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@Dandelion: My current Urologist wants a urine sample at the beginning of every visit and performs a ultrasound scan to measure residual volume shortly after I leave the sample. It sounds like they want you to arrive with a full bladder so they can run some additional tests up front. As an engineer I've provided my Urologist some numbers (taken at home) that he normally doesn't get, so some of my actual tests at the office haven't been as extensive there..... (Plus my bladder capacity before BPH hit was larger than average....) Basically, I'd call the Urologist office and let the nurse know your concerns and get the doctor's feedback. Best wishes....

@Dandelion Apologies for the delayed response. I have limits on how much time I can spend on this.... Before it started, I had 10 occurrences between my 7th and 13th birthday, and as a teenager there were two times (packing for a retreat and packing to go off to college) where the thought crossed my mind "What if I wet the bed?", as I never understood why on those 10 times. Later as an adult my second water bed taught me I was vulnerable to certain types of sudden temperature changes causing an urge in my sleep (that went unrecognized), so the main initial thoughts were something was wrong as I hit three times the first night and twice each night the rest of the first week. Called the doctor after the first or second night, but he wasn't concerned based on my past history. However I knew something had changed -- during the previous events it only would happen once in a given night... When it continued after getting off the medications, I noticed a short while later that how I "sensed" things had shifted for the second time that I noticed in my life. (Up until Covid-19, I haven't heard doctors concerned about how a person "senses" things - touch, smell, pain, etc. I've known since elementary school I was different from "normal" in this area.) And that change switch what was occasional nocturia into occasional nocturnal enuresis..... I spent the next year and a half researching information available at the local university hospital library trying to find more - but basically only finding information on (a) with women who I felt had small bladder capacities, and studies of youth (higher percent boys) trying to overcome the problem I was now having... And didn't find a solution that worked.... It did wake up the young boy in me.... And I did find the "little boy" in me never learned to dislike diapers. The "big boy" in me wants out of them, but doesn't know how.... The adult / engineer in me understand my control system and bladder is screwed up... and at this point accepts what is, Now, I've added the "fun" of early onset BPH to the mix. My maximum functional bladder capacity is reduced, and if I stay properly hydrated and get a good night's sleep, I'm going to have a wet diaper in the morning.... And I've accepted that.... Yes there are psychological items that go with that.... Best wishes on dealing with your issues.

I'm Iken, I have Urinary incontinence and diagnosed with urinary incontinence. I'm kept in diapers because it's the far better option than taking incontinent meds with those side affects

Hello Slomo, it really depends on what you want to see on the ultrasound. In your case, they only checked to see if there was any residual urine after a uroflow. With or without uroflow, this is the standard procedure for BPH or other obstruction problems. For example, to measure the thickness of the bladder wall or to look for trabeculations in the bladder, the bladder must be full, otherwise you can't see it on ultrasound. Of course, uroflow would not be possible either (at least unless you refill the bladder with tempered salt water - which is not usually the case). So it is indeed a good idea to come with a filled bladder - otherwise some diagnoses are not so easy. Another reason is that a urine sample is usually taken to check for urinary tract infections and other problems. Again, it is advisable to come with a full bladder, as the sample should be taken in the middle of the urine stream - otherwise false positives often occur. If you only have 100 ml left in it, that could also be a problem. I think - if Dandilon have concerns it‘s probably better not to drink not 30 but 20oz and come with a half filled bladder then with a empty one 😉

I’m with Slomo re a diagnosis of OAB. You need more specific information but often your urologist just doesn’t know. I’m in the same boat. I saw my urologist yesterday about the same issues. —John

Sorry - I was not able to edit the last post anymore. Just read that it is a UTI - so this is most likely the reason and there‘s nothing to worry about. If the UTI is cured out and the problem still exists, the my first post might be helpful. More over I don‘t think that your detrusor have a problem - in this case you would have problems over the daytime too.