Management Strategies for Nocturia

Purpose of Review Nocturia is defined as awakening due to the desire to void during a period of intended sleep. The pathophysiology of nocturia is multifactorial and management remains a challenge. Herein, we provide an overview of the management strategies for nocturia and summarize the existing ev...

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Bibliographic Details
Published in:Current urology reports 2019-11, Vol.20 (11), p.75-75, Article 75
Main Authors: Gordon, Danielle J., Emeruwa, Curran J., Weiss, Jeffrey P.
Format: Article
Language:English
Subjects:
Adrenergic alpha-Antagonists - therapeutic use
Antidiuretic Agents - therapeutic use
Behavior Therapy
Deamino Arginine Vasopressin - therapeutic use
Humans
Lower Urinary Tract Symptoms & Voiding Dysfunction (J Sandhu
Lower Urinary Tract Symptoms - complications
Medicine
Medicine & Public Health
Muscarinic Antagonists - therapeutic use
Nephrology
Nocturia - etiology
Nocturia - therapy
Organ Size
Polyuria - complications
Section Editor
Topical Collection on Lower Urinary Tract Symptoms & Voiding Dysfunction
Urinary Bladder - pathology
Urinary Bladder, Overactive - complications
Urology
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Summary:Purpose of Review Nocturia is defined as awakening due to the desire to void during a period of intended sleep. The pathophysiology of nocturia is multifactorial and management remains a challenge. Herein, we provide an overview of the management strategies for nocturia and summarize the existing evidence for treatment of nocturia across the condition’s broad etiologic categories: nocturnal polyuria, diminished bladder capacity, and global polyuria. Recent Findings Treatment should begin with behavioral modification. A high level of evidence supports the efficacy of desmopressin in the treatment of nocturnal polyuria. Data supporting the efficacy of α-blockers, antimuscarinics, and surgical bladder outlet procedures in the treatment of nocturia remains limited. Summary Treatment options for nocturia are determined by underlying mechanism. Desmopressin is effective in treating nocturnal polyuria. Surgical intervention, α-blockers, and antimuscarinics may improve nocturia when associated with lower urinary tract symptoms or overactive bladder in the setting of diminished bladder capacity.
ISSN:1527-2737
1534-6285
DOI:10.1007/s11934-019-0940-2