My issue is when I wake I can't pee. I have to walk around and massage, run water or sit in a warm tub or a heating pad over the bladder. Then some deep breathing and relaxing amap and when sitting I bend from the waist and put my hands on the floor. (BTW this works great if you are constipated.) Anyway it usually begins to flow in about 5-10 minutes from when I actually sit. Then I'm pretty good throughout the day.