Why does it take longer to pee when you get older?

The elastic tissue becomes stiffer and the bladder becomes less stretchy. The bladder cannot hold as much urine as before. The bladder muscles weaken. The urethra can become partially or totally blocked.

medlineplus.gov - Aging changes in the kidneys and bladder - MedlinePlus

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The kidneys filter the blood and help remove wastes and extra fluid from the body. The kidneys also help control the body's chemical balance. The kidneys are part of the urinary system, which includes the ureters, bladder, and urethra.

Muscle changes and changes in the reproductive system can affect bladder control.

As you age, your kidneys and bladder change. This can affect their function.

Changes in the kidneys that occur with age:

Amount of kidney tissue decreases and kidney function diminishes.

Number of filtering units (nephrons) decreases. Nephrons filter waste material from the blood. Blood vessels supplying the kidneys can become hardened. This causes the kidneys to filter blood more slowly.

Changes in the bladder:

The bladder wall changes. The elastic tissue becomes stiffer and the bladder becomes less stretchy. The bladder cannot hold as much urine as before.

The bladder muscles weaken.

The urethra can become partially or totally blocked. In women, this can be due to weakened muscles that cause the bladder or vagina to fall out of position (prolapse). In men, the urethra can become blocked by an enlarged prostate gland. In a healthy aging person, kidney function declines very slowly. Illness, medicines, and other conditions can significantly degrade kidney function.

COMMON PROBLEMS

Aging increases the risk of kidney and bladder problems such as:

Bladder control issues, such as leakage or urinary incontinence (not being able to hold your urine), or urinary retention (not being able to completely empty your bladder)

Bladder and other urinary tract infections (UTIs)

Chronic kidney disease

Call your health care provider right away if you have any of the following: Signs of a urinary tract infection, including fever or chills, burning when urinating, nausea and vomiting, extreme tiredness, or flank pain

Very dark urine or fresh blood in the urine

Trouble urinating

Urinating more often than usual (polyuria)

Sudden need to urinate (urinary urgency)

As you grow older, you will have other changes, including:

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What do prostate pills do for men?

These stop your body from creating one of the hormones that makes your prostate larger. They prevent growth and in some cases even shrink it. This can improve your urine flow and ease other BPH symptoms as well. They seem to be most helpful to men with very large prostates.

webmd.com - BPH Medication: Pharmaceutical Drugs For An Enlarged Prostate

Not too long ago, men who wanted relief from BPH had one main option: surgery. In recent years, that’s changed. Drugmakers have come out with a number of medicines that give you more choices to treat your symptoms. Benign prostatic hyperplasia (you’ve probably heard it called enlarged prostate) can cause problems such as a weak urine stream or having to pee a lot all day. Some medicines ease these symptoms by calming the muscles in the bladder and prostate. Others stop prostate growth and shrink the size of the prostate. Medicine is now the most common way to treat men with mild to moderate BPH. Researchers are still learning about long-term effects and when drugs can be most helpful. Talk to your doctor to find out which medicine may be best for you. Alpha Blockers These work by relaxing muscles in your bladder and prostate, which makes it easier to pee. They don’t change the size of your prostate, but they do help with urine flow, waking at night to pee, and other symptoms. And you won’t have to wait long to see results; they usually work right away.

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