A modern approach to nocturia management

Article

Nocturia is a bothersome condition brought on by a host of factors in a broad segment of the population, particularly the elderly. It may have a significant impact on quality of life, and the associated sleep deprivation may lead to psychological and physical illness. Management of nocturia can only be pursued once the specific etiology of the condition is defined. This article describes a modern approach to pinpointing the underlying etiology, which in turn leads to appropriate treatment.

Nocturia is a bothersome condition brought on by a host of factors in a broad segment of the population, particularly the elderly. It may have a significant impact on quality of life, and the associated sleep deprivation may lead to psychological and physical illness. Management of nocturia can only be pursued once the specific etiology of the condition is defined. This article describes a modern approach to pinpointing the underlying etiology, which in turn leads to appropriate treatment.

In order to characterize nocturnal bladder capacity, two terms need to be defined:

Continuing with the example above, if the patient actually arose seven times to void the same 1,000 mL, he or she would have a nocturnal bladder capacity index of 5 (7 [actual number of nightly voids] minus 2 [predicted number of nightly voids]). This patient, for whatever reason, has significantly diminished bladder capacity during sleep hours. The higher the nocturnal bladder capacity index, the more nocturia occurs due to nighttime voiding at volumes less than capacity. Some common causes of decreased nocturnal bladder capacity are listed in table 1.

Recent Videos
Kyrollis Attalla, MD, an expert on prostate cancer
Kyrollis Attalla, MD, an expert on prostate cancer
Blurred interior of hospital | Image Credit: © jakkapan - stock.adobe.com
Quitting smoking - male hand crushing cigarette | Image Credit: © mbruxelle - stock.adobe.com
Blur image of hospital corridor | Image Credit: © whyframeshot - stock.adobe.com
Human kidney cross section on science background | Image Credit: © Crystal light - stock.adobe.com
Elisabeth M. Sebesta, MD, answers a question during a Zoom video interview
Katherine Chan, MD, MPH, answers a question during a Zoom virtual interview
© 2024 MJH Life Sciences

All rights reserved.