title: Would a new definition and classification of nocturia and nocturnal polyuria improve our management of patients? ICI-RS 2014.
abstract: The following is a report of the proceedings of the Nocturia Think Tank sessions of the annual International Consultation on Incontinence-Research Society, which took place September 22-24, 2014 in Bristol, UK. The report is organized into sections pertaining to the main topic of discussion focussing on the question as to whether a new definition and classification of nocturia and nocturnal polyuria would improve the outcome of management in our patients. First, discussions identified theoretical and practical shortcomings of current definitions. Secondly, the utility of several nocturnal polyuria definitions was tested in a real life population in relation to the symptom nocturia, in order to display weaknesses of these definitions. Thirdly, we explored in a clinical population the utility of bladder diary based parameters by asking the question: when nocturia improves, which of these parameters improve most? Based on the above explorations the Think Tank summarized elements of the current definitions that need reconsideration and suggests proposals for further research to reach more practical and more clinically meaningful definitions.
authors: Department of Urology, University Medical Center Utrecht, Utrecht, The Netherlands.
authors: J L H Ruud
authors: JL
authors: Bosch
authors: Department of Urology, Ghent University Hospital, Gent, Belgium.
authors: Karel
authors: K
authors: Everaert
authors: Department of Urology, SUNY Downstate College of Medicine, Brooklyn, New York.
authors: Jeffrey P
authors: JP
authors: Weiss
authors: Bristol Urological Institute, Southmead Hospital, Bristol, United Kingdom.
authors: Hashim
authors: H
authors: Hashim
authors: Department of Urology, Maastricht University Medical Centre, Maastricht, The Netherlands.
authors: M Sajjad
authors: MS
authors: Rahnama'i
authors: Department of Urology, Ghent University Hospital, Gent, Belgium.
authors: An-Sofie
authors: AS
authors: Goessaert
authors: Department of Urology, SUNY Downstate College of Medicine, Brooklyn, New York.
authors: Joshua
authors: J
authors: Aizen
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000465:Algorithms; D003226:Congresses as Topic; D032921:Consensus; D019091:Critical Pathways; D003661:Decision Support Techniques; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D053158:Nocturia / Q000145:classification* / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy; D011141:Polyuria / Q000145:classification* / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy; D011237:Predictive Value of Tests; D011379:Prognosis; D009626:Terminology as Topic
keywords: definitions; management; nocturia; nocturnal polyuria