nocturia
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Introduction
Excessive urination at night, including involuntary loss of urine during sleep.
Etiology
- nocturnal polyuria (> 35% of 24 hour urine output)
- late evening fluids, especially containing caffeine or alcohol
- peripheral edema
- venous stasis
- heart failure
- medications
- sleep disturbance
- medications
- cardiac disease or pulmonary disease
- pain
- depression
- restless legs syndrome
- obstructive sleep apnea
- sleep partner
- lower urinary tract disease
Laboratory
Diagnostic procedures
- polysomnography if
- sleep disordered breathing (suspected sleep apnea)
- unexplained or suspected pulmonary hypertension
Management
- desmopressin nasal spray (Noctiva) FDA-approved March 3, 2017
- not for patients with baseline serum sodium < 135 meq/L[1]
- referral to sleep specialist if associated with other sleep disorder[1]
More general terms
Additional terms
References
- ↑ 1.0 1.1 1.2 Geriatric Review Syllabus, 7th edition Parada JT et al (eds) American Geriatrics Society, 2010
Geriatric Review Syllabus, 8th edition (GRS8) Durso SC and Sullivan GN (eds) American Geriatrics Society, 2013
Geriatric Review Syllabus, 10th edition (GRS10) Harper GM, Lyons WL, Potter JF (eds) American Geriatrics Society, 2019
Geriatric Review Syllabus, 11th edition (GRS10) Harper GM, Lyons WL, Potter JF (eds) American Geriatrics Society, 2022 - ↑ Pesonen JS, Cartwright R, Mangera A et al Incidence and Remission of Nocturia: A Systematic Review and Meta-analysis. Eur Urol. 2016 Aug;70(2):372-81. PMID: https://www.ncbi.nlm.nih.gov/pubmed/26905787
- ↑ Johnson TM 2nd, Markland AD, Goode PS et al Efficacy of adding behavioural treatment or antimuscarinic drug therapy to alpha-blocker therapy in men with nocturia. BJU Int. 2013 Jul;112(1):100-8. PMID: https://www.ncbi.nlm.nih.gov/pubmed/23448285 Free Article
- ↑ Mobley DF, Baum N. Etiology, evaluation, and management of nocturia in elderly men and women. Postgrad Med. 2014 Mar;126(2):147-53. Review. PMID: https://www.ncbi.nlm.nih.gov/pubmed/24685979
- ↑ Dani H, Esdaille A, Weiss JP. Nocturia: aetiology and treatment in adults. Nat Rev Urol. 2016 Jul 26. Review. PMID: https://www.ncbi.nlm.nih.gov/pubmed/27455894
- ↑ Kurtzman JT, Bergman AM, Weiss JP. Nocturia in women. Curr Opin Urol. 2016 Jul;26(4):315-20. PMID: https://www.ncbi.nlm.nih.gov/pubmed/26967265
- ↑ Weiss JP, Blaivas JG, Bliwise DL et al The evaluation and treatment of nocturia: a consensus statement. BJU Int. 2011 Jul;108(1):6-21. PMID: https://www.ncbi.nlm.nih.gov/pubmed/21676145 Free Article
- ↑ Fralick M, Kesselheim AS. FDA Approval of Desmopressin for Nocturia. JAMA. 2017;317(20):2059-2060 Free full text Free PMC Article http://jamanetwork.com/journals/jama/article-abstract/2617966
- ↑ Vaughan CP, Bliwise DL. Sleep and nocturia in older adults. Sleep Med Clin. 2018;13(1):107-116 PMID: https://www.ncbi.nlm.nih.gov/pubmed/29412977 https://www.sleep.theclinics.com/article/S1556-407X(17)30111-X/fulltext