You have accessJournal of UrologyUrodynamics/Incontinence/Female Urology: Non-Neurogenic Voiding Dysfunction1 Apr 20111963 EFFECT OF SYSTEMATIZED BEHAVIORAL MODIFICATION PROGRAM FOR NOCTURIA: A PROSPECTIVE STUDY Sung Yong Cho, Sang Lim Lee, Sun Ho Min, Soo Woong Kim, Jae-Seung Paick, and Seung-Jung Oh Sung Yong ChoSung Yong Cho Seoul, Korea, Republic of More articles by this author , Sang Lim LeeSang Lim Lee Seoul, Korea, Republic of More articles by this author , Sun Ho MinSun Ho Min Seoul, Korea, Republic of More articles by this author , Soo Woong KimSoo Woong Kim Seoul, Korea, Republic of More articles by this author , Jae-Seung PaickJae-Seung Paick Seoul, Korea, Republic of More articles by this author , and Seung-Jung OhSeung-Jung Oh Seoul, Korea, Republic of More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.2167AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Few studies have reported the effect of behavioral modification as the first-line therapy for patients with nocturia. We investigated whether the Systematized Behavioral Modification Program (SBMP) is also effective in patients with nocturnal polyuria (NPU). METHODS Of the 104 patients enrolled in the study, 82 patients of NPU who had 2 or more nocturnal voids (nocturia) were analyzed in the prospective setting. Frequency-volume charts (FVC) were filled out by the patients and NPU was defined as urine volume more than one-third of total daily urine volume. We developed a 30-minutes SBMP to apply to the patients with NPU. The SBMP consisted of (1) watching videos which contained normal physiology of storage and emptying function of urine, (2) restriction of water intake before sleep, and (3) discussion with a specialized continence nurse practitioner. Patients received a reinforcement education if they still had nocturia or NPU after the first education. IPSS, overactive bladder questionnaire-nocturia, patient perception of treatment benefit (PPTB) were filled out on every visit. The first question of PPTB was about whether education of behavioral modification was effective, and the next question was the amount of beneficial effect of nocturia after education. RESULTS Mean age was 66 years (44-87). Sixty-three males (77%) and 19 females (23%) were included in the study. Nocturnal voids, quality of life scores, nocturia index, and nocturnal bladder capacity index were significantly improved after the first SBMP (Table). Fourteen patients (17.1%) did not visit any more after the first SBMP and nor did 44 patients (64.7%) after the second SBMP. On the whole, sixty-two patients (78.5%) were satisfied with the first SBMP and six patients became satisfied with reinforcement SBMP. Eleven patients (13.9%) were eventually dissatisfied with SBMP (Figure). CONCLUSIONS A single SBMP was sufficient for most of the patients with NPU (78.5%) and reinforcement SBMP was effective in 7.6% patients. A long-term efficacy of SBMP should be warranted. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e785-e786 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information Sung Yong Cho Seoul, Korea, Republic of More articles by this author Sang Lim Lee Seoul, Korea, Republic of More articles by this author Sun Ho Min Seoul, Korea, Republic of More articles by this author Soo Woong Kim Seoul, Korea, Republic of More articles by this author Jae-Seung Paick Seoul, Korea, Republic of More articles by this author Seung-Jung Oh Seoul, Korea, Republic of More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...