Common in older men, nonmalignant prostate enlargement can be special nuisance at night when it leads to frequent wakings and trips to the bathroom to urinate.
Faced with the problem himself, waking every hour or two, and concerned he might have to have surgery, a retired physician decided to try a simple tactic: He deliberately spent at least a minute and even more voiding each time he felt the urge, carefully not straining, until no more spurts could be obtained.
"Results were immediate and dramatic," he reported in the New England Journal of Medicine. "I now sleep three or four hours at a time and occasionally get up only once in eight hours. If I am lazy and fail to take plenty of time to void, there is a prompt return of frequency. Months of this exercise may restore bladder tone so extra effort will not be called for, but even if that does not occur, taking extra time at each voiding is worthwhile since it improves the night's rest so much."
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