35 year old DH can't stop weeing

[Laksaf]

My DH is 35 and in good health generally. The only problem is his frequent need to go for a wee. He's been like this since I've known him (5 years) but it's getting worse especially at night. He gets up 10 times a night to wee. He doesn't drink alcohol much (a couple of pints a week) and mainly drinks water and a few glasses of fruit juice. He's not overweight. He doesn't have excessive thirst.

He went to the GP who ran basic blood tests (kidney function, liver function and full blood count) and all cane back normal. They've referred him to a urologist but the appointment isn't until February. They haven't said what they think is causing this, if anything.

Has anyone experienced anything like this before? I can see he's worried and trying to put a brave face on it.

Cut out the fruit juice and any caffeine as they can irritate the bladder.

Can he maintain a stream of urine? Any issues starting the flow. how are his pelvic floor muscles (can he stop flow mid wee?). Any issues getting or maintaining an erection or ejaculating?

Has he considered keeping a fluid chart (what is going in and when and what is coming out and when? 1 week should do). It's likely to be one of the first thins the urologist asks for.

I’m guessing they’ve ruled out diabetes? It could be a prostate problem which the urologist will be able to check over.

Thanks for replying. His erectile function is normal and he doesn't have any pain when urinating bit sometimes says the flow is a bit weak. I'll ask him about keeping a chart about fluid in and fluid out.

He does have family history of diabetes so it was something I initially suggested to him, but I know from others who have it that there are many more symptoms and he doesn't feel unwell in any other way. He did test his blood sugars on a family members test and they were within normal range.

I think it could be a prostate problem too- I'm scared of what it could be though.

My db had something like this. Turned out to be a sarcoma, pressing on the bladder. So please push for a scan

Is there anyway you could afford to see the urologist privately so you don’t have to wait until February? It would be good to get prostate checked out to rule out anything nasty there.

@Mumsnut what is a sarcoma?

I've spoken to DH and suggested pushing for an earlier appointment and we could pay for a private one to happen more quickly if needed but he is burying his head in the sand a bit and saying he will wait.

i imagine anythign realy worrying would show on blood tests

@LittleBookofCalm that's what I was hoping, and was clinging onto the fact that the referral is for so far away that the GP wasn't too concerned

Sarcoma is a malignant tumor.

That may not be it wrt to your husband. But I'd not wait until Feb if you have the option of going private.

Good luck.

Urology nurse here. This is not normal.
Get blood sugars tested, also look at UTI and imaging for other causes

if he has had this condition for 5 years op he can probably wait.

@LittleBookofCalm he's always been a bit like this but it's got progressively worse over time.

@Weenurse he's tested his blood sugars and they were ok and he was tested for urinalysis tract infections at the GP and it came back clear as did the blood tests they did.

good luck op and your dh, since he is burying his head in the sand try not to worry too much

Have they ruled out Type 1 diabetes?

Did GP do psa test? Would he at least go back to GP and ask what has and hasn’t been ruled out? As you might be worrying unnecessarily.

You say he has been like this since you've known him, but has it actually been bad for longer than that? I've had overactive bladder all my life, which got progressively worse in my 30's. Night time wasn't actually that bad for me, it was during the day.

I'm surprised the GP hasn't tried him on any medication, as there are a few for overactive bladder, and a lot of people have success with them. I guess GP is waiting for urologist appointment. It's likely he will need to have a urodynamics test to find out what is going on. Not exactly pleasant, but not painful.

I had every treatment going, but unfortunately nothing worked for me. Quite an extreme case! I ended up having my bladder removed 3 years ago and a new pouch made from bowel, along with a channel through my belly button that I catheter through, called a mitrofanoff. Amazing, and haven't looked back. As I said though, I'm an extreme case, and an awful lot of people are helped with medication, or things like botox injections into the bladder.

Try not to worry too much, I think given that it has been going on for so long it is far more likely to be something like overactive bladder rather than a sarcoma etc.

What happens if he doesn't go as soon as he gets the urge? Usually if you need the loo you can hang on a bit longer, can he do this or has he got into the habit of repeat trips? Or will there be an accident?

Pelvic floor exercises can be done by men too, maybe worth trying while you wait for an appointment.

High blood pressure can make you need the toilet more. Has he had his blood pressure checked?

I'm not sure if his blood pressure has been checked.

As far as I'm aware he has always been a bit like this but it seems to have slowly got worse over the past couple of years and just recently has got very bad during the night.

Please ask him to book in with local chemist for blood pressure check as this can be a sign of it. Especially if the urination has got worse and especially at night. If it was caused by BP (slim chance but possible) and problem worse it would suggest BP has also increased. Can cause all sorts of problems. Some GPs don't consider BP as a factor unless family history but could be other factors.

Was his PSA checked as part of his blood tests If not I would be asking for that blood test asap.

His PSA wasn't checked. He was up more than 10 times in the night last it's so worrying. I've asked him to go back to the doctors and he's agreed to make another appointment as it seems to have suddenly got loads worse in the past month or so.

I'm wondering if the doctors are reluctant to check his PSA levels because of his age. On the cancer research page it says only 7 cases a year are detected in males aged 35-39 and it's extremely rare to have it under 45. (Clinging on to this statistic.)

I'm hoping (silly to hope for this I know) that it's diabetes as two of his close family members have that, or an overactive bladder for a benign reason. If he used one of the home testing kits for blood sugar- one where you prick your finger- and it came back normal would that rule out diabetes or not?