Nocturnal polyuria and nocturia

Int Urol Nephrol. 2023 Jun;55(6):1395-1401. doi: 10.1007/s11255-023-03582-5. Epub 2023 Mar 31.

Abstract

Background: Nocturia is a common complaint that can have a significant impact on quality of life. The pathophysiology is usually multifactorial and can be due to poor sleep, nocturnal polyuria, or low bladder capacity alone or in combination.

Objective: Nocturnal polyuria (NP) is the most common cause of nocturia in older adults. We hereby review the role of nocturnal polyuria in nocturia.

Patients and methods: To manage nocturia, a multipronged approach personalized to the patient's multifactorial etiology is warranted, with a focus on lifestyle modifications and behavioral approaches as first-line therapies. Pharmacologic treatment should be considered based on underlying disease processes, and healthcare providers should be mindful of potential drug interactions and polypharmacy in older adults.

Result: Referral to specialists in sleep or bladder-related disorders may be necessary for some patients. With comprehensive and individualized management, patients with nocturia can achieve improved quality of life and overall health outcomes.

Keywords: Bladder dysfunction; Nocturia; Nocturnal polyuria; Overactive bladder.

Publication types

  • Review

MeSH terms

  • Aged
  • Humans
  • Nocturia* / drug therapy
  • Nocturia* / therapy
  • Polyuria / complications
  • Quality of Life
  • Sleep
  • Urinary Bladder Diseases*