Night-time toilet trips

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I have completed my radiation therapy for a stage 3 prostate cancer 15 months ago. I am now on a 3 monthly hormone injection programme with about 18 months left to complete. My PSA numbers are very good, being undetectable at 0.01. So far, so good! However, my biggest ongoing problem is having to get out of bed to pee, sometime 5 times in a night. I am taking 400mg of Tamsulosin daily to help with flow problems, but does this have any side effects that might exacerbate the nighttime peeing frequency? Does the hormone therapy have side effects that would cause me to need the toilet so frequently at night? I have a self-imposed banishment to the spare bedroom so my wife can get some sleep and the whole situation is becoming truly miserable. Has anyone experienced the same problems and is there any way to overcome it?

  • It sounds like you need a word with your specialist nurse and cancer team. It’s not right the tamsulosin isn’t working like it should. If it’s been a happening a long while you aught to be checked over for a restriction.

    I’m sorry I can’t help.

    The exile from the marital bed is harsh but fair enough under the circumstances but that’s as long as it’s not getting between you as a couple. I’m in exile too. I’m in the spare room for now. But my Darling understands totally and knows it’s temporary and unavoidable.

    So good luck with chasing up a clinical assessment.

  • Hello  

    Sadly it's an all to common issue and I am up 2/3 times a night for my "nocturnal walk".

    A few things have helped me, however I had an indwelling catheter for 10 months. A TURP operation cleared my urethra but I had to learn to "wee" again. The Pelvic Floor exercises helped me gain control and I still do them now.

    There are 2 other factors too - I have changed to de-caff coffee and apart from when I go out for a dring in an evening with my mates I try not to drink anything after about 7pm.

    You could try asking the GP for a solution (to check your flow and if you are retaining urine) either of there will not be helping you sleep.

    Best wishes - Brian.

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  • Do you find you're going to the toilet frequently during the day as well, or is it a night time only issue?

    Tamsulosin helps with the flow (I'm on it too) but I'm not aware of it causing urgency issues. 

    I've had urgency issues after radiotherapy for a few months, and what eventually helped me was bladder retraining.

    Hope this helps 

    G

  • Thanks for you reply,

    Toilet trips are more frequent at night. During the day 4 hours between visits can be accomplished, but it varies wildly. Tell me about the bladder training, is that the same as pelvic floor exercises?

    MP

  • Hi, my partner had increased night time trips but has found eating dry food (crisps, nuts or biscuits) just before he goes to bed work for him and he normally goes 4 -5 hours without need a wee Slight smile

  • It sounds a bit different to what I had, I had to go almost every hour during the day too. I've posted about my bladder retraining experience here -  Bladder re-training 

    G