Health > Men's Health > Prostate
For 4 years I never missed a single prostate pill. I still ended up in the ER at 3 a.m. with a catheter in my penis.
How a 64-year-old with a surgery date and an emergency catheter behind him ended up peeing like he did at 30, once a urologist explained why the pills had let his prostate keep growing.
By Michael TurnerNovember 3, 2026 · 9 min read

Let me tell you about the worst night I've ever had.
Before I do, you need to know one thing. I followed every rule.
I took my pills every morning.
Not one missed dose.
4 years of doing exactly what my urologist told me.
And I still ended up in an ER at 3 a.m. while a nurse pushed a catheter into my penis and my wife sat in the corner chair, crying.
If you're a man past 55 with prostate trouble, up several times a night, a stream that barely comes out, that feeling your bladder never quite empties, I'm telling you this so it doesn't happen to you.
Because nobody warned me about this part.
Every man with an enlarged prostate knows the moment. You're over the toilet, straining, and a little voice in your head asks, "What if one night nothing comes out?"
I thought that voice was just nerves.
I had no idea it could really happen.
Then it did.
As bad as that night was, I'm almost glad it happened. It pushed me to find out why the pills never stop the gland itself from growing.
There's a reason for it that your urologist probably won't bring up. It explains why things keep sliding no matter how many prescriptions you fill or how carefully you take them.
Once I understood it, everything turned around.
Over the next few minutes I'll show you what that cause is, why the usual treatments are almost built to fail, and the simple thing that finally let me pee like a young man again. It's also why my urologist took my surgery off the calendar.
Stay with me. This could save you from the night I had.
It started the way it starts for most guys.
I was 58 the first time I knew something was really wrong.
I was in the men's room at a ballgame, bursting to go, and almost nothing would come out. A thin trickle that wouldn't stay on.
A guy walked up to the urinal beside me, went, zipped up, washed his hands and walked out.
I was still standing there.

It had been creeping up on me for months:
- Up 4 times a night.
- A stream that started, stopped and started again.
- Urges that gave me about a minute to find a bathroom.
- The feeling I'd never finished, so I'd stand there another minute just in case.
Then I'd zip up, take a few steps, and feel a little dribble in my shorts anyway.
You know how it goes. You may be living it right now.
I told myself it was just age. But soon an hour was the most I could last without a bathroom. I'd make it there in a panic, then stand there with nothing.
My primary care doctor referred me to a urologist. A quick exam, some bloodwork, and he told me what I already knew.
Benign prostatic hyperplasia. An enlarged prostate.
He said it the way you'd read a weather report. He'd clearly said it a few thousand times.
"Very common at your age," he told me. "We'll start you on tamsulosin. Most people know it as Flomax. It should help the flow."
I filled the prescription that afternoon and figured the problem was handled.
4 prescriptions in 4 years. None of them fixed it.
- Tamsulosin.
- Then alfuzosin, which made me so lightheaded I had to sit on the edge of the bed every morning before I stood up.
- Then silodosin. The bedroom side effects were worse, and the flow was no better.
- Then finasteride.

I'd put off finasteride for months because of what I'd read. Men saying their sex drive never came back. Depression. A fog that never cleared. My doctor told me it was safe.
3 months in, things weren't working the way they used to. Weaker erections. Less interest. Carol noticed. So did I. He said that was probably age too.
I quit it anyway.
Through all of it, the pills, the side effects, the "let's adjust the dose," nothing got much better. Each new pill helped a little for a few weeks. Then it leveled off. Then the old symptoms crept back. So we'd raise the dose or switch to the next one.
And the whole time, my life was getting smaller.
I checked where the bathrooms were before I went anywhere. I couldn't go an hour without stopping. A night out with friends turned into a math problem. How far is the restaurant? Where's our table? How quick is the walk to the men's room?
Carol and I weren't close like we used to be, either.
But I kept taking the pills. I told myself, at least it's under control. At least it isn't getting worse.
Here's what still gets me.
All those mornings I was swallowing pills and thinking I was taking care of it...
My prostate was growing.
I just didn't know yet.
850 ml of urine I couldn't get out.
It was a Thursday in March, a little before 3 in the morning.
The usual pressure woke me. Nothing new. By then I was up at least 3 times a night.
I stumbled down the hall half awake and stood over the toilet.
And waited.
Nothing.
I pushed. Let go. Pushed again.
Nothing.
I sat down. That used to work.
Still nothing.
1 minute turned into 5. 5 turned into 10.
Then the pain came.
Not the normal ache. Something else. A pressure low in my belly that kept building, like something was going to split.
I looked down and my stomach was swollen. I could see the shape of my bladder under the skin.
I broke into a sweat.
15 minutes. Still nothing. And the pain kept climbing.
I called out. "Carol. Something's wrong."
She found me bent over with one hand on the wall. I couldn't straighten up.
"We're going to the hospital," she said.
I didn't fight her.
The ER was 20 minutes away. It felt like 2 hours. Every pothole sent pain through my whole pelvis. I groaned. I whimpered. I made sounds I'd never heard come out of a grown man.
64 years old, and crying like a little kid.

They took me back fast. The nurse said 3 words I'd only ever heard in my worst fears.
"Acute urinary retention."
There was 850 ml of urine in my bladder. Almost a quart. And it wasn't coming out on its own.
They had to put in a catheter.
I hope you never find out what that's like.
It's a thin tube fed up through your urethra and into your bladder. The pain isn't the worst of it. They numb you with a gel.
It's the violation.
Lying flat on a table, helpless, while a stranger slides a tube into the most private part of you.
With your wife of 41 years in a plastic chair in the corner, tears on her cheeks.
Once the urine started draining, the relief hit right away. The pressure let go. The pain stopped.
But that wasn't the end of it.
I went home with it still in. A urine bag strapped to my calf. I emptied it, hid it under my pants when the neighbors stopped by, and slept with it.
For 10 days.
10 days of feeling like a broken old man.
10 days of shame.
Then my urologist told me the truth.
When the catheter finally came out, I sat across the desk from my urologist.
I was angry. Confused. Scared.
"4 years," I said. "Every pill you gave me, every single day. How did this happen?"
He sat back in his chair.
What he said next changed everything.
"Michael, the pills work on the pipe, not the gland. They relax the muscle around your urethra so urine can get past. They don't touch the prostate itself. And they don't stop it from growing. Yours is a lot bigger than when we started."
I just looked at him.
"So all those years on the pills... it was getting bigger the whole time?"
He nodded.
"That's how BPH works. It keeps going. The medication manages the symptoms. It doesn't touch what's causing them."

I wanted to put my fist through his desk.
4 years of pills. 4 years of side effects. The lightheadedness. Dry orgasms. Lying awake. Thousands of dollars in prescriptions, copays and specialists.
All that, and the gland had been growing the entire time.
The pills hadn't fixed anything. They'd covered the symptoms while the real problem kept growing underneath. Like taping over the check-engine light while the engine runs itself into the ground. Of course I'd ended up in the ER.
He shrugged, like this was normal. He told me to stay on the pills and accept that it might happen again, any night.
Or worse.
Then he laid out the usual road. You start on one pill. Then you add a second. Then maybe a UroLift. The symptoms come back, so you go back on the pills. And at the end of it, surgery.
For me, he wanted to skip straight to the end. A TURP, where they go in through the urethra and cut away part of the prostate.
I'd done my reading. I knew the risks.
- Retrograde ejaculation. Between 65 and 75% of men who have a TURP never ejaculate normally again. It doesn't come back.
- Leaking and erection problems. Some men end up in pads, and some never get their erections back the way they were.
- It can grow back. Surgery takes the tissue out but leaves whatever made it grow. Between 1 in 10 and 1 in 5 men need another procedure within 10 years. UroLift implants can get outgrown the same way.
- And the one that scared me most: waking up after surgery with a catheter again, and no idea how long it would stay.
After the night I'd just had, I wasn't going to roll those dice.
There had to be another option.
3 weeks of nights at the kitchen table.
I must have looked crazy.
3 in the morning. Legal pads all over the kitchen table. Cold coffee. My reading glasses pushed up on my forehead.
Carol was asleep down the hall. She had no idea this had been my routine every night for 3 weeks.
I was looking for anything. A reason the pills hadn't worked. Some way that didn't end with a surgeon cutting into me.
Most of it was useless. The same advice over and over. Take the pills. Have the surgery. Live with it. Thousands of men on forums asking what I was asking, and getting the same vague answers.
But mixed in with all that, I started to notice something. A few men who'd truly improved. Not "coping." Improved. Sleeping through the night. A strong stream. No rushing. Some of them had taken their surgery off the calendar.
And not one of them mentioned Flomax or finasteride. What they were all on was something else.
I nearly skipped one thread. I figured it was an ad. Something made me open it anyway.
A man had posted his flow test numbers from before and after. His urologist had asked him if he'd had a procedure somewhere else and not told him.
Halfway down, he dropped a name I didn't recognize.
Dr. David Robinson.
I looked him up. That's when it all started to add up.
The urologist who won't take the pills he prescribes.
What I found about him got my attention right away.
Board-certified urologist. 18 years in practice. He'd sat across from thousands of men like me.
But this is what made me sit up.
He has an enlarged prostate himself.
Diagnosed at 52. The same things I had. Up at night. A weak stream. That never-empty feeling.
And when it got worse?
He wouldn't take the pills he'd been writing for his own patients for years.

I read that line twice. A urologist who won't swallow his own prescriptions?
I needed to hear him explain it.
I tracked down a podcast interview he'd done for men over 50. Almost an hour long. I listened to every minute.
Around the 25-minute mark, he said the thing that stopped me cold.
He said the reason prostate pills never really work, the reason men keep getting worse on them, is that they're aimed at the wrong thing.
"They work on the pipe," he said. "Not the gland."
They ease the pressure. They leave alone the thing that's making the pressure.
He had a name for it. "The regrowth loop."
Then he said something I'd never heard from a doctor. A 2021 study out of a university hospital in Iran put 73 men with enlarged prostates on either Flomax or pumpkin seed oil. Both groups got better. But only the Flomax men had the dizziness, the headaches and the dry orgasms. The pumpkin seed oil men reported no side effects at all.
Once he explained the loop, I couldn't believe no one had told me.
The loop that keeps your prostate growing.
The way Dr. Robinson explained it, it finally made sense.
"Every man's body makes a hormone called DHT out of his testosterone," he said. "Think of it as testosterone, only about 5 times stronger. And the older you get, the more of it you make."
"DHT is the growth signal. It lands on your prostate cells, and those cells start to multiply. Slowly. Quietly. For years."
Year after year. Cell by cell.
And the gland gets bigger. And it wraps tighter around the urethra running through the middle of it.
That squeeze is the pressure you feel.
It's the reason the stream is weak. It's the reason you never feel empty. It's the reason you're over the toilet at 3 a.m., straining and hoping.
And it doesn't stop on its own. The more DHT lands, the more the gland grows. The more it grows, the harder it squeezes. That's the loop.

It was past 4 a.m. and I kept asking myself why nobody had ever said this to me.
When I worked out the answer, I was livid.
The pills they hand out aren't built to stop it. Flomax? It relaxes the muscle around the pipe so you can go a little easier today. The DHT keeps landing. The gland keeps growing. Finasteride? It does go after DHT, but it shuts it down across your whole body. That's where the lost sex drive and the fog come from. And surgery? It cuts out the tissue and leaves the DHT. So the tissue can come back.
They're all built to manage it. Forever. You take the pills for life. The side effects never leave either. And the gland keeps growing underneath, so slowly you miss it until you're in a surgeon's office or flat on your back in the ER.
That's not a treatment. That's a business model.
3 things that have to happen at the same time.
Dr. Robinson had spent years working out what it would really take to break the loop. Not manage it. Break it.
In the interview he made it simple.
If DHT is landing on the gland, you have to stop it landing. If your body keeps making more, you have to turn down the supply. And if the prostate has lost what it needs to run normally, you have to give it back.
All 3 at once. Leave one out and you're right back where you started.
- Stop the DHT landing. Keep the DHT already in your blood from locking onto your prostate cells, so the growth signal goes quiet.
- Turn down the supply. Slow how much new DHT your body makes, without shutting it down everywhere the way finasteride does.
- Refill the zinc. Your prostate holds more zinc than almost any other tissue in your body, and an enlarged one tends to run low. Put it back.

That's all it is.
No complicated routine. No lifetime prescription. Just fix the part that's actually broken.
What he started recommending to his own patients.
Dr. Robinson didn't just explain the loop. He started telling the men in his chair what to take.
He'd dismissed pumpkin seed oil for years. Then patients with surgery dates started coming back better on it. So he read the research. And he worked out why most of the bottles on the shelf do nothing.
Most are made with heat, which kills the sterols that do the work. Most are underdosed, a few hundred milligrams. And most do only one of the 3 jobs.
So he looked for one that was cold-pressed, fully dosed and did all 3.
My hands shook when I typed in my card number.
I'd been burned more times than I could count. 4 years of pills. Thousands of dollars on prescriptions and supplements, and nothing to show for it.
But this felt different. Maybe because Dr. Robinson had the same problem I did. Maybe because the explanation made sense. Or maybe I was just out of other options.
I ordered.
The name is Nutrishess Pumpkin Seed Oil Softgels.
I didn't know yet that it would give me my life back.
3 ingredients. One job each.
Before I tell you what happened, here's what I was actually putting in my body. I don't swallow anything unless I know what's in it.
I called their customer service line with questions. (Yes, I'm that guy. I called.) The woman who answered went through it with me, one ingredient at a time. Each one lines up with one of the 3 steps.
- To stop the DHT landing: Cold-pressed pumpkin seed oil, 1,000 mg per serving. Pressed without heat, so the beta-sitosterol and delta-7 sterols survive. They block DHT at your prostate cells, so it has nowhere to land.
- To turn down the supply: Saw palmetto. Slows the enzyme that turns testosterone into new DHT, so less of it is made in the first place.
- To refill the zinc: Zinc. The mineral your prostate stores more of than almost anywhere else in your body.
No proprietary blends. Nothing hidden. 3 ingredients, each with one job. Third-party tested.
Why not just buy the 3 separately at a vitamin store, I asked. She laughed.
"You could. But you'd be buying 3 bottles, and you'd probably still get the doses wrong. Most of what's on the shelf has a fraction of what the research uses. It's cheaper to make that way."
Which was exactly what I'd come to suspect about supplements.
So I took a breath and started taking them.
Week 1: I almost wrote it off as a scam.
I won't pretend otherwise.
For the first few days I felt ridiculous. I took my softgels with breakfast like the label said, then stood in the bathroom waiting for something to change.
Nothing did.
Up 3 times a night, same as before. The same weak, stop-and-start stream. Still standing there wondering if anything would come.
Carol walked in on me once with the stopwatch on my phone running.
"Michael. Are you timing yourself?"
"No."
She didn't say a word. She didn't have to. After 41 years, you know that face.
By day 6, I'd decided it was money down the drain. Except I'd bought 3 months' worth. And I remembered what Dr. Robinson said on the podcast.
"That gland took 20 years to grow. It won't calm down in a week. Give it 30 days."
So I stuck with it.
Day 11: I woke up to the smell of coffee.
I woke up at 6:10.
Not because I had to go. Because Carol was already up and the coffee was on.
I lay there a second, not sure what was going on.
Then I realized.
Almost 6 hours. Straight through.
No 2 a.m. trip. No 4 a.m. shuffle down the hall. Just... sleep.
I kept it to myself. I was afraid saying it out loud would end it. I just got up and went, and this time I watched.
Something had changed. It wasn't perfect. But it was steadier. Fewer stops. I was done faster than usual.
Maybe it was just a good night, I told myself. A fluke.
Next night? Slept till 5:40.
And again the night after.
By the end of week 2, I was up once a night. Some nights, not at all.
Carol noticed before I said anything.
One morning she set her mug down and looked at me. "You've stopped getting up at night. I've slept straight through all week."
Week 3: I had to aim.
That's when I knew it was real.
A Sunday morning in week 3. Standing at the toilet.
What came out stopped me.
A strong, steady stream. No waiting. No stop and start. No pushing.
It just... came.
Like I was 30.
I missed. Seat, rim, floor. I didn't care one bit. I was thrilled.
For the first time in years, I actually had to aim. Because there was some force behind it.
I just stood there for a minute.
I'd honestly forgotten what peeing like a normal man felt like.
That night I told Carol everything. The research. Dr. Robinson. The softgels. Why I'd been acting so strange lately.
She cried.
Not sad tears. For 4 years she'd watched me get smaller. Turning down trips. Leaving dinners early. Missing the grandkids' games because I couldn't be far from a toilet.
And now she had me back.
Month 2: My urologist didn't know what to say.
I had a check-in on the books. Same urologist. Same man who'd been ready to schedule my TURP.
I nearly cancelled. I felt too good to risk bad news. I went anyway. I wanted it on paper.
He did the usual tests. The flow test. Measured what's called post-void residual, the urine still left in your bladder after you go.
Then he looked up from his chart with a face I'd never seen on him.
"Michael... your flow went from 7 to 15 ml per second. Your residual is down from 160 ml to 30."
He stared at me.
"These are a lot better. What on earth are you doing?"
I grinned and said nothing.
He shook his head and looked back at the chart.
"Whatever it is, don't stop. Let's take the surgery off the table for now."
Off the table. I'd never expected to hear that in his office.
Michael's flow test, before and at month 2
You're probably wondering what it costs.
The first time I ordered, I paid full price for a month's supply.
I'd have paid 3 times that without blinking.
After what I'd spent over 4 years on prescriptions, copays and specialists, we're talking thousands of dollars, the softgels cost next to nothing.
But I know not everyone can say that. And the guys who need it most are usually the ones the system has already bled dry. Retired guys on a fixed check. Guys whose insurance barely covers half. Guys who've already poured their savings into fixes that failed.
When I wrote to Nutrishess to share what happened, I had one request.
"Is there any way to make this easier on the wallet for guys like me?"
Right now, they said, there's a limited-time offer:
Buy 2 bottles and get a 3rd free. Or buy 3 and get 2 more free.
Per day, it's under what you'd pay for a coffee. Under one urologist copay. Under a month of Flomax. Under the gas money I spent getting to specialists who did nothing for me. And a small fraction of a UroLift or TURP, which can run anywhere from $7,000 to $25,000 out of pocket.
And you'll want at least 30 days. That's what Dr. Robinson tells his patients. It's what worked for me.
30-day money-back guarantee
The guarantee my urologist never gave me.
You've been let down before. Me too.
Pills that quit on me. Supplements that only gave me expensive pee. Doctors who just shrugged.
So I asked Nutrishess straight out. "What happens if a guy gives it a real shot and nothing changes?"
Their answer was simple.
A 30-day money-back guarantee.
Take the softgels every day for 30 days. If you don't sleep better... if the stream isn't stronger... if you're still up all night... if you just don't feel it's working, send one email and get a full refund.
No hoops. No arguing with someone reading from a script. Just your order number.
My urologist never offered me anything like that. Neither did the pharmacy. Not once in 4 years did anyone in a white coat put their own money on the line.
That tells you how sure they are. And after what it's done for me and every man I've talked to, I get why.
It might not be in stock next week.
There's one more thing you should know.
Last month I went to order a bottle for my neighbor Jim. The site said "sold out." Just like that.
My stomach dropped. I picked up the phone.
The woman on the phone said it had been out for almost 3 weeks. The oil is cold-pressed in small batches, and the last batch sold through faster than they expected.
I get it. That's how it works when you do it properly. You can't rush a cold press.
I'm only mentioning it so you don't come back in a week, finally ready, and find "sold out" like I did.
And the gland won't sit still while you wait for a restock. Every night you're up 4 times is another night of DHT landing. Another night of the gland growing. Another step toward where I was.
If you're able to order today, don't wait.
30-day money-back guarantee
I don't want you in that ER.
There's one reason I'm putting all this out there.
I don't want that ER to be your next stop.
I don't want you bent over the toilet in the dark, nothing coming, your belly swelling like a balloon.
I don't want your wife in that corner chair, watching a nurse feed a tube into you.
I don't want you losing years to pills that cover the symptoms while your prostate keeps growing underneath.
Had I known any of this 4 years ago, had I understood what was going on in there, maybe I'd never have had that night at all.
If I regret anything, it's that I didn't find this sooner.
2 roads. 1 choice.
I've been right where you are. Up all night. A weak stream. Never feeling done. The constant rush. Maybe pills that make you dizzy, stuff up your nose or wreck your sex life.
And underneath it all, that same question. Is tonight the night it won't come?
The way I see it, you've got 2 roads.
- Road 1: Keep doing what you're doing. Keep taking pills that only cover the symptoms. Keep living with what the pills do to you. Keep crossing your fingers the gland stops on its own. Keep going to bed every night wondering if tonight's the night it all stops.
- Road 2: Try something that works on the gland. Give Nutrishess 30 days. Hit all 3 at once: stop the DHT landing, turn down the supply, refill the zinc. See if you can pee like a normal man again. Sleep through the night. Take a road trip without planning every bathroom. Feel like yourself again.
I know which road I'd take.
One last thing.
I'm 64.
12 months ago I knew where every bathroom in town was. Counting how long I could hold it. Living my life an hour at a time.
Every night I'd lie in bed and wonder if this was the night nothing came out.
That fear is gone.
I sleep through the night. I pee like I did at 40. Last month I drove 5 hours to my daughter's place and stopped once, for gas.
The surgery is off the table. Carol tells people she got her husband back.
I'm no doctor. I can't tell you it'll work for you.
What I can tell you is it worked for me. And for Jim. And for a lot of other guys who'd tried everything and were about ready to give up.
Here's what I know for sure.
Your prostate isn't going to fix itself.
Every night you're up 4 times is another night of DHT landing. Another night of growth. Another step toward where I was, flat on an ER table in the middle of the night, a tube in my penis, Carol in tears in the corner chair.
I wouldn't wish it on my worst enemy.
You get a full 30 days. If it does nothing for you, Nutrishess sends every cent back.
Do nothing, and you know exactly how this ends.
That loop has had your prostate long enough.

Try Nutrishess Pumpkin Seed Oil Softgels
Cold-pressed pumpkin seed oil, 1,000 mg per serving, with saw palmetto and zinc. Third-party tested.
Check availabilityOffer reserved for 15:00
30-day money-back guarantee · Ships fast · Secure checkout