In response to the COVID-19 health issue, we are offering telehealth as well as in-person appointments. Click to learn more.

Nocturia Keeping You Awake? 4 BPH Health Risks

October 13, 2021 | By: Dr. Stephen Kappa

A man’s prostate never stopes growing. And eventually, that growth keeps a lot of men up at night.

Benign prostatic hyperplasia (BPH), or an enlarged prostate, is the leading reason men visit a urologist. As many as half of all men by the age of 60 experience symptoms of BPH, which include trouble starting to urinate, a weak pee stream, and frequent urination at night.

That last symptom – the need to get up and pee at night, interrupting sleep – is a form of nocturia, or more specifically, nocturnal urinary frequency. It may sound like the title of a symphony, but nocturia is not restful. In fact, it is among the most common hints that a prostate is growing large enough to interfere with normal urinary functions.

Here’s Why Your Prostate May Be Keeping You Awake

The prostate sits at the base of the bladder and behind the penis, and through its center runs the urethra, the tube that carries urine out of the body. The prostate is normally the size of a walnut, but it can begin to enlarge when a man approaches his 40s and 50s. Over a period of time, this growth could potentially block the urethra.

The good news is BPH is non-cancerous. However, its symptoms could become more than a nuisance. In fact, frequent and troubled urination patterns can affect one’s health in other ways:

  • It could weaken the bladder. If the urethra is closed off, the bladder will have to contract harder to push urine out. Over time, this weakens the bladder, potentially leading to other BPH urinary symptoms. 
  • It can result in urinary tract infections (UTIs). When the bladder doesn’t fully empty, the residual urine could increase the risk of a urinary tract infection (UTI). Frequent UTIs can lead to kidney infections and sepsis.
  • Stored urine causes stones. When the bladder doesn’t completely empty, the minerals and salts in the urine are more likely to form into stones. Bladder and kidney stones also block urine flow – a double whammy to the BPH – and can cause infections, acute pain, and blood in the urine.
  • The kidneys may suffer. The kidneys are attached to the bladder through two ureters, the ducts through which urine passes. If urinary retention causes pressure on the bladder, it could eventually damage the kidneys. Also, if the bladder is infected, that infection could spread to the kidneys.
Don’t Lose Sleep; BPH Care May Be Easier Than You Think

If caught early, nocturia-related symptoms of BPH can be treated non-invasively. Lifestyle modifications, such as changing diet and Kegel exercises, are a likely start. Medications, including muscle relaxants, also can treat mild to moderate BPH.

For more severe urinary symptoms related to advanced cases of BPH, several surgical options are available. These include small UroLift implants, an outpatient procedure, as well as prostate tissue removal. The latter procedure can be performed via robotic surgery, lasers, or through a narrow tube.

Treatment is necessary not only to monitor the prostate’s growth, but also to ensure a good night’s sleep. This too will improve overall health and recovery, and ideally make nocturia a sleepy memory.

To learn more about BPH, its symptoms, and treatments, visit our page dedicated to the condition. Men with chronic BPH may be referred to our BPH Clinic.

Recent Featured Blog Posts

  1. Nocturia Keeping You Awake? 4 BPH Health Risks

    Nocturia – the frequent need to pee at night – is among the most common symptoms of an enlarged prostate (BPH). Learn why it happens and what you can do to help.

    Read More
  2. It’s Prostate Cancer Awareness Month: Call Your Urologist

    People get up super early to wait in line for a Black Friday sale, they arrive at the airport extra early to avoid missing a flight, and some will even finish a work project early just to get it off the desk. So why procrastinate one small act that could determine life and death? A…

    Read More
  3. Embracing Sex as We Age: Letting Go of 4 Myths

    A man and woman’s desire for, and enjoyment of, sexual intimacy does not have to fade with age, regardless of misperceptions.

    Read More

Virtual Assistant

Virtual Assistant

How may I assist you today?

I need help with ‘Directions & Hours’
(Please select a location from the list below)
I need help with ‘ Billing Questions’
(Please select an option below)

I need help with ‘Billing Questions’

What number should I call to pay my bill?

If your bill is from The Urology Group, please call (513) 841-7474 to pay your bill.

If your bill is from The Urology Center, please call (513) 841-7475 to pay your bill.

I need help with ‘Making, Rescheduling or Confirming an Appointment’

If you would like us to call you to set up an appointment, please click here to request a call back.

If you would like to call us, please call
513-841-7400
to speak with a representative.
Our hours are:

Monday-Friday: 7:30am – 5:00pm

I need help with ‘Questions About Test Results’

please call us at:

513-841-7400

Our hours are:

Monday-Friday: 7:30am – 5:00pm

I need help with ‘Medication Refills’

please call us at:

513-841-7400

Our hours are:

Monday-Friday: 7:30am – 5:00pm

I need help with ‘Returning a Call from the Office’

please call us at:

513-841-7400

Our hours are:

Monday-Friday: 7:30am – 5:00pm

I need help with ‘A Copy of My Medical Records’

please call us at:

513-841-7400

Our hours are:

Monday-Friday: 7:30am – 5:00pm