Nocturia.
A 52-year-old man complains of minor urgency and frequency during the day and nocturia × 3-5. His DRE reveals a 30-g benign prostate. He is started on tamsulosin, and his daytime symptoms resolve entirely; however, he still has nocturia × 2-4. He is counseled on lifestyle modifications and to decrease fluid consumption including caffeine but has no improvement in nocturia. Cystoscopy is normal with no evident visual obstruction. A urinalysis is normal. The PVR is 40 ml. He has a normal-sized neck and does not snore. He has no trouble sleeping and awakens because of the urge to void. This is very bothersome.
Memorial Healthcare System, Aventura, FL, USA. mssoloway@yahoo.com.
Mark S
MS
Soloway
Department of Urology, SUNY Downstate College of Medicine, New York, NY, USA.
Jeffrey P
JP
Weiss
Division of Urology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Alan J
AJ
Wein
D006801:Humans; D008297:Male; D008875:Middle Aged; D018727:Muscarinic Antagonists / Q000627:therapeutic use; D053158:Nocturia / Q000209:etiology / Q000517:prevention & control*
D018727:Muscarinic Antagonists
Case report; Cystoscopy; Nocturia