Current guidelines and treatment paradigms for nocturnal polyuria: A "NEW" disease state for US physicians, patients and payers

Nocturia is one of the most bothersome symptoms encountered in urology, and its prevalence rises with age. Causes include both urological and non-urological aetiologies, often in combination. The effects of nocturia on a patient's quality of life can be detrimental. The initial approach to managing this condition includes appropriately classifying nocturia based on the results of a 24-hour bladder diary. Broadly, the categories under which nocturia can be classified include: low nocturnal or global bladder capacity, nocturnal polyuria, global polyuria and mixed.Based on the type of nocturia and possible underlying causes, clinicians can appropriately discuss with patients the treatment plans that may include a combination of behavioural, pharmacologic, and invasive therapy. The available literature on the management of nocturia was reviewed. Findings were incorporated into a practice-based approach for its workup and treatment.

© 2019 John Wiley & Sons Ltd.

Similar articles

Rahnama'i MS, Vrijens DMJ, Hajebrahimi S, van Koeveringe GA, Marcelissen TAT. Rahnama'i MS, et al. World J Urol. 2019 Nov;37(11):2517-2522. doi: 10.1007/s00345-019-02638-5. Epub 2019 Jan 17. World J Urol. 2019. PMID: 30656496

Weiss JP, Weinberg AC, Blaivas JG. Weiss JP, et al. Curr Urol Rep. 2008 Sep;9(5):362-7. doi: 10.1007/s11934-008-0063-7. Curr Urol Rep. 2008. PMID: 18702919 Review.

Van Kerrebroeck P, Andersson KE. Van Kerrebroeck P, et al. Neurourol Urodyn. 2014 Apr;33 Suppl 1:S2-5. doi: 10.1002/nau.22595. Neurourol Urodyn. 2014. PMID: 24729150 Review.

Fehér ÁM, Bajory Z. Fehér ÁM, et al. Orv Hetil. 2016 Sep;157(36):1419-26. doi: 10.1556/650.2016.30492. Orv Hetil. 2016. PMID: 27596509 Review. Hungarian.

Andersson KE, Van Kerrebroeck P. Andersson KE, et al. Curr Urol Rep. 2018 Feb 9;19(1):8. doi: 10.1007/s11934-018-0750-y. Curr Urol Rep. 2018. PMID: 29427214 Free PMC article. Review.

Cited by

Chen M, He W, Cai S, Chen Z, Ye H, Jin Z, Lv X. Chen M, et al. Front Public Health. 2023 Dec 21;11:1292362. doi: 10.3389/fpubh.2023.1292362. eCollection 2023. Front Public Health. 2023. PMID: 38186694 Free PMC article.

Nguyen LN, Randhawa H, Nadeau G, Cox A, Hickling D, Campeau L, Li J, Welk B, Carlson K, Bailly G, Baverstock R, Herschorn S. Nguyen LN, et al. Can Urol Assoc J. 2022 Jul;16(7):E336-E349. doi: 10.5489/cuaj.7970. Can Urol Assoc J. 2022. PMID: 35819914 Free PMC article. No abstract available.

Przydacz M, Chlosta M, Dudek P, Cudnoch-Jedrzejewska A, Zgliczynski W, Dobruch J, Antoniewicz A, Chlosta P. Przydacz M, et al. Cent European J Urol. 2020;73(4):498-505. doi: 10.5173/ceju.2020.0283. Epub 2020 Nov 2. Cent European J Urol. 2020. PMID: 33552576 Free PMC article. Review.

References

REFERENCES

    1. vanKerrebroeckP, AbramsP, ChaikinD, et al. The standardisation of terminology in nocturia: report from the Standardisation Sub-committee of the International Continence Society. Neurourol Urodyn. 2002;21:179-183.
    1. FitzgeraldMP, LitmanHJ, LinkCL, McKinlayJB, BACH Survey Investigators. The association of nocturia with cardiac disease, diabetes, body mass index, age and diuretic use: results from the BACH survey. J Urol. 2007;177:1385-1389.
    1. BoschJL, WeissJP. The prevalence and causes of nocturia. J Urol. 2010;184:440-446.
    1. WeissJP. Nocturia: focus on etiology and consequences. Rev Urol. 2012;14:48-55.
    1. Ancoli-IsraelS, BliwiseD, NoorgaardJP. Nocturia and sleep disorders. In: WeissJP, BlaivasJG, VanKerrebroeckP, WeinA, eds. Nocturia: Causes, Consequences, and Clinical Approaches. New York, NY: Springer-Verlag; 2012:37-57.