Nocturia and nocturnal polyuria (Peeing at night)
Nocturia is common and bothersome (sleep disturbance). Please review http://zasleep.blogspot.com where I review this in detail. Prevalence of nocturia: men: 40% aged 60 to 70yrs, 55% aged >70yrs; women 10% aged 20 to 40yrs, 50% aged >80yrs. Nocturia is associated with a 2-fold increased risk of falls and injury in the ambulant elderly. If you dont sleep you can expect to fall. Men who void more than twice at night have a 2-fold increased risk of death (possibly due to the associations of nocturia with endocrine and cardiovascular disease). Please review McKeigue P, Reynard J (2000) Relation of nocturnal polyuria of the elderly to essential hypertension. Lancet 355 :486-88. The diagnostic approach to the patient with nocturia Nocturia can be due to urological disease, but more often than not is non-urological in origin. Therefore approach the lower urinary tract last. Causes of nocturia Urological: benign prostatic obstru...