One trip a night in older adults falls within normal. Two or more, happening regularly and disturbing sleep, is nocturia and deserves assessment. Importantly, nocturia is a symptom rather than a diagnosis, and it has several possible causes.
Besides benign prostatic enlargement, night-time urination is caused by:
Which is why the consultation begins not with the prostate but with your daily routine and other conditions.
A weak stream, needing to strain, an interrupted flow, a sense of incomplete emptying, frequent daytime urination, and urgency that is hard to hold. These are scored together on a standard questionnaire — which makes the complaint measurable and lets you see the effect of treatment later.
The cheapest and one of the most informative tools: over 2–3 days you record the time and volume of what you drink and what you pass. The diary immediately separates nocturnal polyuria — producing a lot of urine overnight — from a problem with emptying. It costs nothing and frequently changes the plan.
Examination, urinalysis, and ultrasound of the prostate and bladder including post-void residual volume — a key measure of whether the bladder is emptying. By age and indication PSA is discussed: it is ordered not to diagnose enlargement but for the separate question of early prostate cancer detection, and under American Urological Association guidance that is a shared decision with the patient.
Long-standing obstruction gradually changes the bladder wall, and its function does not fully recover even after the cause is removed. Early on, medication and routine adjustment are usually enough.
In our clinic a urologist consultation is AED 600; transabdominal prostate ultrasound AED 1,000, transrectal AED 1,100, bladder ultrasound AED 800, free PSA AED 150 and urinalysis AED 50. All in a single visit.
This article is for information only and does not replace a consultation. If you have symptoms, see a doctor.
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