ouch. I have BPH and up 2-4 time a night but extremely reluctant to get surgery. However, unless it is close to morning, I usually go back to sleep more or less instantly – provided I got to sleep in the first place. My first thought is work on not engaging arousal system by worrying about not getting back to sleep. Second thought would be try to wake up as little as possible on way. Maybe some mindfulness stuff might help but I would be interested to know what Martin thinks.