![]() Reduced bladder capacity can be anatomic or functional and may be associated with retention of urine from bladder outlet obstruction (BOO) secondary to benign prostatic hyperplasia (BPH). Bladder storage symptoms such as urinary frequency and urgency may co-exist with nocturia. ![]() ![]() ![]() It is important to try and distinguish if patients are awakening due to the need to void or if they decide to use the bathroom once awake (nocturnal convenience void). 10, 11 Behavioral influences, such as the amount and timing of fluid intake and primary sleep disturbances such as insomnia, will affect nocturia. The cause of nocturia is often multifactorial and can include behavioral or sleep problems, impaired bladder storage (eg, overactive bladder, reduced bladder capacity), urine volume factors (eg, 24-hour polyuria or nocturnal polyuria), or other factors such as medication or alcohol use. Desmopressin acetate nasal spray (Noctiva™, Avadel Pharmaceuticals, Chesterfield, MO) was approved by the US Food and Drug Administration in 2017 for the treatment of nocturia due to nocturnal polyuria in adults who awaken at least twice nightly and has shown efficacy in reducing nocturnal voids by ≥50% in up to 49% of patients in clinical trials. Treatment options for nocturnal polyuria have been limited to behavioral therapy and off-label use of timed diuretics and desmopressin. Treatment with alpha-blockers or antimuscarinic medications may help if the underlying cause is determined to be benign prostatic hyperplasia or overactive bladder, respectively. Initial assessment includes a detailed history and physical examination and completion of a frequency volume chart to help identify underlying causes, such as sleep disorders, bladder storage disorders, and polyuria. If you make frequent trips to the restroom during the day or night, contact Urology Austin to schedule a consultation with one of our providers.Nocturia is a complex condition that not only significantly affects quality of life, but may be an indicator of systemic disease. Depending on their findings, treatment options may include behavioral changes, medications, or the treatment of a larger underlying medical condition. When visiting the office, the Urologist will review the patient’s medical history, current health conditions, list of medications / supplements, symptoms that they are experiencing and order laboratory testing. This urological condition is routinely diagnosed and treated by Urologists. Bladder inflammation including Interstitial Cystitis (chronic pelvic pain).Recurrent Urinary Tract Infections (UTIs).Benign prostatic hyperplasia (enlarged prostate).Common problems that can affect storage include: It can also be caused by a bladder infection or inflammation. Edema in the legs (retaining fluids in the extremities)īladder storage problems are oftentimes caused by a blockage that does not permit proper urine flow.Congestive heart failure or other cardiovascular conditions.Drinking large amounts of liquids during the day drinking before bedtime.Factors that may lead to these types of polyuria include: Nocturnal polyuria is defined as producing large amounts of urine during the night. Determining the exact cause of this condition is best done under the supervision of a qualified Urologist.Īs previously mentioned, polyuria is the production and release of large amounts of urine during a 24 hour period. However, some of these factors may be applicable for more than one type. Mixed nocturia – This condition is diagnosed when individuals experience a combination of different types of nocturia.Įach type of nocturia has its own list of possible causes.Bladder storage – This type of nocturia originates with a bladder that is incapable of adequately holding or releasing urine.Nocturnal polyuria – A urological condition in which the body produces excessive amounts of urine during the nighttime.Polyuria – This urological condition is associated with the production and passage of large amounts of urine during a 24 hour period.The different types of nocturia are as follows: In order to accurately diagnose this condition, it’s important to understand the type of nocturia a person is experiencing as well as isolating the underlying cause. Furthermore, numbers shows that one in three adults urinate at least two times during the night. Statistics indicate that this common condition affects approximately 50 million Americans. Nocturia is a urological condition that most people are familiar with – the need to urinate several times during the night.
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