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Nocturia

Prevalence of Nocturia: – Studies indicate varying prevalence rates across different age groups, with 5–15% in individuals aged 20–50, 20–30% in those aged 50–70, and […]

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Prevalence of Nocturia:
– Studies indicate varying prevalence rates across different age groups, with 5–15% in individuals aged 20–50, 20–30% in those aged 50–70, and 10–50% in individuals aged 70 and above.
– More than 50% of individuals over 60 experience nocturia, and its prevalence tends to increase with age.
– Nocturia is more common in younger women and older men, with similar rates between genders.

Impact of Nocturia:
– Over 60% of people are adversely affected by nocturia, leading to issues such as insomnia, mood changes, impaired productivity, and cognitive dysfunction.
– Nocturia is linked to a significant risk of falls, with 25% of falls in older individuals occurring at night.
– A quality-of-life test specific to nocturia was developed in 2004, although the pilot study was conducted only on men.

Diagnosis of Nocturia:
– Diagnosing nocturia involves assessing the patient’s nocturnal urine volume (NUV).
– The voiding bladder diary serves as the primary diagnostic tool, enabling classification of patients based on voiding patterns.
– A detailed history of the issue is crucial for an accurate diagnosis, and NUV measurement excludes the last void before bed but includes the first morning void.

Causes of Nocturia:
– Polyuria, characterized by excessive urine production, can be due to conditions like diabetes mellitus and diabetes insipidus.
– Nocturnal polyuria, an increase in urine production during the night, is a common cause of nocturia.
– Bladder storage disorders, affecting nighttime voiding, may be present in some individuals with nocturia.

Management of Nocturia:
– Lifestyle changes play a key role in managing nocturia symptoms, such as limiting caffeine and alcohol intake and regulating bedtime beverage consumption.
– Medications like ADH replacements, alpha-1 blockers, and antimuscarinic agents are commonly used for treating nocturia.
– Surgical options, including minimally invasive laser surgery and procedures like bladder augmentation, are available for cases related to conditions like benign prostatic hyperplasia or overactive bladder.

Nocturia (Wikipedia)

Nocturia is defined by the International Continence Society (ICS) as "the complaint that the individual has to wake at night one or more times for voiding (i.e., to urinate)". The term is derived from Latin nox – "night", and Greek [τα] ούρα – "urine". Causes are varied and can be difficult to discern. Although not every patient needs treatment, most people seek treatment for severe nocturia, waking up to void more than 2–3 times per night.

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