything will be roses if you choose the less invasive procedure. I had the REZUM (less invasive) aka steam injected into the prostate while fully awake. Not only was it extremely and brutally painful, 60 days later I was functioning just like before the procedure. I went through all that pain and agony for nothing. Please choose wisely. Good luck.

[@paulpedro9328]

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

[@TalkingWithDocs]

Thanks Paul. That is one of the goals to help people who don't have the means or access to healthcare. Glad you liked it

[@eightiesmusic1984]

Universal free healthcare is the answer but millions of fools in America think that is communism. It is nothing of the sort but they will never learn. A country that looks likely to elect Trump again which means voting for dictatorship has got existential problems. There are some parallels with Nazi Germany in the late 1920s.

[@tonyfernandes3557]

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!

[@PapasDino]

Thanks much for completing the discussion!

[@TalkingWithDocs]

Very welcome Dino. Thanks for watching and subscribing

[@stevehofmaster4292]

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😊❤

[@TalkingWithDocs]

Now you know Steve!

[@richardburkett8959]

Thank you Doc's!!! I am 63 and I have had this problem on the moderate side and I do use Saw Palmetto drops taken orally on a daily basis and it works beautifully. I was worried I may have Prostate cancer, but I feel much better now.

[@AlmostReady504]

Saw palmetto DROPS??

[@timdernachn9851]

I'm 48 and was unaware of any of that! Very informative and great urologist! Could listen to him talk all day👌

[@TalkingWithDocs]

Glad you liked it Tim

[@vickiepatterson1748]

Very helpful and informative video as always! Although I don't relate to the subject on a personal level, that doesn't stop me from watching! And if this subject ever comes up with my brother, I'll have good advice for him. You never disappoint but provide a vast amount of incredible information! You are a true advocate for people's health and provide the information to do that! Thanks for sharing another great video! 😘

[@TalkingWithDocs]

Very welcome Vickie. Trying to help our viewers advocate for themselves and their families. Thanks for watching and subscribing

[@hillarygleen1793]

@@TalkingWithDocs Interesting but many vulnerable elderly still suffering in silence because hospitals and clinics at Xingapura refused to diagnose and even totally deprive them from taking any medications. Ministry of Hell even order police to arrest sick patient at any hospital on the island without proper assistance and documentation .

[@robertschulz7454]

You guys are just brilliant, dont ever stop your videos

[@TalkingWithDocs]

Thanks so much Robert

[@philwitt1890]

Very well presented from ignore, to procedures. Well done

[@michaelsmithy5814]

Thank you docs very informative and clear understanding. I have Prostate Cancer for 3x years and didn’t quite understand how the weeing problems come about but you explained them simply, the causes and what is possible treatment wise. Keep up the good work

[@TalkingWithDocs]

Thank you so much. Best of luck going forward

[@bikramjitgill5574]

Great channel, and this episode hit home. Please keep it up. You guys keep this education simple and funny. I had BPH, and it gradually got worse over the years. Underwent TURP in 2020. All problems with urination frequency and stream and control went away. Big improvement in quality of life. My late father had prostate cancer.

[@TalkingWithDocs]

Glad you liked it Bikramjit. Sorry to hear about your father. Thanks for watching and subscribing

[@kamolhengkiatisak1527]

Same here, did it last year at the age of 70. Big improvement in my life. Before that on medication for 2 years, it did not help much until I could not tolerate any more. The week before surgery I woke up 5 times at night and each time it was hard to urinate and when it came out just drip, drip, drip. Horrible. I recommend surgery when all else fail.

[@yurigottesman7017]

​@@christga100m no I

[@salrusso1233]

@@TalkingWithDocs HI Doctors 👋 I had prostate artery embolization about a year ago ..All my issues from BPH are gone!!! My prostate was 90 grams I do not currently know it's size , but this relatively new procedure is amazing.

[@hlender]

@@salrusso1233 Hi, I'm 82 years old and I'm approaching that point. How was your recovery following PAE? I've heard allot, positive, about this procedure.

[@danbro1970]

Excellent medical advice channel! Good job, doctors!

[@TalkingWithDocs]

Thanks danbro! Thanks for watching and

[@Ratlins9]

You guys are gems, I found this information very useful and allayed my fear of prostate cancer. I do go for a yearly test, thank you.

[@lusmas99]

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.

[@TalkingWithDocs]

Congrats and this just makes sense. Dairy is for baby cows

[@420WEED69]

​​@@TalkingWithDocsDo BABY cows eat cheese, because I eat cheese with every meal (that's twice a day)Just as a TOPPING

[@user-up4zi1do6p]

Are you saying you don't drink milk?

[@lusmas99]

@@user-up4zi1do6p Yes. I don't drink cow's milk. I recommend if you have the issues I mentioned then give up dairy and see if things improve. Since the original post, I have started drinking Goat milk, I have some grass fed butter and some raw milk cheese. If the symptoms return, I will give them up.

[@bobboscarato1313]

@@lusmas99 I'm lactose-intolerant so I use almond milk!

[@paulrussell1189]

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.

[@gregknipe8772]

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

[@TalkingWithDocs]

Now you know Greg!

[@maxgrey435]

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

[@riverbender9898]

Very significant information. Thank You.

[@TalkingWithDocs]

Agreed. Thanks for watching and subscribing

[@auracruz6211]

Awesome info..! Thanks for sharing. The three stooges of knowledge with great sense of humor..! 😁👍

[@TalkingWithDocs]

We have been called worse Aura! Thanks for watching and subscribing

[@auracruz6211]

@@TalkingWithDocs I wasn't trying to call you worse just beautiful 3 people With a good sense of humor. 😆

[@gwine9087]

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

[@TalkingWithDocs]

That's awesome!

[@trainmaster0217]

Great video but I was hoping to hear about the PAE procedure and it's pros and cons. I'm looking to have it done coming up. Thanks to you doctors for making the video.

[@SemperFiBiologist]

Pretty good timing. Almost like this video was made with me in mind. I never really had a problem with having to get up at night. For me it was more just difficulty getting a good stream going - especially if my bladder got really full or it filled up while I was sitting or in a reclined position. After six years on Tamsulosin, it simply wasn't working anymore. Going in tomorrow for a HoLEP procedure. Wish me luck. Hope to be peeing like I'm in my 20s again in a couple weeks. Another great video, guys. Keep'em coming. You really should have your own cable TV show.

[@TalkingWithDocs]

Thanks Jim. We would love that. Go figure as we age we aspire to pee like we could when we were younger! Thanks for watching and subscribing

[@SemperFiBiologist]

@@TalkingWithDocs Quick update. Had the HoLEP procedure on Monday. Went way better than I expected. If it weren't for the catheter coming out of me I would have never known I had surgery. There was no pain whatsoever. Not even any mild discomfort or any weird feelings. Had the catheter removed on Thursday. It is like having a firehose now. Wow, what a difference. Still some burning and bleeding during urination but they say that is normal. Wish I had done this years ago. My advice is don't wait. Get it done if you need it. You won't regret it.

[@jaybender]

@@SemperFiBiologist and impotence was NOT a problem? That's probably my primary concern and reason for not taking any action on this so far.

[@SemperFiBiologist]

@@jaybender Well, it's only been a little over two weeks for me and things are already coming back to life, if you know what I mean. Still not completely healed so probably a little pre-mature to do anything with it.

[@jeffreyxxx6176]

@@SemperFiBiologist I had the same thing done with the same results. Glad your procedure went well and good luck!

[@FKosloski1]

Great explanation of bph with detail thanks docs

[@TalkingWithDocs]

Welcome Francis. Thanks for watching and subscribing

[@alidavalentinagosgnach700]

Thanks docs!! Very interesting and your very educational in every topic..

[@TalkingWithDocs]

Glad you liked it Alida. Thanks for watching and subscribing

[@billk8780]

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.

[@TalkingWithDocs]

Thanks for sharing Bill. Glad you are ok. Thanks for watching and subscribing

[@garycortesi8406]

I’m 70 and had Aquablation last year a and although it took longer to heal I’m happy with it and lack of collateral damage because of no heat.

[@carlosponchio1869]

sick of taking 2 pills every night. Tamsulosin and Dutasteride. Next visit to Doc I want to know options to do something different.

[@deta369]

V😊

[@GreggBB]

Excellent information! Learned a lot

[@TalkingWithDocs]

Us too Gregg. Thanks for watching and subscribing

[@marcrichard7251]

Thanks Doctors… really helpful information

[@TalkingWithDocs]

Very welcome Marc. Thanks for watching and subscribing

[@rawill1958]

Dr. Incze is really good!

[@TalkingWithDocs]

He sure is Rick. Thanks for watching and subscribing

[@vicbenavides9503]

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

[@botodeov57]

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!!

[@TalkingWithDocs]

Wet shoes. 🤣. Thanks for watching and subscribing

[@MichaelSmith-ly6wx]

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.

[@TalkingWithDocs]

Good stuff

[@m.n.3490]

I have been taking two, 320 mg capsules, but only at night. (Dr's Best brand). I have not gotten as much help as I had hoped for - with my nighttime urination frequency. Can I ask what brand you're using?

[@lepiane]

@@m.n.3490 I seached 540 mg. and see that Swanson, a very reputable company, sells them.

[@jonconlon5440]

All about BPH was extremely helpful to me, thanks.

[@rongracilla6164]

Thanks Docs, really good information!

[@TalkingWithDocs]

Very welcome Ron. Thanks for watching and subscribing

[@lindacoffin5110]

Real life stuff! Thanks for the info!

[@TalkingWithDocs]

For sure Linda. Thanks for watching and subscribing

[@kubotajordan9502]

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

[@TalkingWithDocs]

Very welcome Kubota. Sounds like you have had your share of stuff. Always so positive though which we love. Stay safe. Thanks for watching and subscribing

[@andyroach420]

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

[@TalkingWithDocs]

Thank you very much!

[@atilashefik5127]

It’s great to hear from you guys plus it’s a peace of mind thank goodness

[@TalkingWithDocs]

Welcome

[@catherinem2441]

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 🙂

[@TalkingWithDocs]

Thanks for saying that Catherine. We really enjoy it and hope we are helping some people

[@wilburfinnigan2142]

What is he using ??? Not at all helpful if what is taken is not named !!!

[@catherineburnet8524]

My comment wasn't meant to be helpful but directed solely to the physicians, thanking them for their advice. The doctors themselves did not and would not name supplements in the vid. My husband did his own research. If you'd like to know what he takes, ask with a bit more grace. Peace.

[@leem2201]

Sounds like a scam if u can't name an OTC medication

[@Mrsmadison45]

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 ....

[@TalkingWithDocs]

Well sounds like a pretty solid plan. Thanks for watching and subscribing

[@monkeyfinger7949]

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

[@ronbonora7872]

Very informative video! Thank you Doctor's!

[@didjesbydan]

Hogwash! I did an experiment, stopping drinking by 5pm. Went to bed around 11, but continued to pee once an hour. Not only that, but I felt dehydratted and unable to sleep because of that too. And yes, all my symptoms match BPH, not any other of the possible causes of my 25-times-per-day urination ridiculousness. I have all the usual signs, including sluggishness, intermittency, dribbling, etc. I even measured my total daily fluid intake and urine output to rule out diabetes insipidus. I also have no indications of prostate cancer or any infections. So I'm fairly sure this is BPH, and am just here to say that no drinking in the evening is not a solution.

[@randywetzler5976]

Yes, I tried the stopping drinking after (mine was 6PM) didn't really help either.

[@lukula2934]

Same here with regard to 3-4 hrs pre bedtime not drinking. If you think about it, that would be 11 to 12 hours without hydration...hardly a healthy way to live, IMHO. Haven't been to a Dr. for it yet but getting closer. Don't have much faith in the med profession generally. I have noticed an incredibly diverse, and sometimes contradictory approach to treatments for BPH. Have to say I don't have much appreciation for the kidding around about this condition. There is nothing funny about it if you have it. My symptoms started when I began a carnivore diet about 14 mos. ago. I've heard one Dr. mention that high fat and lots of red meat can trigger BPH. (Dr. Malik), And other commenters talking about the dairy reduction/elimination as being very effective. As much as I enjoy heavy cream in my morning coffee and a little cheese as a snack occasionally, it is worth a try to go without it before giving up carnivore. Frankly, there isn't much more I can give up eating/drinking by way of the carnivore diet. But most people, including nearly all medical professionals, are still living within the denial and ignorance of the SAD, (Standard American Diet) and the corporate created and AMA sanctioned food pyramid BS from 100 yrs. ago.

[@didjesbydan]

@@lukula2934 Sounds like we've been on a similar journey. Anyone who blindly trusts doctors--given all the recent and accumulating evidence of the many frauds and crimes against humanity within the healthcare industry, or just general incompetence, ignorance and arroganceon the part of the average doctor--without reviewing the available evidence themselves is foolish. I too have been trying carnivore, for over a year now (keto for two). It is hard for me to say whether the frequent urination started with carnivore, or if carnivore just stripped down the other issues to reveal frequent urination as a condition that I had not yet given due attention. I do know that back in my SAD days when going on binges that is when I first remember having frequent urination episodes, and it was obvious at the time that it was the result of my sugar bingeing. I too have come across those claims about red meat and fat--and I'm sure you, as I, take those claims with healthy skepticism given the well-known fraudulent nature of all the decades long propaganda against meat and fat. More convincing are the studies I have read (suggested by Dr. Ken Berry) which claim that enlarged prostate is driven by--surprise, surprise--insulin resistance, just like all the other modern diseases. They also claim that hunter-gatherer populations do not have enlarged prostate, further bolstering the case that it is a result of the SAD. They say that androgens play merely a permissive, not causal, role. But I do have to admit that when I went keto and then carnivore it did seem to really ramp up the frequent urination. I understand that this is supposed to happen and to be temporary when converting from the SAD to keto, but after months and months it never seemed to dimimish. Whether or not my prostate is actually enlarged (I don't know if I even trust the urologist I saw--after all, he claimed, based on a digitial exam and my pain response to his probing, that I also had an infection, despite a negatuve urinalysis and no other corroborating evidence), I tend to think the frequent urination is caused by something else. I have been in pretty strict carnivore mode lately, but since I am in Mexico I have to occasionally indulge in my favorite food--tacos. Last Sunday I had some tacos (with carne asada and corn tortillas that have no vegetable oils, and the corn has been nixtamalized, which cancels some effects of the anti-nutrients), followed.by a handful of exotic fruits. It was quite satisfying and I had a quick energy burst, but then I was down and out for the rest of the day. Two nights later, as my blood glucose was obviously dropping back down to my usual, I peed constantly through the night--probably 10 times, when my usual lately is likely 3 or 4. Anyway, given everything else I've learned about glucose, insulin and the modern metabolic diseases, as well as the many frauds and half-truths in the medical establishment--I don't buy the mainstream speculations about BPH and frequent urination but am more convinced by the insulin-resistance narrative I referred to above. It might just take a long time to normalize. In any case, I am down to 3 or 4 times per night lately, and I can live with that, especially when carnivore (or at least keto) is having payoffs in many other respects.

[@davidpagel829]

Getting up frequently at night is complicated. Could be any one or more of several causes. Your urologist will tell you that....or should.

[@didjesbydan]

I'm down from 7-9 times per night to 2-3 (which I can live with) just by training/conditioning. I started keeping a "Water Log" and writing down every time I go, day or night. By holding it in a bit during the day (stretching out the intervals to at least 2-3 hours apart), the result has been that I don't get signals of needing to go waking me up at night. I think what was going on is that years of sugar abuse and general crappy eating got me into a prediabetic state in which I used to go every half hour or every hour during my worst binges. Years of falling into that conditioned me to feel a signal that it's time to go when in fact it isn't time to go. Having fixed my diet, I just needed to recondition the lazy signalling. At least that's my hypothesis. The result of what I'm doing is clear. And it works much better than the prostate pills prescribed to me by a dullard urologist. I never needed those.

[@lindaking9222]

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

[@TalkingWithDocs]

Yes Linda it’s coming. Minus the prostate of course 😀. Thanks for watching and subscribing

[@aloysiusjones3985]

Brilliant, succinct. I”m 57, don’t get up at night but the flow is not that strong. I am certain it’s not cancer but this now all makes sense, Dad had a turp in January, he’s 91. Off to see a Uro next week. 🇦🇺👍🍺🍺🍺🍺

[@trevorgwelch7412]

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

[@TalkingWithDocs]

Thanks Trevor!

[@floridadawg9857]

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

[@TalkingWithDocs]

Very welcome Florida. Thanks for watching and subscribing

[@darlenericotta7550]

Have a wonderful weekend Docs!

[@TalkingWithDocs]

You too Darlene. Thanks for watching and subscribing

[@darlenericotta7550]

@@TalkingWithDocs thank you I will!

[@user-oz2vn7ql3l]

🎯 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

[@robchrisj]

You guys are rock stars, excellent episode!

[@TalkingWithDocs]

Thanks so much Christopher. Thanks for watching and subscribing

[@sidzhottake]

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

[@tedwilson1477]

Awesome docs thanks so much for the info! 👍

[@abouttime5000]

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.

[@AlmostReady504]

Good God Man I've been through something similar years ago for kidney stones with lithotripsy, stents and catheters. All I can say is no F'N way EVER again. EVER I'm just starting to deal with the prostate thing

[@failuretocomunicate5266]

Thanks so much for taking the time to give this long history!!!

[@abouttime5000]

Follow up to now. TURP conducted in Dec 2023. Flow is almost normal. Still have quick desire to get to the bathroom during the day and couple of times at night. But satisfied with the emptying of the bladder. Erection and ejaculation are both a disaster. Limp and small erection and retrograde ejaculation. Orgasm is reduced but noticeable. The prostate still has some bleeding from irritation. Therein lies the trade off. Urine flow back to almost normal but sexual activity is limited. I read this was highly likely. My father suffered the exact same way. Good luck gentlemen. I never expected to go through the nightmare but I survived and you can and as well.

[@failuretocomunicate5266]

@@abouttime5000 Thanks again!

[@andrewthomson6851]

I had a PAE done on a 250cc prostate. Amazing results as it shrunk it by 70% and possibly more.

[@TalkingWithDocs]

Congrats Andrew

[@garycortesi8406]

I did in spring of 2021 but it grew back. Had Aquablation in February 2023 and have good results.

[@algrundau9441]

Thanks guys!...Very informative and a big help. This is an excellent channel. Subscribed.

[@TalkingWithDocs]

Thanks Al. Glad you found us

[@algrundau9441]

@@TalkingWithDocs Groovy. Peace. Keep up the great work. Cheers!

[@bonypp]

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 .

[@chnalvr]

Flomax has been a very effective medication for me to use with my enlarging prostate and restricted urine flow. Everything opened right up and normalized again.

[@TalkingWithDocs]

Glad to hear it

[@user-to2cd1nf3g]

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

[@TalkingWithDocs]

Our pleasure!

[@timjohnson5519]

Thanks. Very informative guys as always.

[@TalkingWithDocs]

Welcome Tim

[@DivorceSourceRadio]

Great show and info. Thank you!

[@winter7946]

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.

[@TalkingWithDocs]

Wow so sorry to hear this. Hope you are ok now

[@debbielynn6683]

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❣️

[@TalkingWithDocs]

Hmm Debbie. Hard to say without assessment. It can be related to a stricture. Best to talk to his doc. Thanks for watching and subscribing

[@sherwyngray3979]

Extremely valuable information

[@malcolmfanis3698]

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

[@johnwatson8192]

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.

[@TalkingWithDocs]

Hard to say but yes diabetes can cause frequent urination

[@henningvisser1108]

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.

[@TalkingWithDocs]

Very nice. Dogs are the best

[@calvinwalker553]

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

[@johnmichaelrichards]

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

[@nichotto]

Needing to pee at 2:30am give or take a half hour can be caused by sleep apnea. I believe the heart, because it is getting stressed by lack of oxygen, sends messages to the brain to reduce blood pressure and the body does this by urinating. You’ll need to go ever so often during the remaining night hours. It just another possibility other than prostrate problems.

[@PeterC245]

I’m 68, had BPH , for 15 years , I’ll pee 5 times a night , but have adapted the situation to live with it , after peeing I go straight back to sleep I’ll live with it Peter

[@TalkingWithDocs]

Nice Peter

[@bobsum1745]

You close to perfect situation when you pee without disturbing sleep.

[@daveb2280]

Awesome knowledge. Thank you for sharing!

[@TalkingWithDocs]

Very welcome Dave. Thanks for watching and subscribing

[@BigJohnson1566]

Great intel, much appreciated.

[@WannaBeatle-Paul_McMichael]

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!!!!

[@TalkingWithDocs]

Good luck Paul hang in there! Thanks for watching and subscribing

[@tonyroma7599]

Thank you very much. I’m on both meds and I do have prostate cancer. Guess I’ll start not drinking anything for 3 hours before bed. Hope it helps because I’m still getting up 3-4 times a night. Hard to get any real rest.

[@TalkingWithDocs]

Frustrating for sure Tony. Best of luck. Thanks for watching and subscribing

[@tonyroma7599]

@@TalkingWithDocs an update, I haven’t been drinking anything 3 hours before bed and I am now only getting up once or not at all. Getting much better sleep. I really love your videos. Thanks Doc’s👏🏻

[@peteraldrich1007]

Thank you Docs! 1Really enjoy your informative videos. 🇨🇦

[@TalkingWithDocs]

Thanks Peter!

[@genegoodwin8925]

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.

[@TalkingWithDocs]

Thanks for sharing your experience

[@trfisher78]

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.

[@TalkingWithDocs]

Time to chat with your doctor

[@michaelfrench7937]

Very well explained thank you

[@SandiRose2008]

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

[@TalkingWithDocs]

Yes the struggle is real. Thanks for watching and subscribing

[@paulmaxwell8851]

You know what they say about aging: the only thing worse than getting older is not getting older. Keep having birthdays!

[@peacebe2u480]

Cure for aging is simple - lengthen your telomeres...the tips of your dna.. routine pace walking.. routine! More robust exercises.

[@elizabethk3238]

Dying! 😅

[@thisperson6655]

fasting. eat good foods but less often

[@LtEdPell]

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

[@TalkingWithDocs]

Agreed. Thanks for watching and subscribing

[@kennithandirsen7184]

Thanks Docs! Great info!

[@TalkingWithDocs]

Very welcome Kenneth. Thanks for watching and subscribing

[@mumtazahmed8099]

Thanks. Very helpful information. 🌹👍

[@TalkingWithDocs]

Glad it was

[@door2416]

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.

[@TalkingWithDocs]

Thanks for taking the time to share

[@1246gj]

😂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.

[@TalkingWithDocs]

Nice

[@unclegeorge7845]

Thanks for the information. I'll save this for a couple of re-views. And you can empty your bladder more completely whilst remaining seated: As in "After dark". You can also leave the lights down low as there is "No aiming required" which helps you get back to slumberland.

[@byrutesyvret890]

HI DOCS GREAT EXPLANATION FOR MEN WHAT ABOUT. WOMEN AS WE HAVE. SIMILAR PROBLEMS?

[@TalkingWithDocs]

We are planning a video about urinary incontinence and bladder issues for females with one of our other colleagues. Thanks for watching and subscribing

[@terri.918]

Some older ladies tend to get recurring UTI’s. I would appreciate a video on that subject. Thanks!

[@stevec5375]

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.

[@TalkingWithDocs]

Sorry to hear that. The two are not necessarily related. Best of luck going forward

[@Patrick-th5yt]

Nocturia is most definitely a Parkinsons symptom common to many many people with Parkinson Disease . At 77 with Parkinsons I have both nocturia and enlarged prostrate issues . 3 times a night is common. I am taking Tamsulosin and Trospium Chloride FWIW.@@TalkingWithDocs

[@johndobbie528]

I was switched to Finasteride from Tamsulosin after just under two weeks I was suffering from prostate pain difficulty starting, even worse and uncomfortable flow, and increased night frequency. Stopped taking the medication for two days whereupon I had even worse symptoms. Finally back on Tamsulosin and can tolerate two nighttime visits but it may increase again. I am planning to take a supplement as well.

[@user-xo1ss2pt2d]

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

[@mohamedzauhar7177]

Thanks for the valuable informations 👍👍👍🙏🙏🙏🙏🙏

[@johnkingsley9525]

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. 🌴😎🌴