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May I add a word to those poor souls who have to get up 4 or 5 times a night because of an urgent need to urinate? Of course, an examination by a competent urologist is most important. An enlarged prostate gland should be attended to as early as possible. But get a second opinion before surgery. "When your only tool is a hammer, everything looks like a nail," and, to some doctors, every problem can be solved by a knife. There are several possible drugs which may make matters easier, but my doctor and I tried three before finding one without bad side effects. We finally settled on Levbid, which lets me get through the night with only a couple of interruptions. I have also had good results from self-cathetarization. One must be very careful to avoid infection, and willing to take some discomfort, but the catheter will empty the bladder in a few minutes and then is withdrawn. A treatment just before bedtime may be sufficient. Or you may want to repeat three times a day.