You may also be interested in alternative medications or treatments for nocturia, but there are few studies to support their use. Many people turn to complementary and alternative medicine (CAM) before seeking medical help. For example, prostate surgery for men with an enlarged prostate can help with obstruction and relieve symptoms. The success rate for the surgery depends on the underlying cause. When prevention and medications don’t work, your doctor may suggest a surgical procedure to treat your nighttime OAB. The noninvasive version of this treatment requires more studies, but research shows there’s evidence that electrical stimulation works for OAB and nocturia. One study shows that this device is an effective long-term treatment for the symptoms of OAB and nocturia. The invasive treatment involves implanting a small device that sends regulated impulses to your bladder near your tailbone. This treatment can be invasive or noninvasive. Nerves that send signals to your bladder to contract may be giving you the urge to go. Sometimes the underlying cause of nocturia is neurological. Your doctor may also adjust your diabetic medications to lower your blood sugar if they’re causing nocturia. antibiotics if you have a urinary tract infection.tamsulosin (Flomax), finasteride (Proscar), or dutasteride (Avodart) to treat prostate enlargement.desmopression (DDAVP) in cases of diabetes insipidus to cause the kidneys to produce less urine.This should decrease your urine production at night. But if you take it early enough in the day, it may help you get rid of excess fluid while you’re awake. Your doctor may suggest you take a diuretic for regular urine production. They reduce bladder spasms that create the urge to go. Doctors prescribe a class of drugs called anticholinergics to treat symptoms of OAB, if that’s the cause of your nocturia. Your doctor may prescribe medications when preventive measures and lifestyle changes fail to reduce the frequency of your nighttime urination. Your doctor may refer you to a specialist, if you have nocturia. CT scan, to get a more detailed image of your bladder.ultrasound, to get an image of your bladder.cystoscopy, to look at your bladder with a small camera.cystometry, to measure the pressure in a bladder.Does the urination prevent you from getting quality sleep?ĭepending on your symptoms, your doctor may also conduct several tests such as:.Do you drink caffeine? If so, how much?.Do you urinate a lot or a little when you go?.When did your nighttime urination start?. In addition to a physical exam, your doctor will also ask about your condition. symptoms of urinary tract infections such as pain with urinating or difficulty urinating.Proposed definitions had poor discriminatory accuracy in evaluations based on data from subjects independent from the original study cohorts with findings being similar regarding the most widely evaluated definition endorsed by ICS.Ĭonclusions Diagnostic performance characteristics for proposed definitions of nocturnal polyuria show poor to modest discrimination and are not based on sufficient level of evidence from representative, multi-ethnic population-based data from both females and males of all adult ages.The Cleveland Clinic recommends keeping a fluid and voiding diary to help your doctor diagnose nocturia. Most study cohorts were small, mono-ethnic, including only Caucasian males aged 50 or higher with primary or secondary polyuria that were compared to a control group of healthy men without nocturia in prospective or retrospective settings. Results The sample size of study cohorts, participant age, sex, ethnicity, and health status varied considerably in 13 studies reporting on the diagnostic performance of seven different definitions of nocturnal polyuria using frequency-volume chart data from 4968 participants. Data were extracted from each paper regarding subject age, sex, ethnicity, health status, sample size, data collection methods, and diagnostic discrimination of proposed definitions including sensitivity, specificity, positive and negative predictive value. Thirteen original communications were included in this review based on pre-specified exclusion criteria. Methods Seventeen pre-specified search terms identified 351 unique investigations published from 1990 to 2016 in BIOSIS, Embase, Embase Alerts, International Pharmaceutical Abstract, Medline, and Cochrane. Purpose Systematic review to determine population-based evidence of the diagnostic accuracy of proposed definitions of nocturnal polyuria based on data from frequency–volume charts. Background Evidence of diagnostic accuracy for proposed definitions of nocturnal polyuria is currently unclear.
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