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Nocturia Updated 4/2010

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BASICS

  • Description
  • Epidemiology
  • Risk Factors
  • General Prevention
  • Pathophysiology
  • Associated Conditions

DIAGNOSIS

  • Signs and Symptoms
  • Tests
  • Differential Diagnosis

TREATMENT

  • Medication (Drugs)
  • Surgery
  • Additional Treatment | Radiotherapy

Ongoing Care

  • Prognosis
  • Complications
  • Follow-Up Recommendations
The following is an excerpt....
BASICS
Description
  • Nocturia, or waking at night to void, is a common cause of sleep disturbance.
  • It is differentiated from enuresis (bedwetting) in that the person does not wake and the bladder empties regardless.
  • Nocturia negatively impacts quality of life, and is associated with depression, daytime fatigue, and increased orthopedic morbidity among the elderly.
  • The underlying etiologies of nocturia, either in isolation or in combination, are:
    • Nocturnal polyuria: The rate of urine output is excessive only at night and total 24-hr output is within normal limits.
    • Reduced voided volumes
    • 24-hr polyuria
  • Differentiating between these causes enables the physician to direct a rational, targeted treatment plan.
  • Voiding diary: Analysis of a patient-generated frequency-volume chart is crucial to ...

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Fig CA 17-4 Pickwickian syndrome. Profound obesity has led to severe hypoventilation and secondary polycythemia, causing marked cardiomegaly and engorgement of the pulmonary vessels.Credit: Ronald L. Eisenberg, an atlas of differential diagnosis Fourth Edition. Philadelphia: Lippincott Williams & Wilkins, 2003.
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