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논문 기본 정보

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저자정보
Thomas F. Monaghan (Department of Urology State University of New York Downstate Health Sciences University) Adriana M. Kavoussi (Department of Urology State University of New York Downstate Health Sciences University) Christina W. Agudelo (Department of Urology State University of New York Downstate Health Sciences University) Syed N. Rahman (Department of Urology State University of New York Downstate Health Sciences University) Kyle P. Michelson (Department of Urology State University of New York Downstate Health Sciences University) Donald L. Bliwise (Department of Neurology Emory University School of Medicine) Jason M. Lazar (Division of Cardiovascular Medicine Department of Medicine SUNY Downstate Health Sciences Universi) Lori A. Birder (Departments of Medicine and Pharmacology and Chemical Biology University of Pittsburgh School of Me) Upeksha S. Alwis (Department of Urology Ghent University Hospital) Johan Vande Walle (Department of Pediatric Nephrology Ghent University Hospital) Alan J. Wein (Department of Urology Perelman School of Medicine at the University of Pennsylvania) Jerry G. Blaivas (Department of Urology State University of New York Downstate Health Sciences University) Jeffrey P. Weiss (Department of Urology State University of New York Downstate Health Sciences University) Karel Everaert (Urology Department Ghent University Hospital)
저널정보
대한배뇨장애요실금학회 International Neurourology Journal International Neurourology Journal 제24권 제3호
발행연도
2020.1
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270 - 277 (8page)

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Purpose: Low nocturnal urine production (NUP) may be sufficient to rule out global polyuria (GP) in men. This study determines the sensitivity of indices for nocturnal polyuria (NP), defined as nocturnal polyuria index (NPi; nocturnal urine volume/24-hour urine volume) ≥0.33 or NUP ≥90 mL/hr, for detecting GP in women. Methods: Data were analyzed from 2 prospective protocols involving subjects recruited from a urology ambulatory care unit and a continence clinic. Women ≥18 years with nocturia were included if they met either of 2 common criteria for GP: (1) ≥40 mL/kg/24 hr or (2) ≥3,000 mL/24 hr. Results: Thirty-one women were included (NPi, 28.6 [21.3?40.7]; NUP, 100.8 [68.3?135.8] mL/hr). At the ≥40 mL/kg/24-hr cutoff, 40% and 63% of women reporting ≥1 nocturnal void(s) (n=30) had NPi ≥0.33 and NUP ≥90 mL/hr, respectively. Additionally, 53% and 71% of subjects reporting ≥2 nocturnal voids (n=17) had NPi ≥0.33 and NUP ≥90 mL/hr, respectively. At the ≥3,000 mL/24-hr cutoff, 38% and 69% of women reporting ≥1 nocturnal void(s) (n=13) had NPi ≥0.33 and NUP ≥90 mL/hr, respectively, and 63% and 88% of subjects reporting ≥2 nocturnal voids (n=8) had NPi ≥0.33 and NUP ≥90 mL/hr, respectively. By extension, 37%?62% of women with nocturia and GP did not have NP by NPi ≥0.33 criteria, and 12%?37% did not have NP by NUP ≥90 mL/hr criteria. Conclusions: Indices of excess nighttime urination do not reliably predict GP in women. A full-length voiding diary may be particularly important in the evaluation of women with nocturia. Nocturia in women merits further consideration as a distinct entity.
#Circadian rhythm #Nocturia #Polyuria #Sex

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참고문헌 (28)

참고문헌 신청
D’Ancona C / 2019 / The International Continence Society(ICS)report on the terminology for adult male lower urinary tract and pelvic floor symptoms and dysfunction / Neurourol Urodyn 38:433~477 google schola Cornu JN / 2012 / A contemporary assessment of nocturia: definition, epidemiology, pathophysiology, and management--a systematic review and meta-analysis / Eur Urol 62:877~890 google schola Everaert K / 2019 / International Continence Society consensus on the diagnosis and treatment of nocturia / Neurourol Urodyn 38:478~498 google schola Heit M / 1996 / Clinical correlates in patients not completing a voiding diary / Int Urogynecol J Pelvic Floor Dysfunct 7:256~259 google schola Oelke M / 2016 / Nocturia is often inadequately assessed, diagnosed and treated by physicians: results of an observational, real-life practice database containing 8659 European and US-American patients / Int J Clin Pract 70:940~949 google schola

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