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There are many medications for overactive bladder, such as myrbetriq, and oxybutynin just to name a few. You can have his urologist prescribe some. Also his urologist can try putting Botox in his bladder, as that can be helpful with an overactive bladder as well.
But until then, make sure that you have several waterproof pads under him in the bed, and that he is wearing either Depends for men or some other name brand of adult diapers. Never call them diapers of course but his underwear, and make sure you get rid of all his other underwear, so he won't have a choice put to wear the Depends. They also make Kotex type pads for men that you can put in the front of a mans Depend as well, to soak up even more.
Keeping a bedside commode near his bed can be very helpful as well, as he won't have to travel far to pee. A urinal can be helpful as well if he knows how to use it. I had to hold it for my husband as he only had use of one of his hands/arm.
And of course the last resort can be a catheter. My husband who was peeing every hour on the hour, and after trying everything listed above, ended up getting a supra pubic(permanent)catheter placed in him, and we were both finally able to sleep through the night for the first time in about 8 months. It was a Godsend for sure, as I only had to empty his catheter bag twice a day.
It's tough I know. I wish you the best in getting things figured out.
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This isn't meant to be funny, but my first thought was a urinal, assuming he can and knows how to use one.
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You start having him use an incontinence product. Either a pull up brief or a tab type brief. Remove all other underwear so it is not an option.
You place an absorbent pad under him as well.
If you are sleeping in the same bed you make sure you have a waterproof mattress pad to protect the mattress.
You start considering separate beds. A hospital bed will make things easier as the bed can be raised or lowered to make getting in and out easier. It also makes it easier to change someone in bed if it gets to that.
You can also try limiting fluids later in the evening.
Make sure he urinates right before bed.
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Rrieger1 Oct 2021
Helpful response! Same issue with my FIL…he refused the urinal. Tried a bedside commode (refused that too). We use Tena undergarments at night, however he still gets out of bed and heads to the bathroom, often urinating on the floor as he goes. We have a baby monitor so the aides hear him. My observation is he feels the urinal etc are undignified, but going in the floor is an accident.
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