Nykturia: diagnosis, classification and treatment

Authors: J. P. Weiss;  A. C. Weinberg;  C. L. Lee;  J. G. Blavais
Published in: Urol List 2008; 6(1): 12-19


One of the most common reasons for interrupted sleep in the general adult population is nocturia – waking (at least once) during the night to urinate. The etiology of nocturia falls into five broad categories: a) nocturnal polyuria (NP); b) low nocturnal bladder capacity (NBC) despite normal global bladder capacity; c) diminished global bladder capacity; d) mixed (a combination of NP and low bladder capacity); e) global polyuria. These categories are derived from the 24 hour voiding diary wherein each voided volume and its corresponding time is entered. Thus, the etiology of nocturia is multifactorial and often unrelated to an underlying urologic condition. Various studies have shown cause-specific therapy to decrease the severity of nocturia, although further studies are needed to improve outcomes and maximize safety of treatment.

Key words:
nocturia, voiding diary, polyuria, bladder capacity


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