Urol. praxi. 2024;25(1):11-15 | DOI: 10.36290/uro.2024.011

Nocturia

MUDr. Eva Burešová, Ph.D.
Urologická klinika LF UP a FN Olomouc

Nocturia is a lower urinary tract symptom that is found to be most annoying for patients. It is most often caused by nocturnal polyuria that can be well diagnosed based on an analysis of the patient's voiding diary. In case lifestyle measures fail to have a sufficient effect, it is treated with desmopressin. This treatment is safe, but in at-risk patients (older than 65 years) it can cause hyponatraemia. Therefore, it is necessary to monitor blood sodium levels both before treatment initiation and during its course.

Keywords: nocturia, nocturnal frequency, nocturnal polyuria, global polyuria, sleep apnoea, antidiuretic hormone, desmopressin, hyponatraemia.

Accepted: February 28, 2024; Published: March 15, 2024  Show citation

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Burešová E. Nocturia. Urol. praxi. 2024;25(1):11-15. doi: 10.36290/uro.2024.011.
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    References

    1. Van Kerrebroeck P, Abrams P, Chaikin D, et al. Standardisation Sub-committee of the International Continence Society. The standardisation of terminology in nocturia: report from the Standardisation Sub‑committee of the International Continence Society. Neurourol Urodyn. 2002;21(2):179-178. Go to original source... Go to PubMed...
    2. Hashim, H, Blanker MH, Drake J, et al. International Continence Society (ICS) report on the terminology for nocturia and nocturnal lower urinary tract function. Neurourol Urodyn. 2019;38:499. Go to original source... Go to PubMed...
    3. Coyne KS, Wein AJ, Tubaro A, et al. The burden of lower urinary tract symptoms: evaluating the effect of LUTS on health-related quality of life, anxiety and depression: EpiLUTS. BJU Int. 2009;103(Suppl 3):4-11. Go to original source... Go to PubMed...
    4. Bosch JL, Weiss P. The prevalence and causes of nocturia. J Urol. 2010;184:440. Go to original source... Go to PubMed...
    5. Van Kerrebroeck P, Hashim H, Holm-Larsen T, et al. Thinking beyond the bladder: antidiuretic treatment of nocturia. Int J Clin Pract. 2010;64:807-816. Go to original source... Go to PubMed...
    6. Bliwise DL, Foley DJ, Vitiello MV, et al. Nocturia and disturbed sleep in the elderly. Sleep Med. 2009;10:540-548. Go to original source... Go to PubMed...
    7. Tikkinen KA, Johnson TM 2nd, Tammela TL, et al. Nocturia frequency, bother, and quality of life: how often is too often? A population-based study in Finland. Eur Urol. 2010;57:488-496. Go to original source... Go to PubMed...
    8. Schatzl G, Temml Ch, Schmidbauer J, et al. Cross-sectional study of nocturia in both sexes: analysis of a voluntary health screening project. Urology. 2000;56:71-75. Go to original source... Go to PubMed...
    9. Akhavizadegan H, Locke JA, Stothers L, et al. A comprehensive review of adult enuresis. Can Urol Assoc J. 2019;13(8):282-287. Go to original source... Go to PubMed...
    10. Nguyen LN, Randhawa H, Nadeau G, et al. Canadian Urological Association best practice report: Diagnosis and mana­gement of nocturia. Can Urol Assoc J. 2022;16(7): E336-E349. Go to original source... Go to PubMed...
    11. Peyronnet B, Brucker BM, Michel MC. Lower Urinary Tract Symptoms: What's New in Medical Treatment? Eur Urol Focus. 2018;4(1):17-24. Go to original source... Go to PubMed...
    12. Fujikawa K, Kasahara M, Matsui Y, et al. Human atrial natriuretic peptide is a useful criterion in treatment of nocturia. Scand J Urol Nephrol. 2001;35(4):310-313. Go to original source... Go to PubMed...
    13. Kamperis K, Hagstroem S, Radvanska E, et al. Excess diuresis and natriuresis during acute sleep deprivation in healthy adults. Am J Physiol Renal Physiol. 2010;299(2):F404-411. Go to original source... Go to PubMed...
    14. Hashim H, Abrams P. Nocturia. Oxford Urology Library. Oxford University Library 2015. ISBN: 9780198719113. Go to original source...
    15. Romero E, Krakow B, Haynes P, et al. Nocturia and snoring: predictive symptoms for obstructive sleep apnea. Sleep Breath. 2010;14(4):337-343. Go to original source... Go to PubMed...
    16. Weiss JP, Everaert K, et al. Management of Nocturia and Nocturnal Polyuria. Urology. 2019;133(S):24-33. Go to original source... Go to PubMed...
    17. Lee HW, Choo MS, Lee JG, et al. Desmopressin is an effective treatment for mixed nocturia with nocturnal polyuria and decreased nocturnal bladder capacity. J Korean Med Sci. 2010;25(12):1792-1797. Go to original source... Go to PubMed...
    18. Kaminetsky J, Fein S, Dmochowski R, et al. Efficacy and Safety of SER120 Nasal Spray in Patients with Nocturia: Pooled Analysis of 2 Randomized, Double-Blind, Placebo Controlled, Phase 3 Trials. J Urol. 2018;200(3):604-611. Go to original source... Go to PubMed...
    19. Cohn, JA, Kowalik GC, Reynolds WS, et al. Desmopressin acetate nasal spray for adults with nocturia. Expert Rev Clin Pharmacol. 2017;10:1281. Go to original source... Go to PubMed...
    20. Guidelines EAU. Available from: htps://uroweb.org/guidelines, 2023.
    21. Smith AL, Wein AJ. Outcomes of pharmacological management of nocturia with non-antidiuretic agents: does statistically significant equal clinically significant? BJU Int. 2011;107:1550-1554. Go to original source... Go to PubMed...
    22. Oelke M, Roehrborn CG, D'Ancona C, et al. Nocturia improvement in the combination of Avodart(®) and tamsulosin (CombAT) study. World J Urol. 2014;32(5):1133-1140. Go to original source... Go to PubMed...
    23. Tehranchi A, Rezaei Y, Shojaee R. Tolterodine to relieve urinary symptoms following transurethral resection of the prostate: a double-blind placebo-controlled randomized clinical trial. Korean J Urol. 2014;55(4):260-264. Go to original source... Go to PubMed...
    24. Wada N, Numata A, Hou K, et al. Nocturia and sleep quality after transurethral resection of the prostate. Int J Urol. 2014; 21(1):81-85. Go to original source... Go to PubMed...
    25. Sengottayan VK, Vasudeva P, Dalela D. A novel approach to management of nocturia in patients with benign prostatic hyperplasia. Indian J Urol. 2009;25(2):280-281.
    26. Victor RG, Lynch K, Li N, et al. A Cluster-Randomized Trial of Blood-Pressure Reduction in Black Barbershops. N Engl J Med. 2018;378(14):1291-1301. Go to original source... Go to PubMed...
    27. Reynard JM, Cannon A, Yang Q, et al. A novel therapy for nocturnal polyuria: a double-blind randomized trial of frusemide against placebo. Br J Urol. 1998;81:215. Go to original source... Go to PubMed...

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