Current Guidelines and Treatment Paradigms for Nocturnal Polyuria: A "NEW" Disease State for US Physicians, Patients and Payers.

Nocturia is one of the most bothersome symptoms encountered in urology, and its prevalence rises with age. Causes include both urological and nonurological etiologies, often in combination. The effects of nocturia on a patient's quality of life can be detrimental. The initial approach to managing this condition includes appropriately classifying nocturia based on the results of a 24-hour bladder diary. Broadly, the categories under which nocturia can be classified include: low nocturnal or global bladder capacity, nocturnal polyuria, global polyuria, and mixed.Based on the type of nocturia and possible underlying causes, clinicians can appropriately discuss with patients treatment plans that may include a combination of behavioral, pharmacologic, and invasive therapy. This article is protected by copyright. All rights reserved.

International journal of clinical practice. 2019 Feb 27 [Epub ahead of print]

Eric Li, Viktor X Flores, Jeffrey P Weiss

Department of Urology, State University of New York Downstate Medical Center, Brooklyn, New York.

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