Canadian Urological Association best practice report: Diagnosis and management of nocturia

Abstract

Nocturia remains a difficult-to-treat symptom with significant impact on not just quality of life but also morbidity and mortality. It has classically been considered a symptom of the lower urinary tract, and thus has been most commonly managed by urologists. However, the majority of patients have nocturia due at least in part to NP, and many have multiple contributing factors resulting in their symptoms. These multifactorial etiologies are best managed by a multidisciplinary team led by primary care physicians and urologists, and involving geriatricians, sleep specialists, pulmonologists, cardiologists, and endocrinologists as needed. Regardless of etiology, a large proportion of patients respond well to conservative strategies, including behavioral and lifestyle modifications.