Austin, TX (UroToday.com) A panel discussion on the management of nocturia, A Nocturia Clinical Pathway was held and Dr. Tamsin J. Greenwell began by addressing medical risk factors for nocturia. He states the most important thing is to try and address the etiology of the nocturia. The clinician should make note of the patient’s fluid intake, especially alcohol and caffeine. Assess the patients sleep using the Epworth Sleepiness Scale (ESS). Assess cardiovascular function, as well as BMI and hip to waist ratio, as these may be risk factors for obstructive sleep apnea. Obtain a frequency volume chart. Finally, obtain baseline labs: a urinalysis to exclude DM, UTI, or hematuria. Obtain renal function, hemoglobin A1c, liver function tests, lipid profile, and PSA, if indicated.