Home

Search

Pathway AI

Account ⋅ Sign Out

Table of contents

Nocturia

Key sources
The following summarized guidelines for the evaluation and management of nocturia are prepared by our editorial team based on guidelines from the European Association of Urology (EAU 2023; 2022), the Canadian Urological Association (CUA 2022), and the European Academy of Neurology (EAN 2020).
1
2
3
4
5

Guidelines

1.Diagnostic investigations

History and physical examination: as per EAU 2023 guidelines, elicit a complete medical history in female patients with nocturia.
A
Show 3 more
Create free account

More topics in this section

  • Laboratory tests

  • Post-void residual volume

  • Urodynamic studies

  • Screening for obstructive sleep apnea

2.Diagnostic procedures

Cystoscopy: do not perform cystoscopy in patients with nocturia.
D

3.Medical management

General principles: as per EAU 2023 guidelines, refer patients with nocturia and a history suggestive of obstructive sleep apnea to a sleep clinic for assessment of suitability for CPAP therapy.
A

More topics in this section

  • Desmopressin

  • Anti-LUTS therapy

  • Diuretics

  • Imipramine

  • Vaginal estrogen

4.Nonpharmacologic interventions

Lifestyle modifications: as per EAU 2023 guidelines, provide lifestyle advice before or concurrent with treatment in patients with LUTS.
A

More topics in this section

  • Pelvic floor muscle training

5.Specific circumstances

Patients with multiple sclerosis: consider offering desmopressin intranasal spray for nocturia in patients with severe multiple sclerosis. Do not offer desmopressin intranasal spray in patients with uncontrolled hypertension, cardiovascular, and/or renal diseases.
C