Frequent Urination and Incomplete Bladder Emptying From Large Prostate and BPH: Treatment for Men in New York, New Jersey, and Connecticut

by Alex Shteynshlyuger MD

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What are the Causes of Frequent Urination in Men with Enlarged Prostate?

The most common cause of frequent urination and man with an enlarged prostate is incomplete bladder emptying.  As a result, if the urinary bladder empties only halfway, it takes only a short period of time sometimes as little as 20 minutes to a few hours depending on how much you drink for a bladder to fill up again.

Enlarged prostate blocks urine flow, the urinary bladder needs to push hard to overcome resistance from the prostate to empty urine.  This makes the bladder irritated and leads to frequent and premature urge to urinate.  These symptoms of overactive bladder are a result of prostate obstruction.  Prostate enlargement can also cause intermittent urination and inconsistent urine flow.

In the long-term, enlarged prostate can lead to the thickening of the bladder wall due to the need to push hard. This can lead to a decrease in the bladder ability to store a high volume of urine.  The bladder cannot hold as much urine as it used to in the past. As a result, the small capacity bladder fills fast and men feel the need to urinate frequently.

Treatment Options for Urinary Frequency Caused by BPH

Frequent urination in men is often accompanied by slow urine flow which is most commonly a result of prostate growth caused by benign prostatic hypertrophy (BPH or prostate enlargement).  Symptoms of constant urination in men with an enlarged prostate are most effectively treated with medications for enlarged prostate such as Flomax and Proscar.  If medications are not sufficiently effective or patients have side effects to medications, procedures such as Urolift and Rezum can be performed in the office.

If a patient has high postvoid residual or urine retention, a procedure such as a laser enucleation of the prostate, Greenlight laser, bipolar TURP and Holmium laser of prostate very effective in resolving urinary frequency caused by BPH.  These procedures are very effective for patients for whom medications do not work or if Urolift did not help.  Aquabeam aquablation procedure for an enlarged prostate has also shown good efficacy for men with an enlarged prostate, as recent studies reported.  Newer treatments such as i-Tind for BPH and Butterfly for BPH also show promise but are not yet available in the United States.

For some men with frequent urination, medications to relax the bladder muscle such as Vesicare, Myrbetriq, oxybutynin, and Detrol may be helpful to decrease frequent urination.

What Medications Can Stop Frequent Urination at Night in Men?

For men with an enlarged prostate, medications such as Flomax and Proscar can help stop urinary frequency.  

For men with overactive bladder, medications such as oxybutynin, Myrbetriq, and Vesicare as well as Botox injections in the bladder can help stop frequent urination.  

Frequent Urination at Night and During the Day in Men with Huge Prostate

Men with an enlarged prostate often experience frequent urination at night which usually starts slowly with urinating once or twice a night a few times a week.  Eventually, a urinary problem in men with BPH can progress to peeing 5-8 times a night.  This causes a significant problem for men as they cannot get adequate sleep at night.  Often, nighttime urination can be effectively treated with medications but sometimes office procedures such as Urolift, i-Tind, and Rezum can make it better. When the problem is severe, laser enucleation of the prostate, Greenlight laser or Bipolar TURP provides an effective solution for waking up at night to urinate.

It is important to make sure that the bladder empties completely as that can be a problem in men with large prostates. 

Many men also experience frequent urination during the day every 1-3 hours.  This is most commonly caused by an enlarged prostate in men.  Typically, the problem starts around age 50 but in some men can start as early as in the mid-’30s.  This can make it difficult sitting in meetings or driving.  Some men end up carrying a pee bottle or a urinal in the car because they cannot make it to the bathroom when they drive.  This is a fairly easily treatable problem that can be effectively treated at New York Urology Specialists.

Other causes of frequent urination such as bladder stones, bladder cancers, and ureteral stones need to be considered as well. UTI and STDs including mycoplasma infection in men can cause similar problems as can bacterial prostatitis.

What are the Risks of Constant Urination in Men?

There are no immediate and direct risks from frequent urination.   However, there are numerous problems that frequent urination during the day and at night can lead to. 

Constant urination, especially at night, can cause tiredness, sleepiness during the day, weakness and lack of energy.  This can lead to multiple issues such as poor performance at work, interpersonal and family problems and sexual problems.

Urge to urinate can cause an inability to make it to the toilet to pee and lead to urinary incontinence. 

Frequent urination can be a symptom of incomplete bladder emptying caused by an enlarged prostate. Incomplete bladder emptying can cause urinary tract infections (UTI).  Incomplete bladder emptying can damage kidneys occasionally leading to renal failure and sometimes need for dialysis.

Why Choose New York Urology Specialists for Treatment of Urinary Retention Caused by Enlarged Prostate?

  • All treatment is performed by a Board-certified urologist experienced in treating men with symptoms of BPH using medical therapy, minimally invasive therapies, lasers and open surgery.
  • We are one of the few practices in the region to offer a full range of options for treatment of BPH.
  • We offer BPH treatment options under local anesthesia which avoids the risks, costs, and recovery from general anesthesia. Most men are able to return to office work and other normal activities the next day.
  • Extensive Experience: Hundreds of men treated successfully using medical therapy, Urolift, lasers for BPH (Holmium, Thulium, Evolve, Greenlight lasers), Bipolar TURP, traditional TURP, open suprapubic prostatectomy, robotic suprapubic prostatectomy for BPH.
  • We treat men with BPH who have heart problems (hypertension, CAD, CHF), renal failure (ESRD) on hemodialysis, men on blood thinners such as aspirin, Lovenox, Coumadin (Warfarin), apixaban, rivaroxaban (Xarelto).

Excellence-Urology_Care VasectomyWhen it comes to experience and innovation – New York Urology Specialists are a step ahead.  Better Science Means Better Care.  We specialize in minimally invasive highly effective treatment for symptoms of enlarged prostate and BPH. Many treatment procedures are performed in the convenience and privacy of office settings under local anesthesia.

If you have any questions, to schedule a consultation or if you need a second opinion, please contact us or call: 646-663-4044

Medicare and major insurances accepted.  We offer affordable rates and financing options.

Schedule an Appointment with Dr. Shteynshlyuger:

Call today: 646-663-4044 or make an appointment online

Dr. Alex Shteynshlyuger is a fellowship trained board-certified with expertise in evaluation and treatment of urinary problems in men.  He uses modern effective and proven treatment methods including prostate enucleation and Urolift for BPH.  He is highly recommended by top primary care physicians in the New York area.

He has successfully performed hundreds of prostate procedures in adults. Urolift procedures are performed in the office under local anesthesia, in a surgical center and affiliated hospitals under anesthesia.

If you or someone you know has been experiencing urological symptoms, make an appointment to take advantage of Dr. Shteynshlyuger’s expert advice. Please feel free to Contact Us with any questions.


If you have any questions, to schedule a consultation or if you need a second opinion, please contact us or call: (646) 663-4044

We offer affordable, highest-quality urology care with or without insurance.   Find out our office hours or directions to our office. We offer weekday, weekend, and evening office hours.