As has been mentioned, there are various reasons for urgency and frequency. Over 20 years ago and long before I had a PCa diagnosis, I had this double problem . I had a camera inspection of my bladder via my penis in hospital and was diagnosed with a weak sphincter and was prescribed Tamsulosin which I take to this day. I was also referred to an incontinence clinic where I was instructed about bladder retraining, advised about mainly beverages that irritate the bladder and to take cranberry juice. These measures did reduce my problem so that I only had to get up once a night. However this problem did become a little worse and much so during my RT. I mentioned this to the RT consultant at the time and she said that scans showed I had an Acquired Diverticulum which is a pouch or sac that protrudes out of the bladder wall. This means that when I pee, some of the urine is not expelled. So within a short space of time I needed to pee again (double void). Additionally, I avoid drinking anything 3 or so hours before goingto bed but ensure I drink plenty. Although it may seem counter intuitive you still need to drink plenty so urine does not become extra strong.
A Congenital Diverticulum, where found in early childhood it is more likely to be dealt with surgically than Acquired Diverticulum in later years like mine, so I haven't pursued this, particularly as in my case it has not led to infections, something that is more likely with this condition, and I have managed to keep to single session each night.
Edited by member 07 Nov 2021 at 16:33
| Reason: spelling