[Diagnostic and therapeutic approach to nocturia in Primary Care].

Abstract

Nocturia is the interruption of the main sleep, one or more times, due to the need for urination. It is associated with a decrease in the quality of life and an increase in mortality. It is a complex and multifactorial symptom in which two pathophysiological mechanisms are mainly involved. These occur alone or in combination as nocturnal polyuria or decreased bladder capacity. Nocturnal polyuria is the most frequent. The preparation of a bladder diary is the key to diagnosis. Treatment usually combines lifestyle changes and drug therapy. Desmopressin has proven to be an effective and well-tolerated treatment in patients with nocturnal polyuria. The risk of hyponatraemia should be controlled in patients treated with desmopressin.

• Authors: A Alcántara Montero, J Medina Polo, M T Matsuki Martín de Prado, B Julián García
• Journal: Semergen (Semergen) Vol. 46 Issue 7 Pg. 487-496 (Oct 2020) ISSN: 1578-8865 [Electronic] Spain
• Vernacular Title: Aproximación diagnóstica y terapéutica de la nocturia en Atención Primaria.
• PMID: 32467014 (Publication Type: Journal Article)
• Copyright: Copyright © 2020 Sociedad Española de Médicos de Atención Primaria (SEMERGEN). Publicado por Elsevier España, S.L.U. All rights reserved.

Topics

• Humans
• Nocturia
• Polyuria
• Primary Health Care
• Quality of Life
• Sleep