Difficulty urinating at night in men should not be considered a minor complaint, especially if it occurs repeatedly and disrupts sleep quality. This condition, commonly associated with nocturia, may indicate underlying health problems ranging from benign prostatic hyperplasia (BPH) and overactive bladder to systemic diseases such as diabetes or infections of the kidneys and urinary tract. Therefore, it is important for men to understand the possible causes of difficulty urinating at night so that proper examination and treatment can be carried out early.
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Causes of difficulty urinating at night in men
Below are several causes of difficulty urinating at night in men that should be carefully considered:
1. Prostate infection or enlargement
Prostate infections and benign prostatic hyperplasia (BPH) can compress the urinary tract, causing urine flow to become obstructed. As a result, the bladder cannot empty completely, leading to frequent urges to urinate, including during the night.
2. Bladder prolapse
Bladder prolapse occurs when the bladder drops from its normal position due to weakened pelvic floor muscles. This condition can interfere with urine storage and trigger persistent urges to urinate, particularly when lying down at night.
3. Overactive bladder
Overactive bladder occurs when the bladder muscles contract involuntarily, even when urine volume is still low. This condition often causes sudden and frequent urges to urinate, including frequent nighttime urination in men.
4. Tumors of the bladder, prostate, or pelvic area
Tumors in the bladder, prostate, or pelvic region can irritate or compress the urinary tract. This reduces bladder capacity and increases the frequency of urination, especially at night.
5. Diabetes
High blood sugar levels in people with diabetes force the kidneys to work harder to remove excess glucose through urine. As a result, urine production increases, leading to frequent urination, including at night.
6. Anxiety disorders
Excessive anxiety can affect the nervous system that controls bladder function. In some men, this condition creates a frequent urge to urinate even when the bladder is not full.
7. Kidney infection
Kidney infections cause inflammation and disrupt the kidneys’ ability to filter body fluids properly. This condition is often accompanied by increased urinary frequency, pain, and discomfort that may worsen at night.
8. Edema or swelling of the lower legs
Fluid buildup in the legs or ankles during the day can return to the bloodstream when lying down at night. This fluid is then processed by the kidneys into urine, triggering frequent nighttime urination.
9. Obstructive sleep apnea
Obstructive sleep apnea causes breathing disturbances during sleep that affect hormone regulation of urine production. As a result, the body produces more urine at night, increasing nighttime urination frequency in men.
Treating prostate enlargement with REZUM water vapor therapy at RS Mandaya Royal Puri
If frequent or difficult urination at night is caused by prostate enlargement or BPH, RS Mandaya Royal Puri offers a modern solution through REZUM water vapor therapy. This advanced technology provides effective treatment without major surgery.
REZUM therapy is a minimally invasive, non-surgical treatment for benign prostatic hyperplasia. It is widely recommended due to its long-term effectiveness, minimal risks, and ability to improve urinary symptoms without conventional surgery.
REZUM therapy procedure
- The doctor inserts a handheld device with a thin, long tube through the urethra.
- From the tip of the tube, a small needle releases water vapor into the enlarged prostate tissue.
- The steam destroys excess prostate cells, causing the prostate to gradually shrink.
- As the prostate tissue shrinks, urine flow improves and BPH symptoms decrease.
- The entire REZUM procedure typically takes around 30 minutes.
Advantages of REZUM therapy for benign prostatic hyperplasia
- Helps preserve male sexual function, including erection and ejaculation.
- Eliminates the need for long-term medication for BPH.
- Symptom improvement can be felt within a few weeks after treatment.
- Performed as an outpatient procedure, allowing patients to go home the same day.
- Does not require general anesthesia.
- Faster recovery compared to conventional prostate surgery.
- The REZUM procedure can be repeated if prostate enlargement symptoms recur.
REZUM expert urologists at RS Mandaya Royal Puri
In addition to advanced medical technology, RS Mandaya Royal Puri is supported by experienced urologists who are highly skilled in performing REZUM therapy.
1. dr. Hendy Mirza, Sp.U (K)
dr. Hendy Mirza, Sp.U (K) is a urologist with extensive experience in treating various urological diseases and conditions. He completed his medical education at the Faculty of Medicine, Universitas Sumatera Utara, and continued his urology specialization at Universitas Indonesia. He also completed a fellowship in Pediatric Reconstructive (Laparoscopic) Urology and is certified as a Pediatric Urology Consultant.
At RS Mandaya Royal Puri, dr. Hendy Mirza performs a wide range of urological procedures, including urinary tract surgery, prostate biopsy, PCNL (Percutaneous Nephrolithotomy) for kidney stones, and TURP (Transurethral Resection of the Prostate) for prostate enlargement.
Practice schedule:
- Monday: 16.00 – 19.00 WIB
- Wednesday: 16.00 – 19.00 WIB
- Friday: 16.00 – 19.00 WIB
2. dr. Maruto Harjanggi, BSc(Hons), Sp.U, FICS
dr. Maruto Harjanggi, BSc(Hons), Sp.U, FICS is a urologist who completed his medical and urology specialist education at Universitas Indonesia. He also earned a Bachelor of Science (BSc) degree from the Faculty of Medical Sciences, Newcastle University, United Kingdom, strengthening his expertise in urology.
With his experience, dr. Maruto Harjanggi treats various urological conditions, including kidney stone surgery, prostate disorder management, and vasectomy procedures, using a patient-centered approach.
Practice schedule:
- Monday: 09.00 – 13.00 WIB
- Tuesday: 09.00 – 13.00 WIB
- Wednesday: 09.00 – 13.00 WIB
- Thursday: 09.00 – 13.00 WIB
- Friday: 09.00 – 13.00 WIB
- Saturday: 09.00 – 13.00 WIB
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