Question: Hi urologist doctors,
I am 63 ,
had endoscopic Turis ( bipolar turp) operation for BPH on 1-12-2021.
I can urinate easily with large stream diameter,in echo graphy pre void volume 194ml,post void urine residual 11ml prostate volume after the operation :15 ml. Thin bladder walls with no stones or other abnormal findings.No abnormal findings for kidneys and ureters.PSA 1,30ng/ml ,creatinine:1,20 mg/dl.
My weight is 68,8 kilos. I don’t drink alcohol or coffee ,not smoking,avoiding spicy food .I usually drink about 1,2 litres of water a day.
But 1 month ago i made a mistake and had a few salty olives and that triggered very high urinary frequency.
Histology report:BPH alterations, no malignancy ,no inflammation.
Bladder neck :BPH alterations.
I have no incontinence,( I can hold it ), I have some urgency during the day, ( some days more than others).and medium grade frequency.
Never had fever.never had a positive urine culture.
But I do wake up at night to urinate 4 to 5 times, (rarely 3) which is my most important problem as it interferes with my sleep. I have no pain or burning urinating.The first void is of a good volume and the next ones small as I avoid drinking water after 1900 the night before.
2 weeks ago I slept from 2100 to 0300 hours continuously without waking up (6 hours) .That day at 1330 I had a rather voluminous bowel movement after I took miralax laxative ,1 or 2 days before, as I was constipated. Also I have high frequency for 48h before ( but not particularly that day)
Did not take it since but I am thinking to start taking it again in case it actually helps me against my night frequency.
I tried oxybutynin 1,25 mg once a night for 3 nights.
Had to stop it because made me really exausted, very weak and unable to do anything, among others side effects. I am not taking any other medicines and I only have prediabetes diet controlled.
I wonder what can help me wake up less times so I can sleep better at night. May be miralax? or something else?
Thank you very much for your answers.