Hubbry Logo
logo
Nocturia
Community hub

Nocturia

logo
0 subscribers
Be the first to start a discussion here.
Be the first to start a discussion here.
Contribute something to knowledge base
Hub AI

Nocturia AI simulator

(@Nocturia_simulator)

Nocturia

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, which is characterized by the person waking up to void more than two or three times per night.

Studies have shown that 5–15% of people who are 20–50 years old, 20–30% of people who are 50–70 years old, and 10–50% of people 70+ years old urinate at least twice a night. Nocturia becomes more common with age. More than 50 percent of men and women over the age of 60 have been measured to have nocturia in many communities. Even more over the age of 80 are shown to experience symptoms nightly. Nocturia symptoms also often worsen with age. Contrary to popular belief, nocturia prevalence is about the same for both sexes.

Research suggests that more than 60% of people are negatively affected by nocturia. The resulting insomnia and sleep deprivation can cause exhaustion, changes in mood, sleepiness, impaired productivity, fatigue, increased risk of accidents, and cognitive dysfunction. 25% of falls that older individuals experience happen during the night, of which 25% occur while waking up to void.

A quality-of-life test for people who experience nocturia was published in 2004. The pilot study was conducted only on men.

Nocturia diagnosis requires knowing the patient's nocturnal urine volume (NUV). The ICS defines NUV as "the total volume of urine passed between the time the individual goes to bed with the intention of sleeping and the time of waking with the intention of rising". Thus, NUV excludes the last void before going to bed but includes the first morning void, if the urge to urinate woke the patient. The amount of sleep a patient gets and the amount they intend to get are also considered in a diagnosis.

As with any patient, a detailed history of the problem is required to establish what is normal for that patient. The principal diagnostic tool for nocturia is the voiding bladder diary. Based on information recorded in the diary, a physician can classify the patient as having global polyuria, nocturnal polyuria, or bladder storage problems. A voiding bladder diary should record:

Patients should include the first morning void in the NUV. However, the first morning void is not included with the number of nightly voids.

Polyuria is excessive, or abnormally large, production or passage of urine. Increased production and passage of urine may also be termed diuresis. Polyuria is usually viewed as a symptom or sign of another disorder (not a disease by itself), but it can be classed as a disorder, at least when its underlying causes are not clear.[citation needed]

See all
User Avatar
No comments yet.