Hashim Hashim1, Marcus J Drake2. 1. Bristol Urological Institute, Bristol, United Kingdom. 2. University of Bristol and Bristol Urological Institute, Bristol, United Kingdom.
Abstract
AIMS: To review the recommendations on nocturia in the International Continence Society (ICS) Standardization documents, setting out key definitions and parameters for use in clinical practice. METHODS: Definitions and evaluations described in the ICS Standards on Nocturia and Terminology for Lower Urinary Tract Function were identified and summarized. RESULTS: The terms have been divided into signs and symptoms. Nocturia as a symptom is waking at night to pass urine and as a sign is the number of times an individual passes urine during their main sleep period. Nocturnal polyuria as a symptom is passing large volumes of urine at night and as a sign is the excessive production of urine during the individual's main sleep period. These should be quantified using a 3-day bladder diary, thereby facilitating identification of 24-h polyuria, nocturnal polyuria, lower urinary tract dysfunction, or sleep disorder. CONCLUSIONS: The summary reflects the multifactorial influences in nocturia and provides a pragmatic insight into bladder diary analysis for deriving key parameters relevant to clinical therapy.
AIMS: To review the recommendations on nocturia in the International Continence Society (ICS) Standardization documents, setting out key definitions and parameters for use in clinical practice. METHODS: Definitions and evaluations described in the ICS Standards on Nocturia and Terminology for Lower Urinary Tract Function were identified and summarized. RESULTS: The terms have been divided into signs and symptoms. Nocturia as a symptom is waking at night to pass urine and as a sign is the number of times an individual passes urine during their main sleep period. Nocturnal polyuria as a symptom is passing large volumes of urine at night and as a sign is the excessive production of urine during the individual's main sleep period. These should be quantified using a 3-day bladder diary, thereby facilitating identification of 24-h polyuria, nocturnal polyuria, lower urinary tract dysfunction, or sleep disorder. CONCLUSIONS: The summary reflects the multifactorial influences in nocturia and provides a pragmatic insight into bladder diary analysis for deriving key parameters relevant to clinical therapy.
Authors: Upeksha S Alwis; Thomas F Monaghan; Rebecca Haddad; Jeffrey P Weiss; Saskia Roggeman; Erik Van Laecke; Johan Vande Walle; Alan J Wein; Karel Everaert Journal: F1000Res Date: 2020-03-05