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Urinary Issues
  • Been looking to hear some opinions/advice on this. Wasn't sure where to post it.

    For the last three years now, I've been dealing with some annoying urinary symptoms. I am awakened almost nightly having to urinate. The problem is I often fall back asleep, and end up with an erection that lasts sometimes an hour or more. This is obviously bad for my health down there.

    I'm 27 and am currently taking Tamsulosin (Flomax 0.4mg), which doesn't really help a lot. Lately, I've been depriving myself of fluids for up to six hours before bed, and voiding before going to sleep, but still I wake up in the early morning with the uncomfortable urge to urinate.

    I think the fact that I have an erection, and I know that it will take a few minutes to subside is what discourages me from getting up and going to the bathroom.

    This is getting very tiresome (literally), and I can't say I appreciate the effects the erections are having on my penile health.

    Anyone have any advice?
  • FYI
    I don't use an Aneros, although I have before.
  • slimjm
    Posts: 497
    So let me get the order of things correct. You avoid late night oral fluid intake, urinate before going to bed, then are awakened how many hours into sleep needing to urinate? Do you wake up with a nocturnal erection like for all us guys takes a while to "go down" until you can void and this is what annoys you or do I have the sequence of events wrong? Do you void a substantial volume, as in a "bladder-full" or is it just a relatively small amount with a lot of urgency? Also, why also does your doctor have a guy as young as you on tamsulosin? Has he done a rectal exam and felt your prostate and assessed its size and feel you need tamsulosin for prostate or some other issues?

    Lastly, I wouldn't be concerned about the effect of nocturnal erections on penile health. I've never heard any information say that experiencing normal nocturnal penile tumescence has any deleterious effect on your penis or upon future erectile function.
  • ffd71
    Posts: 93
    Sounds like to me that things are normal??? I think all men probably wake up with urge or needing to pee after a night fo rest. I know I do and has been that way all my life. I also wake up to erections and to my understanding is a good sign for men. Most men are at their peak with their hormones in the early hours of morning so therefore an erection is normal. To be honest with my age...........I am thankful for an erection!!!

    I am like the other posts.........why are you on this drug at your age?? What problems are you having?
  • Agree wholeheartedly with posts by SlimJm and ffd71. What you are describing was pretty standard for me during my twenties and thirties. Always a 'nuisance' or perhaps a point of pride if you are living in an environment where you have to traverse a public area to get to the toilet (consider a bathrobe)

    Most of what I've heard and read supports the idea that erection is a normal and positive contributor to penis health unless it continues in excess or 4 or 5 hours.

    To expand on SlimJm's post: it's important that you are able to empty your bladder. If you have doubts about that, your Urologist can do a quick Ultrasonic exam of your bladder to make sure you aren't retaining urine.

    Suggestions: Get a second opinion on that Flomax prescription, preferably from a board Urologist. If there is no supporting reason for that prescription consider changing doctors and soon.
  • GeogioGeogio
    Posts: 107
    Go see a urologist, it might even be a nagging infection.