Some of you seem able to wake up, go to the toilet, and then fall back to sleep. For me, "strategic waking" is almost as bad as wetting the bed. I have great difficulty sleeping due to back and pelvic pain. I also used to get up to go the the bathroom two to three time a night, and had great difficulty falling back asleep. Combine those factors together and I was getting very little sound sleep. Perpetual sleep debt indeed was making me a "zombie" and affecting my quality of life.
As I have to wear diapers at night anyway because of bowel incontinence plus some bedwetting, I finally decided to stop trying to fight it. I now either involuntarily wet my diaper or voluntarily void and then immediately fall back to sleep. Let's call that "Strategic Wetting."

The end result is the best sleep I have experienced in years (of course I still have issues with the pain).
--John