Nocturia: Current Levels of Evidence and Recommendations From the International Consultation on Male Lower Urinary Tract Symptoms

Stephen D Marshall; Dima Raskolnikov; Marco H Blanker; Hashim Hashim; Varant Kupelian; Kari A O Tikkinen; Koji Yoshimura; Marcus J Drake; Jeffrey P Weiss; International Consultations on Urological Diseases

doi:10.1016/j.urology.2015.02.043

Nocturia: Current Levels of Evidence and Recommendations From the International Consultation on Male Lower Urinary Tract Symptoms

Urology. 2015 Jun;85(6):1291-9. doi: 10.1016/j.urology.2015.02.043. Epub 2015 Apr 14.

Authors

Stephen D Marshall¹, Dima Raskolnikov¹, Marco H Blanker², Hashim Hashim³, Varant Kupelian⁴, Kari A O Tikkinen⁵, Koji Yoshimura⁶, Marcus J Drake⁷, Jeffrey P Weiss¹; International Consultations on Urological Diseases

Affiliations

¹ Department of Urology, SUNY Downstate Medical Center, Brooklyn, NY.
² Department of General Practice, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands.
³ University of Bristol and Bristol Urological Institute, Southmead Hospital, Bristol, United Kingdom.
⁴ New England Research Institutes, Watertown, MA.
⁵ Department of Urology, Helsinki University Central Hospital and University of Helsinki, Helsinki, Finland; Departments of Urology and Public Health, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
⁶ Department of Urology, Shizuoka General Hospital, Shizuoka, Japan.
⁷ University of Bristol and Bristol Urological Institute, Southmead Hospital, Bristol, United Kingdom. Electronic address: marcus.drake@bui.ac.uk.

PMID: 25881866
DOI: 10.1016/j.urology.2015.02.043

Abstract

Objective: To evaluate published evidence on nocturia in men and derive expert recommendations.

Methods: The International Consultations on Urological Diseases-Société Internationale d'Urologie convened a Consultation of experts on male lower urinary tract symptoms. The Consultation assigned standardized levels of evidence and grades of recommendation to various studies of nocturia epidemiology, pathophysiology, assessment, and treatment.

Results: Evidence review and consensus recommendations were made in the areas of epidemiology, pathophysiology, assessment, and treatment.

Conclusion: The review presents a condensed summary of the International Consultations on Urological Diseases-Société Internationale d'Urologie evaluation of nocturia, which offers contemporaneous expert consensus on this topic, with an assessment algorithm emphasizing the potential contribution of systemic conditions to the symptom.

Publication types

Practice Guideline

MeSH terms

Humans
Lower Urinary Tract Symptoms / diagnosis*
Lower Urinary Tract Symptoms / therapy*
Male
Nocturia / diagnosis*
Nocturia / therapy*