NOCTURIA IN ELDERLY PATIENTS AND ITS CONSEQUENCES; WHICH OPTIONS DO WE HAVE TO INFLUENCE NOCTURIA? WHAT IS POSSIBLE, WHAT IS FEASIBLE AND WHAT IS REASONABLE?

Česká verzia

Authors: K. Karmašová
Authors place of work: Urologická klinika FN Brno LF MU Brno
Published in the journal: Urol List 2012; 10(1): 63-66

Summary

Nocturia is one of the most frequent reasons why patients seek help of an urologist. Nocturia is manifested by the need to wake up once or several times during the night with the urgency to void, which has to be satisfied. Each nocturia episode has to be preceded and followed by a period of sleep. We cannot speak about nocturia when the patient is woken up by other stimulus (anxiety, pain, external stimuli) and decides to use the bathroom only because he/she is awake. For long nocturia has been considered as one of the lower urinary tract symptoms. Since 2002 it is identified as a separate clinical entity. Nocturia has a significant effect on the quality of life [1]. Nocturia is a symptom of a wide range of conditions belonging to the scope of internists, neurologists, geriatrists, specialists in sleep disorders and therefore represents an inter-disciplinary symptom. The general practitioner often plays a key role in the management of this condition by deciding on which cause of nycturia is the most significant one.

Key words:
nocturia, elderly patient, polyuria, desmopressin

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