Jeffrey P Weiss1. 1. Joan and Sanford I. Weill Medical College of Cornell University, New York, New York, USA. Urojock@aol.com
Abstract
PURPOSE: We reviewed the definition and etiologies of nocturia, offering the current diagnostic procedures and standards of care. MATERIALS AND METHODS: We reviewed recent published literature regarding nocturia, along with current paradigms for diagnosis and management. RESULTS: Nocturia is common as a limited occurrence but troublesome if the patient regularly experiences more than 2 episodes during sleep hours. The 4 principle etiologies associated with nocturia (nocturnal polyuria, decreased nocturnal bladder capacity, mixed polyuria, and global polyuria) may be easily differentiated through mathematical analysis of a 24-hour bladder diary. CONCLUSIONS: Nocturia is highly treatable in many patients. Identification of the precise type and its cause enable clinicians to minimize the inconvenience and sleep deprivation associated with nocturia.
PURPOSE: We reviewed the definition and etiologies of nocturia, offering the current diagnostic procedures and standards of care. MATERIALS AND METHODS: We reviewed recent published literature regarding nocturia, along with current paradigms for diagnosis and management. RESULTS:Nocturia is common as a limited occurrence but troublesome if the patient regularly experiences more than 2 episodes during sleep hours. The 4 principle etiologies associated with nocturia (nocturnal polyuria, decreased nocturnal bladder capacity, mixed polyuria, and global polyuria) may be easily differentiated through mathematical analysis of a 24-hour bladder diary. CONCLUSIONS:Nocturia is highly treatable in many patients. Identification of the precise type and its cause enable clinicians to minimize the inconvenience and sleep deprivation associated with nocturia.