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Urologist,M.D., Urologist
Category: Urology
Satisfied Customers: 4106
Experience:  Board Certified in Urology, Fellowship trained
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What can I do for frequent urination at night after

Customer Question

What can I do for frequent urination at night after radiation therapy and the removal of the prostrate? I am up every hour or so. Please help.
Submitted: 7 years ago.
Category: Urology
Expert:  FamilyPhysician replied 7 years ago.
How long have you had this problem?

When did you have the radiation and surgery?

Have you talked to your urologist about this problem?
Customer: replied 7 years ago.

I had radical prosemerty surgery five or six years ago. Had thirty five sessions of radiation two years ago for rising PSA (about 1.14)

In past three months must wake upevery hour or hour and half for frequent and urgent urination (my doctor-urologist) said this was because of radiation.

Also I have to disconnected once or twice from dialysis for this problem.

These symptoms occur even when I drink nothing at night or for breakfast.

Symptoms do not respond to 4mg Detrol LA for last three weeks.

How can I get relief and be able to sleep through the night?

Any suggestions? any blog I could join.

Please help.



Expert:  FamilyPhysician replied 7 years ago.
I assume that your doctor did a urine culture?

Have you tried any other medications?
Customer: replied 7 years ago.
I just e-mailed all the information I thought u needed but what else do you need? Let me know so I can answer as soon as possible. Thanks
Expert:  FamilyPhysician replied 7 years ago.
Did the doctor do a urine culture or any other tests?
Customer: replied 7 years ago.
What other information is needed. I thought I put everything in my recent e-mail? What specifically do you need?
Expert:  Urologist,M.D. replied 7 years ago.

As a urologist, you need two things for sure: cystoscopy to rule out a bladder neck contracture and also a bladder test called urodynamics that can determine if this is due to bladder spasms or not. Bladder spasms can be treated with medications such as detrol LA. If you do have a bladder neck contracture causing this, this requires surgical treatment.

Customer: replied 7 years ago.
lt;p>Do you think this problem is caused by the radiation? thanks Ken<img src="/tinymce/jscripts/tiny_mce/plugins/emotions/images/smiley-cool.gif" border="0" alt="Cool" title="Cool" width="18" height="18" /></p><p>and yes I had urine cultures, etc</p><p> </p><p>j </p>
Expert:  Urologist,M.D. replied 7 years ago.
Absolutely, radiation is playing a role, although not solely responsible.