Urologie pro praxi 1/2024

Nocturia

Nocturia is a lower urinary tract symptom that is found to be most annoying for patients. It is most often caused by nocturnal polyuria that can be well diagnosed based on an analysis of the patient’s voiding diary. In case lifestyle measures fail to have a sufficient effect, it is treated with desmopressin. This treatment is safe, but in at-risk patients (older than 65 years) it can cause hyponatraemia. Therefore, it is necessary to monitor blood sodium levels both before treatment initiation and during its course.

Keywords: nocturia, nocturnal frequency, nocturnal polyuria, global polyuria, sleep apnoea, antidiuretic hormone, desmopressin, hyponatraemia