Managing nocturia

doi:10.1136/bmj.328.7447.1063

BMJ 2004;328:1063-1066 (1 May), doi:10.1136/bmj.328.7447.1063

Clinical review

Managing nocturia

Serge P Marinkovic, urogynaecologist¹, Lisa M Gillen, medical writer², Stuart L Stanton, emeritus professor of urogynaecology, St George's Hospital Medical School³

¹ Division of Urology, Southern Illinois School of Medicine, Suite 2500, 1800 East Lakeshore Road, Decatur, IL 62521, USA, ² St Mary's Hospital, Department of Urology, Decatur, IL 62521, USA, ³ 43 Wimpole Street, Flat 10, London W1G 8AE

Correspondence to: S P Marinkovic (Serge1127@yahoo.com)

The first 150 words of the full text of this article appear below.

Introduction

Nocturia, or frequent urination at night time, is a common butpoorly reported and largely misunderstood urological disorderin adults.^1
2 Although many people awaken during the night tourinate, the condition has received little attention in themedical literature, and definitions vary widely. The InternationalContinence Society defines nocturia as two or more night timevoids. In its simplest terms, nocturia refers to urination atnight and entails some degree of impairment, with urinary frequencyoften considered excessive and disruptive. However, excessiveurination may refer to either the volume of urine voided orthe number of trips to the toilet, as normal frequency and volumefor nocturnal urination have been poorly defined among all agegroups.^3
4 With no accepted distinction between normal and abnormalurination, doctors tend to overlook nocturia as a possible sourceof medical problems associated with the resultant loss of sleep,and patients tend not to report . . . [Full text of this article]

Sources

Causes

Effects

Assessment

Nocturnal polyuria

Low nocturnal bladder capacity

Treatment options

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