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NOCTURIA IN THE ADULT: CLASSIFICATION ON THE BASIS OF LARGEST VOIDED VOLUME AND NOCTURNAL URINE PRODUCTION

2000; Lippincott Williams & Wilkins; Volume: 163; Issue: 3 Linguagem: Inglês

10.1016/s0022-5347(05)67802-0

1527-3792

Yukio Homma, Osamu Yamaguchi, Shinji Kageyama, Osamu Nishizawa, Masaki Yoshida, Kazuki Kawabe,

Pelvic floor disorders treatments

No AccessJournal of UrologyCLINICAL UROLOGY: Original Articles1 Mar 2000NOCTURIA IN THE ADULT: CLASSIFICATION ON THE BASIS OF LARGEST VOIDED VOLUME AND NOCTURNAL URINE PRODUCTION YUKIO HOMMA, OSAMU YAMAGUCHI, SHINJI KAGEYAMA, OSAMU NISHIZAWA, MASAKI YOSHIDA, and KAZUKI KAWABE YUKIO HOMMAYUKIO HOMMA , OSAMU YAMAGUCHIOSAMU YAMAGUCHI , SHINJI KAGEYAMASHINJI KAGEYAMA , OSAMU NISHIZAWAOSAMU NISHIZAWA , MASAKI YOSHIDAMASAKI YOSHIDA , and KAZUKI KAWABEKAZUKI KAWABE View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)67802-0AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We propose a criterion to clarify the underlying etiologies of nocturia. Materials and Methods: Frequency-volume charts were recorded for 24 hours by 35 men and 32 women who were subjectively free of lower urinary tract symptoms and had no evidence of voiding disorders. At least 5 subjects were included in each of 5 age groups of 20 to 49, 50 to 59, 60 to 69, 70 to 79, 80 to 89 years for both genders. The charts were used to make a tentative criterion, which was validated in 39 elderly individuals with nocturnal frequency. Results: Correlation and regression analyses indicated that the quotients of nocturnal urine output divided by body weight (UN/BW) and largest voided volume divided by body weight (VL/BW) were useful classification factors. Cutoffs, which were set close to worst quartiles, were 10 ml./kg. for UN/BW and 4 ml./kg. for VL/BW, respectively. Correction by body weight made the same criterion applicable irrespective of weight. Symptomatic elderly patients were classified into 3 mutually exclusive groups of nocturnal polyuria (UN/BW greater than 10 ml./kg.), low bladder capacity (VL/BW less than 4 ml./kg.) and combined nocturia. Of 20 subjects who voided 2 times a night 11 (55%) were classified as having nocturnal polyuria and 15 of 19 who voided 3 or 4 times (79%) were classified as having low bladder capacity or combined nocturia. Conclusions: The criterion provides a reasonable distinction of etiologies of nocturia, and may be usefulness in examination and treatment. References 1 : Voiding patterns and prevalence of incontinence in women. A questionnaire survey. Br J Urol1990; 66: 12. Google Scholar 2 : Prevalence of urinary symptoms in men aged over 60. Br J Urol1990; 66: 175. Google Scholar 3 : Urinary symptoms and urodynamics in a normal elderly population. Scand J Urol Nephrol1994; 157: 27. Google Scholar 4 : The aging lower urinary tract: a comparative urodynamic study of men and women. Urology1998; 51: 206. Google Scholar 5 : The aging bladder. Int Urogynecol J1993; 4: 168. Google Scholar 6 : Patterns of urine flow and electrolyte excretion in healthy elderly people. Br Med J1983; 287: 1665. 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Google Scholar From the Department of Urology, University of Tokyo, Tokyo, Fukushima Medical Collage, Fukushima, Hamamatsu University School of Medicine, Hamamatsu, Shinshuu University, Matsumoto and the Kumamoto University School of Medicine, Kumamoto, Japan© 2000 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byBosch J, Chapple C, Mueller E, Rosenberg M, Chughtai B, Juul K, Coyne K, Andersson F, Bacci E, Simeone J and Weiss J (2022) Differences in the Prevalence of Nocturnal Polyuria in the U.S. by Definition: Results from the Epidemiology of Nocturnal Polyuria StudyJournal of Urology, VOL. 208, NO. 1, (144-154), Online publication date: 1-Jul-2022.Goessaert A, Walle J, Bosch R, Hoebeke P and Everaert K (2015) Nocturnal Polyuria: Excess of Nocturnal Urine Production, Excess of Definitions—Influence on Renal Function ProfileJournal of Urology, VOL. 195, NO. 3, (670-676), Online publication date: 1-Mar-2016.Homma Y (2014) Determinants of Nocturia: Pathophysiology and AssessmentJournal of Urology, VOL. 191, NO. 4, (891-892), Online publication date: 1-Apr-2014.Hofmeester I, Kollen B, Steffens M, Bosch J, Drake M, Weiss J and Blanker M (2013) The Association between Nocturia and Nocturnal Polyuria in Clinical and Epidemiological Studies: A Systematic Review and Meta-AnalysesJournal of Urology, VOL. 191, NO. 4, (1028-1033), Online publication date: 1-Apr-2014.van Haarst E and Bosch J (2012) A Cutoff Value Based on Analysis of a Reference Population Decreases Overestimation of the Prevalence of Nocturnal PolyuriaJournal of Urology, VOL. 188, NO. 3, (869-874), Online publication date: 1-Sep-2012.Bing M, Moller L, Jennum P, Mortensen S and Lose G (2007) Pathophysiological Aspects of Nocturia in a Danish Population of Men and Women Age 60 to 80 YearsJournal of Urology, VOL. 178, NO. 2, (552-557), Online publication date: 1-Aug-2007.Natsume O (2018) A Clinical Investigation of Nocturnal Polyuria in Patients With Nocturia: A Diurnal Variation in Arginine Vasopressin Secretion and its Relevance to Mean Blood PressureJournal of Urology, VOL. 176, NO. 2, (660-664), Online publication date: 1-Aug-2006.MUELLER E, LATINI J, LUX M, STABLEIN U, BRUBAKER L, KREDER K and FITZGERALD M (2018) GENDER DIFFERENCES IN 24-HOUR URINARY DIARIES OF ASYMPTOMATIC NORTH AMERICAN ADULTSJournal of Urology, VOL. 173, NO. 2, (490-492), Online publication date: 1-Feb-2005.LATINI J, MUELLER E, LUX M, FITZGERALD M and KREDER K (2018) VOIDING FREQUENCY IN A SAMPLE OF ASYMPTOMATIC AMERICAN MENJournal of Urology, VOL. 172, NO. 3, (980-984), Online publication date: 1-Sep-2004.HOMMA Y, YAMAGUCHI T, KONDO Y, HORIE S, TAKAHASHI S and KITAMURA T (2018) SIGNIFICANCE OF NOCTURIA IN THE INTERNATIONAL PROSTATE SYMPTOM SCORE FOR BENIGN PROSTATIC HYPERPLASIAJournal of Urology, VOL. 167, NO. 1, (172-176), Online publication date: 1-Jan-2002. Volume 163Issue 3March 2000Page: 777-781 Advertisement Copyright & Permissions© 2000 by American Urological Association, Inc.Keywordsclassificationpolyuriaurination disordersMetrics Author Information YUKIO HOMMA More articles by this author OSAMU YAMAGUCHI More articles by this author SHINJI KAGEYAMA More articles by this author OSAMU NISHIZAWA More articles by this author MASAKI YOSHIDA More articles by this author KAZUKI KAWABE More articles by this author Expand All Advertisement PDF downloadLoading ...