Editorial Comment

Abstract

Nocturia is one of the most bothersome lower urinary tract symptoms. In many ways, nocturia can be considered a “geriatric syndrome.” 1 Inouye S.K. Studenski S. Tinetti M.E. Kuchel G.A. Geriatric syndromes: clinical, research and policy implications of a core geriatric concept. J Am Geriatr Soc. 2007; 55: 780-791 Crossref PubMed Scopus (1112) Google Scholar The condition is highly prevalent among older adults, is generally considered to be multifactorial, and leads to negative clinical outcomes. In some patients, it develops in part because of accumulated effects of decreased function in multiple organ systems. In addition, a number of clinical conditions outside the genitourinary system are also commonly associated with nocturia including congestive heart failure, electrolyte imbalances, diabetes insipidus, and pulmonary and peripheral edema. Certain medications including calcium channel blockers, angiotensin-converting enzyme inhibitors, and diuretics can be associated with nocturia, particularly if taken in the late afternoon or evening. Use of alcohol or caffeine before bedtime can also increase the risk for nocturia. Nocturnal polyuria can also lead to nocturia because of the increased volume of urine production at night. The Impact of Obstructive Sleep Apnea Syndrome on Nocturnal Urine Production in Older Men With NocturiaUrologyVol. 84Issue 4PreviewTo investigate the impact of obstructive sleep apnea syndrome (OSAS) on night-time secretion of brain natriuretic peptide (BNP) and antidiuretic hormone (ADH) in older men with nocturia accompanied by nocturnal polyuria. Full-Text PDF ReplyUrologyVol. 84Issue 4PreviewAs the editorial comment emphasizes the importance of understanding the multiple etiologies of nocturia, various physical conditions and comorbidity diseases involve nocturia mutually in older men. Nocturnal polyuria (NP) is a condition that is most frequently encountered in routine clinical practice. For instance, fluid accumulation in the lower extremities forming leg edema is considered to be not only a source of NP, but also a cause of obstructive sleep apnea syndrome (OSAS). We intended to clarify the effect of OSAS on NP in older male patients with nocturia. Full-Text PDF