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Nocturia is a common referral to the Urology teams in Devon. However, nocturia is often caused by a non-urological problem. This guidance is designed as a primary care diagnostic and management aid based on the Urology Advice and Guidance response to these referrals. Clearly, there are urological causes that are appropriate for referral when primary care management has failed, or red flags are present.
Management of nocturia should be directed at the underlying cause. The most frequent causes of nocturia can be categorised into global polyuria, nocturnal polyuria, bladder storage disorders and sleep disorders.
There are several lifestyle modifications which can help to improve nocturia:
This clinical referral guideline covers the assessment, investigation and management of nocturia.
Definition: An individual who has to wake at night one or more times to void.
Pre-choice Triage is currently active for this specialty
The causes of nocturia can be divided into the following categories:
Causes include:
Management of nocturia should be directed at the underlying cause. There are several lifestyle modifications which can help to improve nocturia:
The varied causes of nocturia make its management challenging. Specific management for each subdivision is given below:
Global polyuria
Nocturnal polyuria
Bladder storage disorders
If symptoms persist despite following the suggested management for the underlying cause, then consider referral to the appropriate team (as per the management section).
Please include the results of relevant investigations and a list of management trialled.
Please note these referrals are subject to Pre-choice Triage.
e-Referral Service Selection:
This guideline has been signed off on behalf of the NHS Devon.
Publication date: July 2020