Does tamsulosin make you pee more?

Outcomes assessed included urinary frequency in 24 hour periods, urinary urgency, nocturia (urination at night), and incontinence. Patients reported that the frequency of daily urination decreased from an average of 11.3 before treatment to 9.9 voids following treatment with tamsulosin.

medivizor.com - What are the effects of tamsulosin for overactive bladder in men with ...

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Posted by Medivizor on Apr 11, 2021 in Overactive bladder |

In a nutshell

This study aimed to investigate the effects of tamsulosin (Flomax) in men with overactive bladder (OAB). This study suggested that tamsulosin improved the symptoms of OAB.

Some background

OAB is characterized by symptoms such as incontinence (urine leakage), having a strong urge to urinate, and being woken up at night due to the need to urinate (nocturia). Some of these symptoms can also be caused by BPH. BPH is an enlarged prostate gland. OAB and BPH are also often associated. Treatment can vary whether OAB is diagnosed alone or in combination with BPH. Tamsulosin is a commonly used treatment for BPH. It works by relaxing the muscles in the prostate and the bladder. While for OAB, the most common treatments include antimuscarinics or beta-2 agonists. The effectiveness of tamsulosin in patients with OAB symptoms is still not clear.

Methods & findings

116 men with OAB were included in this study. Participants were treated with tamsulosin 0.4 mg for 4 weeks. Participants completed bladder diaries throughout the study. Outcomes assessed included urinary frequency in 24 hour periods, urinary urgency, nocturia (urination at night), and incontinence. Patients reported that the frequency of daily urination decreased from an average of 11.3 before treatment to 9.9 voids following treatment with tamsulosin. The number of episodes of nocturia per night decreased from 2.1 before treatment to 1.8 following treatment. Urinary urgency ratings also decreased following treatment with tamsulosin. Tamsulosin also appeared to have a greater effect in those that had more severe voiding symptoms before treatment.

The bottom line

This study suggested that tamsulosin improved the symptoms of OAB including urination frequency, nocturia, and urinary urgency. Tamsulosin also appeared to be more effective in those with more severe OAB symptoms.

The fine print

This study did not include a placebo group. Therefore, the true effects of tamsulosin may not be evident from this study. Also, patients were not separated into those with OAB only or OAB and BPH. Therefore, it is not possible to know if tamsulosin is similarly effective in patients with OAB alone.

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How do you pee with BPH?

Enlarged Prostate: Bathroom Tips Practice "double voiding" by urinating as much as possible, relaxing for a few moments, and then urinating again. Try to relax before you urinate. ... Take plenty of time to urinate. Try sitting on the toilet instead of standing. ... Think of other things or read while you are waiting. More items...

myhealth.alberta.ca - Enlarged Prostate: Bathroom Tips - MyHealth Alberta

Topic Overview

The following tips may make it easier to deal with your benign prostatic hyperplasia (BPH) symptoms. Practice "double voiding" by urinating as much as possible, relaxing for a few moments, and then urinating again. Try to relax before you urinate. Tension from worrying about your symptoms can make them worse. Anxiety may cause the smooth muscle in the prostate and the muscles at the opening of the bladder to stay tense and not relax. If these muscles do not relax, urination will be difficult.

Take plenty of time to urinate.

Try sitting on the toilet instead of standing. Or, after urinating while standing, sit on the toilet and try to urinate a little more.

Think of other things or read while you are waiting.

Try turning on a faucet or picturing running water in your mind. Some men find that hearing running water helps get their urine flowing. If dribbling is a problem, wash your penis daily to avoid skin irritation and infection.

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