Nighttime Urination and Fall Risk: Why Simple Prevention Can Save Lives

This article highlights the often-overlooked danger of nighttime urination (nocturia), especially in older men. While waking up to urinate is very common—particularly due to conditions like benign prostatic hyperplasia (BPH)—it significantly increases the risk of falls, injuries, and even death.

The author shares a personal experience of a serious nighttime fall and explains how switching to a simple solution—a bedside urinal—helped him avoid further incidents and improve sleep quality. Despite some men feeling embarrassed by this approach, he argues that pride can lead to preventable harm.

Research shows that a large proportion of falls in older adults occur at night, often during trips to the bathroom. These falls frequently result in injuries such as hip fractures or head trauma, which can reduce independence and, in severe cases, be fatal.

To reduce risk, the article recommends practical measures: using a bedside urinal, installing night lights, removing household hazards, and addressing underlying medical causes like BPH or medication side effects.

Overall, the key message is that small, practical changes—and overcoming stigma—can greatly improve safety and prevent serious nighttime accidents.

Wolinsky, H. (2026, March 5). Nighttime urination & falls: Pride goeth before the fall. Substack. Read the article